Bjerregaard P, Jørgensen M E, Lumholt P, Mosgaard L, Borch-Johnsen K
National Institute of Public Health, Division for Research in Greenland, Svanemøllevej 25, DK-2100 Copenhagen Ø, Denmark.
J Epidemiol Community Health. 2002 Apr;56(4):279-84. doi: 10.1136/jech.56.4.279.
Previous studies of blood pressure among the Inuit have given inconsistent results and studies comparing Inuit migrants with those living in traditional Inuit areas are absent. The purpose of the study was to compare the blood pressure of the Inuit in Greenland with that of Inuit migrants in Denmark.
Questionnaire, interview, and clinical examination in a cross sectional random population sample.
A population based survey among Inuit in Greenland and Inuit migrants in Denmark.
2046 Inuit aged >/or =18, 61% of the sample.
Age and gender adjusted blood pressures were 117/72 mm Hg in Greenland and 127/81 mm Hg among the migrants (p<0.001). In both populations, blood pressure increased with age and body mass index, and was higher among men and non-smokers. In Greenland, blood pressure increased with the level of school education. The associations with Inuit heritage, alcohol, diet, and physical activity were not significant. The difference between the two populations persisted after adjusting for age, gender, body mass index, education, and smoking. Among those who had completed high school, there was no difference between the systolic blood pressure of the two populations while the difference for diastolic blood pressure was much less than for those with less education.
Blood pressure was lower among the Inuit in Greenland than among the Inuit migrants in Denmark but the difference was absent (systolic pressure) or reduced (diastolic pressure) among the better educated. The results suggest that the blood pressure of the Inuit, especially Inuit men, may be responsive to factors related to the modern Western way of life.
此前针对因纽特人血压的研究结果并不一致，且缺乏对因纽特移民与生活在传统因纽特地区人群的比较研究。本研究旨在比较格陵兰因纽特人与丹麦因纽特移民的血压情况。
对横断面随机人群样本进行问卷调查、访谈及临床检查。
在格陵兰因纽特人和丹麦因纽特移民中开展的基于人群的调查。
2046名年龄≥18岁的因纽特人，占样本的61%。
格陵兰因纽特人的年龄和性别校正血压为117/72 mmHg，移民中的该血压值为127/81 mmHg（p<0.001）。在这两个人群中，血压均随年龄和体重指数的增加而升高，且男性和非吸烟者的血压更高。在格陵兰，血压随受教育程度的提高而升高。因纽特人血统、酒精、饮食和身体活动与之的关联并不显著。在对年龄、性别、体重指数、教育程度和吸烟情况进行校正后，两个人群之间的差异依然存在。在完成高中学业的人群中，两个人群的收缩压没有差异，而舒张压的差异远小于受教育程度较低的人群。
格陵兰因纽特人的血压低于丹麦因纽特移民，但在受教育程度较高的人群中，这种差异不存在（收缩压）或减小（舒张压）。结果表明，因纽特人，尤其是因纽特男性的血压可能对与现代西方生活方式相关的因素有反应。
