河南省盐摄入与高血压调查

The investigation of salt intake and hypertension in Henan province

  • 摘要: 目的分析河南省膳食调查成人居民高血压患病情况及盐摄入情况。方法纳入于2015年10月至2016年6月开展的中国成人慢性病与营养监测中河南省14个监测点的膳食调查人群(1 556户),对各户年龄≥18岁常住居民采用统一调查表获取调查对象的基本信息,采用3 d 24 h膳食调查法获取调查对象的食盐摄入量,并进行医学体检。采用描述流行病学分析方法对调查结果进行统计分析。用直接标化法计算标化高血压患病率。采用多因素非条件logistic回归分析高血压的相关因素。结果河南省膳食调查人群共3 259人,其中:(1)高血压患者1 539例,患病率47.2%,标化患病率33.2%;老年人、受教育程度较低者和超重肥胖人群患病率较高。(2)高血压患者食盐摄入量为9.8(5.9~14.4)g/d,超过推荐量(<6 g/d)的比例为74.1%,其中男性的食盐摄入量10.7(6.5~15.4)比9.3(5.4~13.7)g/d和超过推荐量的比例(77.5%比71.0%)均高于女性;50~<65岁组人群食盐摄入量、超过推荐量比例均较其他年龄段高。(3)多因素logistic回归分析结果显示,性别(OR=1.202,95%CI 1.033~1.398)、年龄(OR=4.605,95%CI 3.888~5.453)和体质量指数(OR=2.322,95%CI 1.986~2.715)是高血压的危险因素。结论河南膳食调查人群高血压标化患病率为33.2%,与性别、年龄、受教育程度、婚姻状况和肥胖程度相关。高血压患者食盐摄入量为9.8(5.9~14.4)g/d。

     

    Abstract: Objective To determine the salt intake and hypertension prevalence in adult population dietary survey participants in Henan province. Methods From October 2015 to June 2016, residents over 18 years old from 1 556 households located at 14 monitoring sites of Henan Province in China Adult Chronic Diseases and Nutrition Monitoring were investigated. Basic information was obtained with a unified questionnaire, a 3-day 24-hour dietary survey was used to obtain the participates’ salt intake, and medical examination was carried out to obtain the blood pressure data. The results were statistically analyzed by a descriptive epidemiological analysis method. Direct standardization method was used to calculate the standardized prevalence of hypertension. The relationship between hypertension and age, gender, educational level, and other factors was analyzed by multivariate unconditional logistic regression analysis. Results A total of 3 259 participants were enrolled. The prevalence of hypertension in Henan province dietary population in 2015 was 47.2%(1 539/3 259) and the age-standardized prevalence was 33.2%. Elder, lower educational level and overweight/obesity people were more sensitive to hypertension. For hypertension subjects, the median salt intaking was 9.8(5.9-14.4)g/d, proportion over recommended salt intake amount(<6 g/d) was 74.1%. The median salt intaking 10.7(6.5-15.4) vs 9.3(5.4-13.7)g/d and proportion(77.5% vs 71.0%) over recommended salt intake amount were higher in men than in women. Among all age groups, the 50-<65 age group had the highest median salt intake and the highest proportion of over recommended salt intake. Multivariate logistic regression analysis showed that gender(OR=1.202, 95% CI 1.033-1.398), age(OR=4.605,95% CI 3.888-5.453) and BMI(OR=2.322,95% CI 1.986-2.715) were risk factors for hypertension. Conclusions The standardized hypertension prevalence in Henan province dietary population in 2015 is 33.2%, which is closely related to gender, age, education level, marital status and obesity. The median salt intaking is 9.8(5.9-14.4) g/d.

     

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