Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled
Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled
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DOI：
10.1016/j.amjhyper.2004.05.017
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发表时间：
2004-10-01
影响因子：
3.2
通讯作者：
Sharma, AM
中科院分区：
文献类型：
--
作者：
Bramlage, P;Pittrow, D;Sharma, AM
背景：虽然体重和血压(BP)之间的关系已经确定，但在初级保健实践中，缺乏关于肥胖对高血压患病率影响的数据。本研究的目的是评估肥胖患者的高血压患病率以及诊断、治疗状况和控制率，并与正常体重的患者进行比较。德国(Hydra)有代表性的1912名初级保健医生参加了全国范围内1912名初级保健医生的抽样调查，对45,125名未经选择的连续初级保健患者进行了横断点患病率研究。结果：肥胖患者的血压水平一直较高。高血压(血压大于或等于140/90毫米汞柱或服用降压药)在正常体重患者中的总患病率为34.3%，在超重参与者中为60.6%，在1级肥胖者中为72.9%，在2级肥胖者中为77.1%，在3级肥胖者中为74.1%。好的BP控制的优势比(OR)(
Background: Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, treatment status, and control rates of hypertension in obese patients as compared to patients with normal weight.Methods. A cross-sectional point prevalence study of 45,125 unselected consecutive primary care attendees was conducted in a representative nationwide sample of 1912 primary care physicians in Germany (HYDRA).Results: Blood pressure levels were consistently higher in obese patients. Overall prevalence of hypertension (blood pressure greater than or equal to140/90 mm Hg or on antihypertensive medication) in normal weight patients was 34.3%, in overweight participants 60.6%, in grade 1 obesity 72.9%, in grade 2 obesity 77.1%, and in grade 3 obesity 74.1%. The odds ratio (OR) for good BP control (