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研究了1557名平均年龄36.27岁的女工体质指数(BMI)、腰臀围比(WHR)对血压的影响。发现,肥胖而非上身性脂肪分布(BMI≥25且WHR<0.8)者临界以上高血压的检出率显著高于仅呈上身性脂肪分布的非肥胖(WHR≥0.8且BMI<25)者,各年龄组均存在这一趋势。这明显提示在该人群中肥胖是比脂肪分布更重要的血压决定因子。年龄调整前后,BMI和WHR与血压均存在显著性联系(p<0.001),且BMI与收缩压和舒张压的(偏)相关系数均大于WHR。控制WHR后,BMI与收缩压、舒张压均存在显著性联系,因此我们认为在绝经前妇女高血压人群防治上,控制相对体重比控制身体脂肪分布可能更重要,但尚需前瞻性研究的证实。
A study of 1557 women aged 36.27 years with a mean body mass index (BMI) and waist-to-hip ratio (WHR) on blood pressure was performed. Found that the prevalence of hypertension with borderline hypertension was significantly higher in obese but not in upper body fat distribution (BMI ≥ 25 and WHR <0.8) than in those with obesity only in upper body fat distribution (WHR ≥ 0.8 and BMI <25) This trend exists in all age groups. This clearly suggests that obesity is a more important determinant of blood pressure in this population than fat distribution. Before and after age adjustment, there was a significant correlation between BMI and WHR and blood pressure (p <0.001), and the correlation coefficient between BMI and systolic and diastolic blood pressure was greater than WHR. BMI was significantly associated with systolic and diastolic blood pressure after control of WHR, so we believe that controlling relative body weight may be more important than control of body fat distribution in premenopausal women with hypertension, but we still need prospective studies to confirm .