浙江省某高收入群体理想心血管健康行为和因素调查分析

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目的了解中国人寿浙江省分公司高端客户中不同性别和年龄人群理想心血管行为和因素上的差异,为该人群健康管理方案的制定提供依据。方法收集2015年1-12月于杭州市五云山疗养院体检的中国人寿浙江省分公司的高端客户1 126名为研究对象,其中男性464名,女性662名。按年龄段分成5组,分析该群体理想心血管健康行为和因素的整体情况及其在性别及年龄分布上的差异。用SPSS 19.0软件进行t检验、方差分析、χ~2检验和非参数秩和检验。结果男性的体质指数(BMI)、收缩压水平、舒张压水平、空腹血糖水平和理想体育锻炼比例均高于女性,而男性的理想分数水平、不吸烟或已戒烟>12个月的比例、理想健康饮食比例低于女性,差异均有统计学意义(P<0.05)。男性的理想血压比例60岁后出现显著下降,理想空腹血糖比例在45~59岁之间呈下降趋势,均有统计学意义(P<0.05)。女性的理想BMI比例、理想血压比例、理想总胆固醇比例、理想空腹血糖比例均随着年龄的增高而降低,差异有统计学意义(P<0.01)。该人群平均理想心血管指标个数为(3.91±1.41)个,女性理想心血管指标个数为(4.41±1.26)个,明显高于男性(3.19±1.42)个,差异有统计学意义(P<0.05)。结论该人群的心血管健康状态优于国内外平均水平,对不同性别及不同年龄段人群的健康管理关注方向应有所侧重,采取针对性干预措施提高其心血管健康水平。 Objective To understand the differences of ideal cardiovascular behaviors and factors among high-end customers of China Life Insurance (Zhejiang) Branch in different sexes and ages, and to provide the basis for the formulation of this population health management plan. Methods A total of 1 126 high-end clients from Zhejiang Branch of Zhejiang Life Insurance Co., Ltd., a medical examination at Hangzhou Yunshan Sanatorium from January to December 2015, were collected as research objects, including 464 males and 662 females. Divided into five groups by age group, the overall situation of the ideal cardiovascular health behaviors and factors of the group and their gender and age distribution differences were analyzed. SPSS 19.0 software t test, analysis of variance, χ ~ 2 test and non-parametric rank sum test. Results The body mass index (BMI), systolic blood pressure, diastolic blood pressure, fasting blood glucose and ideal physical activity were higher in males than in females, whereas males had the ideal score, no smoking or smoking> 12 months, The proportion of healthy diet was lower than that of female, the differences were statistically significant (P <0.05). The ideal proportion of blood pressure in men after 60 years of age showed a significant decline in the ideal fasting blood glucose ratio between 45 to 59 years showed a downward trend, were statistically significant (P <0.05). Women’s ideal BMI ratio, ideal blood pressure ratio, the ideal total cholesterol ratio, the ideal fasting blood glucose ratio decreased with age, the difference was statistically significant (P <0.01). The average number of ideal cardiovascular indicators in this population was (3.91 ± 1.41) and the number of ideal cardiovascular indicators in females was (4.41 ± 1.26), significantly higher than that in males (3.19 ± 1.42), with significant difference (P <0.05). Conclusion The cardiovascular health status of this population is superior to the average level both at home and abroad. Emphasis should be placed on the health management of people of different genders and ages, and targeted interventions should be taken to improve their cardiovascular health.
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