锦州市高校教职员工高血压患病现状及其与肥胖相关指标关系

Hypertension prevalence and its relationship with obesity-related indicators among college staff in Jinzhou city

目的了解辽宁省锦州市高校教职员工高血压患病现状及其与肥胖相关指标关系,为高血压的预防控制提供参考依据。方法于2018年9—12月在锦州医科大学附属第三医院体检中心整群抽取参加健康体检的锦州市6所高校5161名教职员工进行问卷调查,并收集其体检中血压及体质指数、腰围等肥胖相关指标数据分析高血压患病与肥胖相关指标关系。结果辽宁省锦州市5161名高校教职员工中,患高血压者1547例,高血压患病率为29.97%;超重、肥胖和腹型肥胖教职员工高血压患病率分别为44.03%、49.29%和53.31%,均高于非超重、非肥胖和非腹型肥胖高校教职员工的22.54%、27.61%和21.65%,差异均有统计学意义(均P<0.001)。以体质指数和腰围值的四分位数截点进行分组,体质指数≤21.60、21.61~23.84、23.85~25.90和≥25.91 kg/m2者高血压患病率分别为17.96%、25.02%、38.92%和47.21%,腰围≤74.49、74.50~80.89、80.90~87.39和≥87.40 cm者高血压患病率分别为18.13%、26.79%、39.47%和51.97%,高血压患病率均随体质指数和腰围的增加呈上升趋势(均P<0.001)。结论锦州市高校教职员工高血压患病与体质指数和腰围等肥胖相关指标有关,超重、肥胖和腹型肥胖均可增加高血压的患病率。

Objective To examine hypertension prevalence and the association of obesity-related indicators with hypertension prevalence among college staff in Jinzhou city of Liaoning province for providing references to hypertension prevention and control.Methods With cluster sampling,we recruited 5161 staff at 6 universities in Jinzhou city of Liaoning province and then conducted a questionnaire survey among the staff when they had routine physical examination in a general hospital's physical examination center during September-December 2018.The data on the staff's blood pressure,body mass index(BMI),and waist circumference were also collected.Results The participants were aged 20–59 years,with a mean age of 39.07±6.42 and a male to female ratio of 1.35:1.Among the participants,1547 hypertensives were identified and the hypertension prevalence rate was 29.97%.In comparison with those without overweight,obesity,and abdominal obesity,significantly higher hypertension prevalence rate were observed among the participants with overweight(53.31%vs.22.54%),obesity(44.03%vs.27.61%),and abdominal obesity(49.29%vs.21.65%)(P<0.001 for all).The hypertension prevalence rate was 17.96%,25.02%,38.92%,and 47.21%for the participants with the BMI quartile value of≤21.60,21.61–23.84,23.85–25.90,and≥25.91 kg/m2;and the hypertension prevalence rate was 18.13%,26.79%,39.47%,and 51.97%for the participants with the waist circumference quartile value of≤74.49,74.50–80.89,80.90–87.39,and≥87.40 centimeters,respectively.The prevalence rate of hypertension increased significantly with the increment of both BMI and waist circumference among the participants(both P<0.001).Conclusion The hypertension prevalence is associated with obesity-related indicators and overweight,obesity,and abdominal obesity could increase hypertension prevalence among the college staff in Jinzhou city.