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目的探讨不同生活方式对肥胖人群高血压患病风险的影响。方法通过多级抽样方法,随机抽取天津市18～80岁社区居民21 951人,调查其生活方式及健康状况。结果社区居民平均年龄为(47.5±15.8)岁,其中男性10 689人,占48.7%;女性11 262人,占51.3%;吸烟率为29.4%(6 446人),饮酒率为28.3%(6 203人),高血压现患率为22.0%(4 797人),超重与肥胖率分别为34.8%(7 642人)、10.0%(2 192人),被调查者高血压患病风险随BMI水平上升而增高;各种生活方式中吸烟、盐摄入>6 g/d者患病风险较高;超重、肥胖者在吸烟、饮酒、盐摄入>6 g/d、不积极运动的情况下更易患高血压。结论虽然肥胖人群有较高的患高血压病风险,但如果能采取戒烟、限酒、低盐摄入和积极运动的健康生活方式,患病可能性将会降低。
Objective To explore the influence of different life styles on the prevalence of hypertension in obese people. Methods By multistage sampling method, 21 951 residents of 18 ~ 80 years old community residents in Tianjin were randomly selected to investigate their lifestyle and health status. Results The average age of community residents was (47.5 ± 15.8) years old, including 10 689 males (48.7%) and 11 262 females (51.3%). The smoking rate was 29.4% (6 446) and the drinking rate was 28.3% (6 203). The prevalence rate of hypertension was 22.0% (4 797). The rates of overweight and obesity were 34.8% (7 642) and 10.0% (2 192) respectively. The risk of hypertension was positively correlated with the level of BMI Increased smoking and salt intake> 6 g / d in all kinds of lifestyles, and the risk of overweight and obesity was higher than 6 g / d in patients with overweight and obesity, without active exercise More susceptible to high blood pressure. Conclusions Although obese people are at higher risk of developing hypertension, their risk of getting sick will be reduced if they adopt a healthy life style of quitting, limiting alcohol consumption, low salt intake, and active exercise.