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...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.展开更多
目的总结国内外正常高值血压人群运动干预相关证据,为制定针对正常高值血压人群的运动方案提供依据。方法系统检索BMJ Best Practice、UpToDate、Cochrane Library、JBI Library、国际指南协作网、英国国家卫生与临床优化研究所、苏格...目的总结国内外正常高值血压人群运动干预相关证据,为制定针对正常高值血压人群的运动方案提供依据。方法系统检索BMJ Best Practice、UpToDate、Cochrane Library、JBI Library、国际指南协作网、英国国家卫生与临床优化研究所、苏格兰校际指南网络、PubMed、Web of Science、EBCOS、Embase、中国知网、万方数据知识服务平台等数据库,并补充检索国家心血管病中心、中国高血压联盟、国际高血压学会等数据库中正常高值血压人群运动干预相关文献,包括证据总结、临床决策、推荐实践、临床实践指南、专家共识、系统评价或Meta分析、随机对照试验,检索时限为2017年1月1日至2021年11月30日。由研究者独立进行文献质量评价,并对纳入的文献进行证据提取。结果共纳入18篇文献,包括9篇指南、2篇临床决策、3篇系统评价、1篇专家共识和3篇随机对照试验,从适宜人群、运动前评估、运动强度、运动类型、减轻压力的运动类型、注意事项6个方面总结出24条证据。结论正常高值血压人群运动方案的最佳证据可为社区卫生服务机构及健康管理中心的医护人员提供循证依据,但医护人员在应用证据时应考虑具体情境,对不同特点的个体进行准确评估,以便采取个体化、精细化干预措施。展开更多
文摘目的: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.
文摘目的总结国内外正常高值血压人群运动干预相关证据,为制定针对正常高值血压人群的运动方案提供依据。方法系统检索BMJ Best Practice、UpToDate、Cochrane Library、JBI Library、国际指南协作网、英国国家卫生与临床优化研究所、苏格兰校际指南网络、PubMed、Web of Science、EBCOS、Embase、中国知网、万方数据知识服务平台等数据库,并补充检索国家心血管病中心、中国高血压联盟、国际高血压学会等数据库中正常高值血压人群运动干预相关文献,包括证据总结、临床决策、推荐实践、临床实践指南、专家共识、系统评价或Meta分析、随机对照试验,检索时限为2017年1月1日至2021年11月30日。由研究者独立进行文献质量评价,并对纳入的文献进行证据提取。结果共纳入18篇文献,包括9篇指南、2篇临床决策、3篇系统评价、1篇专家共识和3篇随机对照试验,从适宜人群、运动前评估、运动强度、运动类型、减轻压力的运动类型、注意事项6个方面总结出24条证据。结论正常高值血压人群运动方案的最佳证据可为社区卫生服务机构及健康管理中心的医护人员提供循证依据,但医护人员在应用证据时应考虑具体情境,对不同特点的个体进行准确评估,以便采取个体化、精细化干预措施。
