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目的了解通辽市牧区蒙古族居民体质指数(BMI)、腰臀比(WHR)与血压水平之间的关系。方法采用整群随机抽样的方法,抽取该市蒙古族相对集中的4个嘎查(村)居民1108名,进行现场询问和体格检查。结果该人群超重率、肥胖率、腹型肥胖率、高血压患病率依次为31.4%,15.5%,40.1%,47.65%。腹型肥胖时其1、2、3级高血压患病率显著升高(P<0.05);超重、肥胖、腹型肥胖者患高血压的危险分别是相对正常人群的1.2、1.6、1.7倍;血压水平随着BMI、WHR增大而升高;BMI和WHR均正常、BMI异常WHR正常、BMI正常WHR异常、BMI和WHR均异常时高血压患病率分别为37.80%,20.69%,44.62%,65.35%,其RR值分别为1.0,0.6,1.2,1.7。结论 BMI和WHR与血压水平密切相关,预防与控制超重、肥胖和腹型肥胖应成为防治通辽市牧区蒙古族居民高血压的重要措施。
Objective To understand the relationship between body mass index (BMI), waist-hip ratio (WHR) and blood pressure in Mongolian residents in pastoral areas of Tongliao City. Methods A cluster random sampling method was used to extract 1108 residents of 4 villages in Gacha, a relatively concentrated area of the Mongolian people in the city, for field inquiry and physical examination. Results The population overweight rate, obesity rate, abdominal obesity rate and prevalence of hypertension were 31.4%, 15.5%, 40.1% and 47.65%, respectively. The prevalence of Hypertension 1, 2 and 3 Hypertension was significantly higher in abdominal obesity (P <0.05). The risk of hypertension in overweight, obesity and abdominal obesity were 1.2,1.6 and 1.7 times of the normal population respectively ; The blood pressure level increased with the increase of BMI and WHR; BMI and WHR were normal; BMI was abnormal WHR was normal; BMI was normal WHR was abnormal; the prevalence of hypertension was 37.80%, 20.69% and 44.62 %, 65.35%, the RR values were 1.0,0.6,1.2,1.7. Conclusions BMI and WHR are closely related to blood pressure level. Prevention and control of overweight, obesity and abdominal obesity should become important measures to prevent and control hypertension in Mongolian residents in pastoral areas of Tongliao City.