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目的了解温州市成年人高血压患病率、超重率、肥胖率、中心性肥胖率,并探讨成人体质量指数(BMI)、腰围与高血压患病危险的关系。方法采用多阶段随机抽样方法,从温州市11个区县随机抽取年龄≥18岁的居民进行调查。调查方法包括问卷调查和身体测量。并采用Logistic回归分析探讨BMI、腰围与高血压的关联。率的标化采用2010年全国第6次人口普查数据。结果共调查42 747人,有效问卷41 054份,有效率96.04%。居民标化超重率、肥胖率、中心性肥胖率分别为25.9%、5.9%、42.3%,标化高血压患病率为25.2%。以无超重/肥胖/中心性肥胖人群为参照,超重+中心性肥胖、肥胖+中心性肥胖者患高血压的风险分别为2.475(95%CI 2.330~2.628)、4.140(95%CI3.751~4.570)倍,糖尿病+肥胖+中心性肥胖及血脂异常+肥胖+中心性肥胖者患高血压的风险分别是无糖尿病或血脂异常,无超重/肥胖/中心性肥胖者的6.298(95%CI 5.086~7.800)和4.159(95%CI3.633~4.763)倍。结论 BMI和腰围的增加均能增加高血压发病风险。超重、肥胖和中心性肥胖对高血压患病存在联合作用。
Objective To investigate the prevalence of hypertension, overweight rate, obesity rate and central obesity rate among adults in Wenzhou and to explore the relationship between adult body mass index (BMI), waist circumference and the prevalence of hypertension. Methods A multi-stage random sampling method was used to randomly select residents aged 18 or older from 11 districts and counties of Wenzhou City for investigation. Survey methods include questionnaires and body measurements. Logistic regression analysis was used to explore the association between BMI, waist circumference and hypertension. The standardization of rates adopts the 6th national census data of 2010. Results A total of 42 747 people were surveyed, 41 054 valid questionnaires were available, with an effective rate of 96.04%. Residents standardized rate of overweight, obesity, central obesity rates were 25.9%, 5.9%, 42.3%, the prevalence of standardized hypertension was 25.2%. The risk of hypertension in overweight + central obesity, obesity + central obesity were 2.475 (95% CI 2.330 ~ 2.628), 4.140 (95% CI 3.751 ~ 4.570), diabetes + obesity + central obesity and dyslipidemia + obesity + central obesity The risk of hypertension was 6.298 (95% CI 5.086) in those without diabetes or dyslipidemia, respectively, without overweight / obesity / central obesity ~ 7.800) and 4.159 (95% CI 3.633 ~ 4.763) fold. Conclusion The increase of BMI and waist circumference can increase the risk of hypertension. Overweight, obesity and central obesity have a combined effect on the prevalence of hypertension.