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1995年至1997年全国心脏健康周期间志愿者的血压、体重指数、心率以及血液胆固醇和葡萄糖水平。

Blood pressure, body mass index, heart rate and levels of blood cholesterol and glucose of volunteers during National Heart Weeks, 1995-1997.

作者信息

Khoo K L, Tan H, Liew Y M, Sambhi J S, Aljafri A M, Hatijah A

机构信息

Heart Foundation Malaysia (Yayasan Jantung Malaysia), 35 Jalan Kia Peng, 50450 Kuala Lumpur.

出版信息

Med J Malaysia. 2000 Dec;55(4):439-50.

Abstract

The paper presents the results of a health screening programme conducted in 10 major centers in Malaysia--Kuala Lumpur, Penang, Ipoh, Johor Bahru, Alor Star, Kuala Terengganu, Malacca, Kota Bahru, Kuching and Kota Kinabalu during the National Heart Weeks, 1995-1997. There were 6,858 participants of both sexes aged between 6 years to 81 years old. The parameters involved in the screening programme were body mass index, blood pressure, heart rate, cholesterol and glucose. The following are the results of the study:- 1. The mean and standard deviation for the body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), total cholesterol (TC) and non fasting (random) blood glucose (GL) of the volunteers studied were 24.3 +/- 4.0 kg/m2, 128.3 +/- 21.1 mmHg, 79.6 +/- 11.9 mmHg, 77.2 +/- 12.1 bpm, 5.33 +/- 1.37 mmol/l and 5.11 +/- 1.97 mmol/l respectively. 2. There was a rising trend for BMI, SBP, DBP, TC and GL with age. The HR was higher in the younger age group of those below 20 years. Males tended to have higher mean values than females except for HR which was similar in both sexes. 3. The Malays, Chinese and Indians seemed to have closely similar mean values for SBP, DBP and HR but the Indians possessed the highest BMI (25.62 +/- 3.90 kg/m2), TC (5.61 +/- 1.48 mmol/l) and GL (5.41 +/- 2.43 mmol/l) among the three major ethnic groups. While the Ibans had highest TC (6.07 + 1.09 mmol/l), their GL level was the lowest (4.76 +/- 1.15 mmol/l). The Kadazans had the lowest TC level (4.94 +/- 1.39 mmol/l) among all the ethnic groups. 4. Among the participants screened, 31.9% were overweight (BMI > or = 25), 7.6% were obese (BMI > or = 30); 26.8% had raised SBP (> or = 140 mmHg) and 19.3% had raised DBP (> or = 90 mmHg); 13.6% of the participants had increased HR (> or = 90 bpm), 22% had raised TC (> or = 6.20 mmol/l) and 2% had raised GL (> or = 11.00 mmol/l). There was a higher prevalence for abnormal values with increasing age until between the ages of 60 or 70 years, when the values began to fall. 5. Age was positively correlated with SBP (r = 0.41***, df = 4351), DBP (r = 0.27***, df = 4351), TC (r = 0.22***, df = 3303) and GL (r = 0.16***, df = 2442) but negatively correlated with HR (r = -0.13***, df = 4351). The BMI was positively correlated with SBP (r = 0.29***, df = 2769), DBP (r = 0.31***, df = 2769), TC (r = 0.16***, df = 2137) and GL (r = 0.11**, df = 1637) but there was no correlation with HR (r = 0.03NS, df = 2771). The SBP and DBP were highly correlated with each other (r = 0.75***, df = 4351) and they also showed highly significant positive correlation (r = 0.08***-0.13***, df = 2441-3301) with TC and GL. TC was positively correlated with GL (r = 0.05* df = 2319) but only at the 5% probability level.

摘要

本文介绍了1995 - 1997年全国心脏周期间在马来西亚10个主要中心——吉隆坡、槟城、怡保、新山、亚罗士打、瓜拉丁加奴、马六甲、哥打巴鲁、古晋和哥打基纳巴卢开展的一项健康筛查项目的结果。共有6858名年龄在6岁至81岁之间的男女参与者。筛查项目涉及的参数有体重指数、血压、心率、胆固醇和血糖。以下是研究结果:- 1. 所研究志愿者的体重指数(BMI)、收缩压(SBP)、舒张压(DBP)、心率(HR)、总胆固醇(TC)和非空腹(随机)血糖(GL)的均值及标准差分别为24.3±4.0kg/m²、128.3±21.1mmHg、79.6±11.9mmHg、77.2±12.1次/分钟、5.33±1.37mmol/L和5.11±1.97mmol/L。2. BMI、SBP、DBP、TC和GL随年龄呈上升趋势。20岁以下较年轻年龄组的心率较高。除心率在男女中相似外,男性的均值往往高于女性。3. 马来人、华人和印度人在SBP、DBP和HR方面的均值似乎非常接近,但在这三个主要种族群体中,印度人的BMI最高(25.62±3.90kg/m²)、TC最高(5.61±1.48mmol/L)和GL最高(5.41±2.43mmol/L)。伊班人的TC最高(6.07 + 1.09mmol/L),但其GL水平最低(4.76±1.15mmol/L)。卡达山人的TC水平在所有种族群体中最低(4.94±1.39mmol/L)。4. 在接受筛查的参与者中,31.9%超重(BMI≥25),7.6%肥胖(BMI≥30);26.8%收缩压升高(≥140mmHg),19.3%舒张压升高(≥90mmHg);13.6%的参与者心率增加(≥90次/分钟),22%总胆固醇升高(≥6.20mmol/L),2%血糖升高(≥11.00mmol/L)。直到60或70岁时异常值的患病率较高,之后这些值开始下降。5. 年龄与SBP(r = 0.41***,自由度=4351)、DBP(r = 0.27***,自由度=4351)、TC(r = 0.22***,自由度=3303)和GL(r = 0.16***,自由度=2442)呈正相关,但与HR呈负相关(r = -0.13***,自由度=4351)。BMI与SBP(r = 0.29***,自由度=2769)、DBP(r = 0.31***,自由度=2769)、TC(r = 0.16***,自由度=2137)和GL(r = 0.11**,自由度=1637)呈正相关,但与HR无相关性(r = 0.03无统计学意义,自由度=2771)。SBP和DBP彼此高度相关(r = 0.75***,自由度=4351),并且它们与TC和GL也显示出高度显著的正相关(r = 0.08*** - 0.13***,自由度=2441 - 3301)。TC与GL呈正相关(r = 0.05*,自由度=2319),但仅在5%的概率水平。

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