Prevalence and Risk Factors of Prehypertension and Hypertension in Southern China.
Prevalence and Risk Factors of Prehypertension and Hypertension in Southern China.
复制标题
中国南方地区高血压前期和高血压的患病率及危险因素
DOI：
10.1371/journal.pone.0170238
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Cheng X
中科院分区：
文献类型：
--
作者：
Hu L;Huang X;You C;Li J;Hong K;Li P;Wu Y;Wu Q;Bao H;Cheng X
背景本研究旨在描述中国江西省高血压前期和高血压的患病率和危险因素。高血压前期患者经常发展为高血压，并且患心血管疾病和中风的风险很高。方法 2013 年，采用问卷调查和身体测量的方式，对中国江西省的 15,296 名参与者（15 岁或以上）进行了横断面调查。结果高血压前期和高血压患病率分别为32.3%（男性39.2%、女性27.6%）和29.0%（男性30.1%、女性28.2%）。所有高血压参与者的知晓率、治疗率和控制率分别为 64.8%、27.1% 和 12.6%。男性高血压前期患病率随年龄增长而下降，但不同性别高血压患病率均有所增加。高血压前期和高血压的患病率随着体重指数（BMI）的增加而增加。随着腰围 (WC) 的增加，高血压前期患病率下降，而高血压患病率则上升。 WC 和 BMI 的组合在识别高血压方面优于单独的指数。多因素logistic回归分析显示，年龄增长、高BMI、高内脏脂肪指数和高心率是高血压前期和高血压的危险因素。高体脂百分比与高血压前期显着相关。居住在城市地区、男性、腹部肥胖和更年期与高血压相关。结论我国南方地区高血压前期和高血压流行。还需要进一步研究探索一个能够准确代表内脏脂肪且与心血管疾病密切相关的指标。
Background This study aimed to describe the prevalence and risk factors of prehypertension and hypertension in Jiangxi Province, China. Individuals with prehypertension frequently progress into hypertension and are at high risk of developing cardiovascular disease and stroke. Methods A cross-sectional survey of 15,296 participants (15 years or older) was conducted in Jiangxi Province, China, in 2013, using questionnaire forms and physical measurements. Results The prevalence of prehypertension and hypertension was 32.3% (39.2% in men and 27.6% in women) and 29.0% (30.1% in men and 28.2% in women), respectively. The awareness, treatment, and control rates among all hypertensive participants were 64.8%, 27.1%, and 12.6%, respectively. The prevalence of prehypertension in males declined with age, but the prevalence of hypertension increased in different genders. The prevalence of prehypertension and hypertension increased with increasing body mass index (BMI). The prevalence of prehypertension decreased, in parallel to an increase in the prevalence of hypertension, with increasing waist circumference (WC). A combination of WC and BMI was superior to individual indices in identifying hypertension. A multivariate logistic regression analysis indicated that increasing age, high BMI, high visceral adipose index, and high heart rate were risk factors for prehypertension and hypertension. The high body fat percentage was significantly associated with prehypertension. Living in an urban area, male sex, abdominal obesity, and menopause were correlated with hypertension. Conclusions Prehypertension and hypertension are epidemic in southern China. Further studies are needed to explore an indicator that can represent the visceral fat accurately and has a close relationship with cardiovascular disease.