Prehypertension and clustering of cardiovascular risk factors among adults in suburban Beijing, China.
Prehypertension and clustering of cardiovascular risk factors among adults in suburban Beijing, China.
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DOI：
10.2188/jea.je20110022
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发表时间：
2011
影响因子：
4.7
通讯作者：
Ma JL
中科院分区：
文献类型：
--
作者：
Zhang WH;Zhang L;An WF;Ma JL
高血压前期在中国中很常见，并与心血管疾病风险增加有关。本研究评估了北京郊区成年人中高血压前期的患病率及其与其他可改变的心血管危险因素(CRF)聚集的关系。2007年对19 003名18至76岁的郊区成年人进行了横断面调查。收集了问卷数据和关于血压、人体测量特征和实验室测量的信息。北京郊区成年人的高血压前期年龄标化患病率为35.7%(男性38.2%，女性31.8%)。高血压前期参与者超重/肥胖、糖尿病、血脂异常和缺乏体力活动的患病率(分别为26.7%、4.8%、34.3%和60.4%)高于正常血压参与者(15.9%、2.7%、20.5%和29.1%)，高血压参与者高于高血压前期参与者。总体而言，85.3%、49.8%和17.8%的高血压前期男性有1个或更多、2个或更多和3个或更多CRF(超重/肥胖、糖尿病、血脂异常、当前吸烟和缺乏运动)。这些比例高于正常血压男性(81.5%、45.1%和13.4%)，低于高血压男性(91.7%、56.4%和19.2%)。当将高血压前期女性与血压正常或高血压的女性进行比较时，也发现了类似的结果。在北京郊区的高血压前期成年人中，高血压前期的高患病率和其他可改变的CRF的聚集是很常见的。中国需要更有效的以人群为基础的生活方式调整，以防止进展为高血压和减轻日益加重的心血管疾病负担。
Prehypertension is common in China and is associated with an increased risk of cardiovascular disease. The present study estimated the current prevalence of prehypertension and its association with clustering of other modifiable cardiovascular risk factors (CRFs) among adults in suburban Beijing. A cross-sectional survey of a representative sample of 19 003 suburban adults aged 18 to 76 years was carried out in 2007. Questionnaire data and information on blood pressure, anthropometric characteristics, and laboratory measurements were collected. The age-standardized prevalence of prehypertension was 35.7% (38.2% in men and 31.8% in women) among adults in suburban Beijing. The prevalence of overweight/obesity, diabetes, dyslipidemia, and physical inactivity was higher in participants with prehypertension (26.7%, 4.8%, 34.3%, and 60.4%, respectively) as compared with normotensive participants (15.9%, 2.7%, 20.5%, and 29.1%, respectively), and in participants with hypertension as compared with those with prehypertension. Overall, 85.3%, 49.8%, and 17.8% of prehypertensive men had 1 or more, 2 or more, and 3 or more CRFs (overweight/obesity, diabetes, dyslipidemia, current smoking, and physical inactivity). These proportions were higher than those in normotensive men (81.5%, 45.1%, and 13.4%) and lower than those in men with hypertension (91.7%, 56.4%, 19.2%). Similar results were found when women with prehypertension were compared with women who were normotensive or hypertensive. A high prevalence of prehypertension and clustering of other modifiable CRFs are common among prehypertensive adults in suburban Beijing. More-effective population-based lifestyle modifications are required to prevent progression to hypertension and reduce the increasing burden of cardiovascular disease in China.