Numbers and Mortality Risk of Hypertensive Patients with or without Elevated Body Mass Index in China.
Numbers and Mortality Risk of Hypertensive Patients with or without Elevated Body Mass Index in China.
复制标题
中国体重指数升高或不升高的高血压患者人数及死亡风险
DOI：
10.3390/ijerph19010116
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发表时间：
2021-12-23
影响因子：
--
通讯作者：
Chen T
中科院分区：
文献类型：
--
作者：
Luo X;Yang H;He Z;Wang S;Li C;Chen T
目的：我们的研究旨在估计有或没有体重指数升高（BMI）的高血压患者的数量，并评估其死亡率风险。方法：我们使用了中国卫生和退休纵向研究（CHALS）的数据来估计有或没有BMI升高的高血压患者的人群。使用中国健康和营养调查（CHNS）数据估算了BMI高血压的死亡率风险。 COX比例危害模型用于估计危险比和95％的置信区间（CI）。结果：总计23.02％的成年人，代表117.74（95％CI：108.79，126.69）百万，BMI和高血压均高。其中，建议使用38.53（95％CI：35.50，4156）百万，以启动降压药，但没有服用。此外，有38.40（95％CI：35.50，4156）百万个高血压患者升高的BMI升高，但未实现血压控制的目标。全因死亡率和过早的死亡死亡率，尤其是对于老年人，与高血压状况的严重程度显着和正相关（趋势= 0.001）。结论：在中国，有大量患有高血压和BMI升高的患者，他们的治疗和控制率很低。这些患者的高血压程度越严重，全因死亡的风险越高。
Objective: Our study aimed to estimate the number of hypertension patients with or without elevated body mass index (BMI), and assess their mortality risk. Methods: We used data from the China Health and Retirement Longitudinal Study (CHARLS) to estimate the population of hypertensive patients with or without elevated BMI. The mortality risk of hypertension with elevated BMI was estimated by using the China Health and Nutrition Survey (CHNS) data. Cox proportional hazards models were used to estimate hazard ratios and 95% confidence intervals (CI). Results: In total, 23.02% of adults, representing 117.74 (95% CI: 108.79, 126.69) million, had both high BMI and hypertension. Among them, 38.53 (95% CI: 35.50, 41.56) million were recommended to initiate antihypertensive medication but did not take it. Moreover, there were 38.40 (95% CI: 35.50, 41.56) million hypertensive patients with elevated BMI who did not achieve the goal of blood pressure control. All-cause mortality and premature death mortality, especially for the elderly, were significantly and positively associated with the severity of the hypertensive condition (p for trend = 0.001). Conclusion: In China, there were a huge number of patients with hypertension and elevated BMI, and the treatment and control rates for them were low. The more severe the degree of hypertension, the higher risk of all-cause death and premature death in these patients.
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影响因子：
37.8
作者：
Wu, Yangfeng;Huxley, Rachel;Yang, Xiaoguang
通讯作者：
Yang, Xiaoguang
影响因子：
37.8
作者：
Wang, Zengwu;Chen, Zuo;Gao, Runlin
通讯作者：
Gao, Runlin
影响因子：
3.2
作者：
Faselis, Charles;Doumas, Michael;Kokkinos, Peter
通讯作者：
Kokkinos, Peter
影响因子：
7.7
作者：
Popkin, Barry M.;Du, Shufa;Zhang, Bing
通讯作者：
Zhang, Bing
DOI：
10.3122/jabfm.2012.04.110289
发表时间：
2012-07-01
影响因子：
2.9
作者：
Jerant, Anthony;Franks, Peter
通讯作者：
Franks, Peter