郑州市居民高血压前期的患病率及其危险因素分析

Prevalence of Prehypertension and its Associated Risk Factors in Zhengzhou Residents

目的研究郑州市居民高血压前期的患病率及其危险因素。方法采用随机分层抽样方法选取郑州市6个社区18岁以上成人共4800名社区居民进行流行病学调查。通过问卷调查、体格检查、血压测量、生化检测等方法记录居民的基线情况。采用多重Logistic回归分析高血压前期的危险因素。结果郑州市成人高血压前期的患病率为30.3%。多重Logistic回归分析表明,性别、年龄、体质指数、腰围、胰岛素抵抗指数和吸烟是高血压前期的独立危险因素。结论高血压前期已成为郑州市居民的一个重要健康问题,肥胖和胰岛素抵抗是重要的危险因素。

Objective To investigate the prevalence and associated risk factors of prehypertension in Zhengzhou residents.Methods A total of 4 800 community residents aged 18 year old and older from 6 communities were screened by a stratified random cluster sampling method.Baseline characteristics of residents was acquired by questionnaire,including physical examination,blood and biochemical measurement.Multivariate logistic analysis was used to analyze the risk factors of prehypertension.Results Prevalence of prehypertension was 30.3%in Zhengzhou adult population.Multivariate logistic regression indicated that gender,age,body mass index(BMI),waist circumference,homeostatic model assessment of insulin resistance(HOMA-IR),and smoking were independent risk factors of prehypertension.Conclusion Prehypertension has been a major public health problem in Zhengzhou,and obesity and insulin resistance are important risk factors.