武汉市江岸区老年人高血压控制与肥胖关系

Analysis of relationship between hypertension control and obesity in the elderly in Jianghan District,Wuhan City

目的了解武汉市江岸区老年人高血压治疗及控制现况,分析老年人体质指数(BMI)、腰围(WC)、腰高比(WHtR)与高血压治疗及控制之间的关系。方法采用整群抽样的方法,以参加2018年江岸区老年人免费体检中的17749名高血压患者为研究对象,通过问卷调查和体格检查收集相关信息,应用logistic回归模型分析BMI、WC、WHtR与高血压治疗率及控制率的关系。结果江岸区老年高血压患者的治疗率为69.74%,控制率为48.91%;调整相关因素后,肥胖(OR=1.698)、中心性肥胖(OR=1.445)、WHtR异常(OR=1.421)均为高血压治疗的保护因素;超重(OR=0.843)、肥胖(OR=0.762)、WHtR异常(OR=0.889)会降低老年人高血压控制率,中心性肥胖与高血压控制的关系无统计学意义。结论超重、肥胖、WHtR异常为老年人高血压控制的危险因素,可将体重管理作为老年高血压管理的重点干预措施。

Objective To investigate the current situation of treatment and control of hypertension among the elderly in Jiangan District of Wuhan,and to analyze the relationship between body mass index(BMI),waist circumference(WC),waist-to-height ratio(WHtR)and the treatment and control of hypertension.Methods A random sampling method was used to recruit 17,749 hypertension patients aged 65 and above who participated in free physical examinations for the elderly in Jiangan District.Relevant information was collected through questionnaire surveys and physical examinations in 2018.Logistic regression analysis was conducted to analyze the correlation between BMI,WC,WHtR and the treatment and control rate of hypertension.Results Among all elderly hypertension patients included in this study,12379(69.74%)reported the treatment of hypertension,of which 6055(48.91%)had their high blood pressure under control.After adjusting factors such as gender,age,and education level,etc.,obesity(OR=1.698),central obesity(OR=1.445),and abnormal WHtR(OR=1.421)were the protective factors of the treatment of hypertension.Overweight(OR=0.843),obesity(OR=0.762)and high WHtR(OR=0.889)reduced the control rate of hypertension.There was no significant relationship between abdominal obesity and blood pressure control.Conclusion Overweight,obesity and high WHtR are the risk factors of hypertension control in the elderly.Weight management can therefore be a takeaway as a key intervention measure for hypertension management in the elderly.