新疆博尔塔拉州不同民族超重肥胖与血压关系

The relationship between overweight/obesity and blood pressure differs by ethnicity among Uygur,Kazak,Mongolian and Han populations in Xinjiang BOERTALA region

  • 摘要: 目的了解新疆博尔塔拉州(博州)维吾尔族(维)、哈萨克族(哈)、蒙古族(蒙)、汉族人群超重肥胖与血压水平的相关性。方法 2004-09-10采用分层随机整群抽样法完成的新疆博州维、哈、蒙、汉族人群的代谢综合征流行病学资料中≥30岁并资料完整的3935人作为研究对象。通过相关及回归分析4个民族体质量指数(BMI)、腰围水平及超重肥胖和血压的关系。结果多因素线性回归分析控制年龄、性别、受教育程度、职业及饮酒因素后,BMI(18.5~23.9、24.0~27.9、≥28.0kg/m2)每增加一级,4个民族的收缩压增加6.4(维)、7.4(哈)、4.5(蒙)、6.2mmHg(汉),舒张压增加4.0(维)、5.6(哈)、3.5(蒙)、4.6mmHg(汉);腰围水平<85(男),80cm(女)、85~94(男),80~89cm(女)、≥95(男),90cm(女)每增加一级,4个民族的收缩压增加6.4(维)、6.4(哈)、6.3(蒙)、5.8mmHg(汉),舒张压增加4.3(维)、5.0(哈)、4.0(蒙)、3.1mmHg(汉)(均P<0.01)。和正常体质量或腰围比,发生肥胖或腹型肥胖4个民族患高血压的风险是3.6(维)、4.2(哈)、2.7(蒙)、3.5(汉)倍。BMI每增加一级,收缩压增加幅度相对最小的是蒙族(4.5mmHg)、哈族相对最大(7.4mmHg),而且和正常体质量比,肥胖时患高收缩压的风险蒙族是2.3倍、哈族是3.6倍。和BMI增加相比,腰围每增加一级收缩压增高幅度相对较大的是蒙族(6.3mmHg),且腹型肥胖时患高收缩压的风险(3.7倍)明显高于肥胖时患高收缩压的风险(2.3倍)。结论 BMI和腰围水平增加是新疆博州维、哈、蒙、汉族人群血压升高较好的临床预测指标,但发生肥胖或腹型肥胖时哈族人群患高血压的风险相对最大,腰围增加或腹型肥胖能较BMI更好的预测蒙族人群的收缩压增加。

     

    Abstract: Objective To investigate the relationship between overweight/obesity and blood pressure(BP)in Uygur,Kazak,Mongolian and Han populations of Xinjiang BOERTALA region.Methods Three thousand nine hundred thirty-five subjects were selected from the cross-sectional study of metabolism syndrome during September to October in 2004 in Uygur,Kazak,Mongolian and Han populations from BOERTALA region of Xinjiang.The relationships between BP and overweight/obesity,body mass index(BMI),waist circumference(WC)were investigated by regression analyses.Results After correction for age,gender,education,vocation and drinking factors by multiple linear regression,systolic blood pressure(SBP)increased respectively 6.4(Uygur),7.4(Kazak),4.5(Mongolian),6.2 mm Hg(Han)and diastolic blood pressure(DBP)increased respectively 4.0(Uygur),5.6(Kazak),3.5(Mongolian),4.6 mm Hg(Han)with BMI increasing(from 18.5-23.9,24.0-27.9 to ≥28.0 kg/m 2)(all P <0.01),SBP increased respectively 6.4(Uygur),6.4(Kazak),6.3(Mongolian),5.8 mm Hg(Han),DBP increased respectively 4.3(Uygur),5.0(Kazak),4.0(Mongolian),3.1 mm Hg(Han)(all P <0.01)with WC increasing(from WC<male 85 cm/female 80 cm,male 85-94 cm/female 80-89 cm to ≥male 95 cm/female 90 cm).Compared with normal body weight or WC,the risk ratio of hypertension development was 3.6(Uygur),4.2(Kazak),2.7(Mongolian),3.5 mm Hg(Han)times of the four populations with obesity or abdominal obesity.The increase of SBP was lowest in Mongolian(4.5 mm Hg)and was highest in Kazak(7.4 mm Hg)with BMI increasing(from 18.5-23.9,24.0-27.9 to ≥28.0 kg/m 2),and compared with normal body weight,the risk ratio

     

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