肥胖性高血压检出率及影响因素的Logistic回归分析

Logistic Regression Analysis of Detection Rate and Influencing Factors of Obesity-induced Hypertension

目的了解福州地区健康体检人群中肥胖性高血压的检出率,并分析其可能的影响因素,为该人群探寻适宜的健康管理模式提供理论依据。方法统计2015年1-12月在福建省某三甲医院进行健康体检的所有成年人中肥胖性1级高血压的检出率,采用Logistic回归分析的方法,探索其发病的主要影响因素。结果肥胖性1级高血压检出率为3.6%,女性为5.4%高于男性的2.8%,但差异无统计学意义(P>0.05);男女性的检出率均随年龄增长呈上升趋势(P<0.05)。多因素Logistic回归分析表明,年龄、饮食咸淡、饮酒、吸烟、低密度脂蛋白(LDL-L)是体检人群患肥胖性1级高血压的主要危险因素(P<0.05)。结论可控危险因素对高危高血压人群有重要意义,应对高危人群进行早期健康管理,以降低高血压及其并发症的发生率。

Objective To understand the detection rate of obese hypertension among health check-up population in Fuzhou, and to analyze its possible influencing factors, so as to provide theoretical basis for exploring appropriate health management model for this population. Methods The detection rate of obesity grade 1 hypertension in all adults who underwent physical examination in a third-class a hospital in Fujian province from January to December 2015 was analyzed. The main influencing factors of obesity grade 1 hypertension were explored by logistic regression analysis. Results The detection rate of obesity grade 1 hypertension was 3.6%, 5.4% in females was higher than 2.8% in males, but there was no significant difference(P>0.05). The detection rate of obesity grade 1 hypertension increased with age(P<0.05). Multivariate logistic regression analysis showed that age, salty diet, alcohol consumption, smoking and low density lipoprotein(LDL-L) were the main risk factors for obesity grade 1 hypertension(P<0.05). Conclusion Controllable risk factors are of great significance to high-risk hypertension population. Early health management should be carried out to reduce the incidence of hypertension and its complications.