云南富民县农村居民高血压的变化趋势及与肥胖指标的关系

Analysis of Trend in Prevalence of Hypertension and Its Relationship with Different Obesity Indices among Rural Adults in Fumin County of Yunnan Province

目的分析云南省富民县农村居民高血压的变化趋势及与不同肥胖指标的关系。方法采用重复横断面调查设计,分别于2009年和2019年在富民县采用多阶段分层随机抽样方法,分别抽取2544名和2502名≥35岁农村居民进行面对面问卷调查和体格检查。结果在2009年至2019年期间,调查人群的高血压标化患病率、男性和女性的标化患病率分别从32.8%、31.2%、33.9%上升到了44.1%、43.5%、44.6%(χ^(2)=68.122,χ^(2)=39.626,χ^(2)=31.456,P<0.001);2次调查人群的高血压标化患病率均随年龄的增加而呈上升趋势,随文化程度和家庭年人均收入的增加而呈下降趋势(P<0.05);居民肥胖指标体重指数(BMI)从22.90 kg/m^(2)上升到了23.62 kg/m^(2)(t=-7.326,P<0.001),而腰围(WC)、腰臀比(WHR)、身体圆润指数(BRI)和人体肥胖指数(BAI)无明显变化趋势(P>0.05)。多因素Logistic回归分析结果显示,男性和女性WC、WHR、BMI、BRI和BAI值的升高均会增加高血压患病风险(P<0.001),其中,WHR与高血压患病的关联强度最高(男:OR=7.446,女:OR=2.223,P<0.001);各肥胖指标与高血压患病的关联强度均是男性高于女性。ROC曲线分析发现,男性和女性的WC、WHR、BMI、BRI和BAI值对高血压患病风险均有预测价值(P<0.001)。结论云南富民县农村居民的高血压患病率呈上升趋势,肥胖指标WC、WHR、BMI、BRI和BAI与高血压患病呈正相关,将其保持在正常范围内有利于控制高血压的发生。

Objective To analyze the trend of hypertension prevalence and its relationship with different obesity indices among rural adults in Fumin county of Yunnan province.Methods A repeated cross-sectional surveys was employed.A total of 2544 individuals aged≥35 years in 2009 and 2502 in 2019 were selected by multistage stratified random sampling method.Each participant received face to face questionnaire interview and physical examination.Results From 2009 to 2019,the overall age-standardized prevalence of hypertension increased from 32.8%to 44.1%,while prevalence of hypertension increased from 31.2%to 43.5%among males,and increased from 33.9%to 44.6%among females,respectively(χ^(2)=68.122,χ^(2)=39.626,χ^(2)=31.456,P<0.001).Both in 2009 and 2019,the age-standardized prevalence of hypertension increased with age,whereas decreased with level of education and annual per capita household income(P<0.05).The mean of body mass index(BMI)increased from 22.90 kg/m^(2) to 23.62 kg/m^(2)(t=-7.326,P<0.001),while there were no significant difference of waist circumference(WC),waist-to-hip ratio(WHR),body roundness index(BRI)and body adiposity index(BAI)between two survey years(P>0.05).The result of multiple logistic regression indicated that both males and females with higher values of WC,WHR,BMI,BRI and BAI had higher risk of suffering from hypertension(P<0.001).WHR showed strongest association with hypertension(males:OR=7.446,females:OR=2.223,P<0.001).The correlation between obesity indices and hypertension prevalence was stronger in males than in females.The result of ROC curve analysis showed that WC,WHR,BMI,BRI and BAI were significant predictors of risk of hypertension in both males and females(P<0.001).Conclusion Prevalence of hypertension increased substantially in Fumin county of Yunnan province.WC,WHR,BMI,BRI and BAI were positively correlated with prevalence of hypertension,keep people’s values of obesity indices within normal interval is beneficial to control of hypertension.