北纬53°地区人群体质指数、腰臀比与高血压关系的调查

摘要

Objective To investigate the relationship between the incidence of overweight obesity, central obesity and hypertension in alpine region, in hoping of providing a theoretical basis for the prevention and control measures of the development of obesity and hypertension.Methods Detecting the height, weight, waist circumference, hip circumference and blood pressure of 1064 sub-jects in the Arctic village population, and stratified analysis the correlation between the groups and hypertension, according to the waist-hip ratio, body mass index. Results The prevalence of obesity was 19.55%, 35.81%prevalence of overweight, central obe-sity prevalence rate of 69.64%, 27.16% prevalence of hypertension. With the increasing of BMI, the prevalence rate of hyperten-sion among the normal population was significantly increased;As BMI increased ,the prevalence of hypertension in central obesi-ty population increased significantly (P<0.0001). Taking WHR and BMI as independent variables on the prevalence of hyperten-sion correlation analysis showed that the prevalence of hypertensive in obesity group and overweight group was significantly higher than the normal weight group (P<0.0001);Meanwhile, central obesity group hypertension was significantly higher than that of the normal size group (P<0.0001). Multivariate correlation analysis showing that there was an extremely significant between WHR and BMI with essential hypertension (P<0.0001).Conclusion The results of this study show that overweight, obesity and central obesity are independent risk factors of hypertension. Even though the BMI is still in the standard range of people, for health, it is still a very bad signal if allowed to have larger waist circumference. Hence, if only pay attention to body weight, while ignoring the excess belly fat the risk of chronic diseases still occur.%目的：解高寒地区人群超重肥胖、中心性肥胖发生率及其与高血压的关系。以期为肥胖和高血压的防治措施制定提供研究依据。方法对北极村1064例体检者进行身高、体重、腰围、臀围、血压等检测，并按照腰臀比值、体质指数进行分层分析各组与高血压相关性。结果受检者肥胖患病率为19.55%，超重的患病率为35.81%，中心性肥胖患病率为69.64%，高血压患病率为27.16%。正常人群随着BMI的增加，高血压的患病率呈明显上升趋势；中心性肥胖人群随着BMI的增加高血压的患病率显著上升(P<0.0001)。将WHR和BMI作为自变量对高血压的患病率进行相关性分析，结果显示，肥胖组和超重组高血压的患病率明显高于正常体重组(P<0.0001)；中心性肥胖组的高血压率明显高于正常体型组(P<0.0001)。经多因素相关分析，WHR和BMI与高血压都有极显著性意义(P<0.0001)。结论该研究结果显示，超重，肥胖和中心性肥胖都是高血压的独立危险因素。即使BMI仍在标准范围的人，若是任由腰围一直变大，对健康而言，仍是一种非常不良的信号。因此，如果只注意体重，而忽视腹部脂肪过多，仍有发生慢性疾病的危险。