成都地区成年人群正常高值血压和高血压流行现状与分析

Epidemiological Status and Analysis of Prehypertension and Hypertension among Adults in Chengdu Area

目的:通过分析成都地区正常高值血压和高血压人群的流行现状和危险因素,为成都地区高血压防控提供研究依据。方法:选取成都地区2023年12月美年大健康各体检机构117,512例成年体检人员作为研究对象,分析该人群年龄、性别、体重指数、空腹血糖、尿酸、血脂等指标与血压的关系,筛选成都地区成年人血压增长的危险因素。结果:不同年龄、性别、体重指数、空腹血糖、尿酸、血脂等指标分组的正常高值血压和高血压人数均有不同,且具有差异(P Objective: To provide research evidence for hypertension prevention and control in Chengdu by analyzing the epidemiological status and risk factors of pre-hypertension and hypertension in the region. Methods: A total of 117,512 participants who attended routine health examinations from various physical examination institutions of Meinian One health in Chengdu in December 2023 were selected as the research subjects. The relationship between age, gender, body mass index, fasting plasma glucose, uric acid, blood lipids, and other indicators with blood pressure was analyzed to screen the risk factors for blood pressure increase among adults in Chengdu. Results: Significant differences were observed in the number of individuals with high-normal blood pressure and hypertension across groups stratified by age, gender, BMI, FPG, uric acid, and blood lipids (P < 0.05). Multivariate logistic regression analysis indicated that these indicators were all risk factors for blood pressure increase. Conclusion: In Chengdu, male gender, abnormal BMI, increasing age, high FPG, dyslipidemia, abnormal uric acid metabolism, and renal dysfunction are risk factors for blood pressure increase, with abnormal BMI, increasing age, high FPG, and male gender posing higher risks. Strengthened management of these risk factors is essential in health education and chronic disease management. Currently, the number of middle-aged individuals with high-normal blood pressure is on the rise in Chengdu, leading to a significant increase in the prevalence of hypertension among the elderly population. This necessitates sufficient attention and the formulation of corresponding prevention and control strategies.