Prevalence and Risk Factors Associated with Prehypertension and Hypertension in the Chinese She Population
Prevalence and Risk Factors Associated with Prehypertension and Hypertension in the Chinese She Population
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DOI：
10.1159/000336085
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发表时间：
2012-01-01
影响因子：
2.8
通讯作者：
Huang, Huibin
中科院分区：
文献类型：
--
作者：
Lin, Yinghua;Lai, Xiaolan;Huang, Huibin
背景资料：福建省畲族人群高血压前期和高血压的患病率及心血管危险因素尚不清楚。方法和结果：2009年4月至2009年9月期间，共有5，523名年龄在20岁至80岁之间的畲族参与者参加了这项调查，最终有5，357人进入分析。这项调查是为了评估血压和心血管危险因素。高血压前期和高血压患病率分别为35.87%和38.42%。只有26.63%的高血压患者知道自己的诊断。多因素Logistic回归分析显示，年龄、性别、超重/肥胖、血脂异常和饮酒是高血压前期的危险因素，年龄、超重/肥胖、血脂异常、饮酒、高血压家族史和高尿酸血症是高血压的危险因素。高血压组和高血压前期组的2个和>= 3个危险因素聚集的比例分别高于高血压前期组和正常血压组。在调整其他混杂因素后，多变量logistic回归显示，聚集的心血管危险因素越多，高血压前期和高血压的比值比越大。结论：福建省畲族人群高血压及高血压前期普遍存在。高血压前期心血管危险因素聚集，对高血压的认识很少。早期生活方式的改变，可以提倡，以防止从高血压前期高血压和心血管疾病的转变。版权所有（c）2012 S. Karger AG，巴塞尔
Background: Little is known about the prevalence and cardiovascular risk factors for prehypertension and hypertension in the She ethnic minority population of Fujian province in China. Methods and Results: Between April 2009 and September 2009, 5,523 participants of She nationality aged between 20 and 80 years participated in this survey and 5,357 were eventually enrolled in analyses. The survey was carried out to assess blood pressure and cardiovascular risk factors. The prevalence of prehypertension and hypertension was 35.87 and 38.42%, respectively, in all participants. Only 26.63% of the subjects with hypertension were aware of their diagnosis. Multivariate logistic regression showed that age, gender, overweight/obesity, dyslipidemia and alcohol use were risk factors for prehypertension, and age, overweight/obesity, dyslipidemia, alcohol use, family history of hypertension and hyperuricemia were risk factors for hypertension. The clustering of 2 and >= 3 risk factors was in higher proportion for subjects with hypertension and prehypertension when compared with those with prehypertension and normotension, respectively. After adjusting for other confounding factors, multivariable logistic regression showed that the greater the number of clustering cardiovascular risk factors, the greater the odds ratios for prehypertension and hypertension are. Conclusion: Hypertension and prehypertension were common in the She population of Fujian province. Cardiovascular risk factors cluster during prehypertension and awareness of hypertension was minimal. Early lifestyle modifications could be advocated to prevent the transition from prehypertension to hypertension and cardiovascular disease. Copyright (c) 2012 S. Karger AG, Basel