Overweight and Hypertension
Overweight and Hypertension
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超重和高血压
DOI：
10.1111/j.0954-6820.1957.tb00530.x
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发表时间：
2009
影响因子：
--
通讯作者：
T. Bjerkedal
中科院分区：
文献类型：
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作者：
T. Bjerkedal
在对挪威工业工厂雇员进行定期健康检查期间，从大约11000名男性和4000名女性那里获得了年龄、不穿衣服的体重、不穿鞋子的身高以及收缩压和舒张压的完整数据。在之前对同一人群的研究中获得了每种性别、年龄和身高的平均体重（Lindberget等人，提兹克尔norske Lægeforening，1956，76，361）;他们被用来分类个人在10组根据他们的百分比体重不足或超重。对于每个性别和年龄组，将这10个亚组中每个亚组的平均血压制成表格，发现在所有性别和年龄组中，收缩压和舒张压有随着相对体重增加而均匀升高的趋势。为了确定这种增加是由于在相对体重较高的组中存在一些血压异常高的个体，还是由于男性和女性超重时血压普遍升高所致，对每个性别和年龄组内3个主要体重组的值分布进行了研究。它表明，一般来说，分配的形式保持不变，并且随着相对权重的增加，它整体向右移动，因此第二种解释是正确的，除了可能的老年妇女[在样本中这些人相对较少]测量的血压随相对体重增加的变化幅度在两个连续的5次测量之间约为1至2 mm Hg。体重组，关于增加上臂围对听诊测量的影响的预期（参见罗根和邦德利，布尔。约翰霍普金斯医院，1941，69，504）。得出的结论是，血压随体重增加而普遍升高源于通常用于测量的技术，并且它并不反映血压的真正增加。因此，肥胖和高血压之间没有一般的关系。I.麦克唐纳
During periodic health examinations of employees in industrial plants in Norway complete sets of data from about 11, 000 men and 4000 women were obtained for age, bodyweight without clothing, height without shoes and systolic and diastolic blood pressures. Average weights for each sex, age and height had been obtained in a previous study of the same population (Lindberget al., Tidsskr. norske Lægeforening, 1956, 76, 361); they were used to classify individuals in 10 groups according to their percentages underweight or overweight. For each sex and age group mean blood pressures were tabulated for each of these 10 sub-groups, and it was found that there was a tendency for an even rise in the systolic and diastolic blood pressures to occur with increasing relative bodyweight in all sex and age groups. To decide whether the increase was caused by the presence, in the higher relative weight groups, of some individuals with unusually high blood pressure, or by a general rise in blood pressure with overweight in men and women, a study was made of the distribution of the values in 3 main weight groups within each sex and age group. It showed that, in general, the form of the distribution remained constant, and that it shifted bodily to the right with increasing relative weight, so that the second interpretation is true, except possibly for the older women [there were relatively few of these in the sample].The magnitude of the change of measured blood pressure with increasing relative weight was approximately 1 to 2 mm. Hg between two consecutive 5 per cent. weight groups, about what would be expected from the effect on auscultatory measurements of increasing upper arm girth (cf. Rogan and Bondley,Bull. Johns Hopkins Hosp., 1941, 69, 504). It is concluded that the general rise of blood pressure with increase of bodyweight originates from the technique normally used for measurement and that it does not reflect a genuine increase of blood pressure as such. There is therefore no general relation between obesity and hypertension.-I. McDonald.