Rurik Imre, Nagy Katalin, Antal Magda
Vörösmarty utcai (XX. ker.) Háziorvosi Rendelo, Budapest.
Orv Hetil. 2004 Jun 6;145(23):1237-41.
The elderly represent a growing segment of populations in developed and also in developing countries. Anthropological measurements offer a cheap and easy way method for assessment of health and nutritional status and in prediction for mortality. Anthropological parameters and their relation to blood pressure were studied in elderlies.
Two hundred-thirteen elderly people (83 men over 65 y and 110 women over 60 y) were involved. The weight, height, waist- and hip circumferences were measured and waist: hip ratio, and body mass index (BMI) were calculated. Blood pressure was measured by the use of sphygmomanometer. Hypertension was diagnosed when systolic blood pressure was >/= 140 and/or diastolic >/= 90 mmHg. The SPSS 10 version for Windows was used for statistical analysis.
According to the BMI, 72% of men and 65% women were considered overweight or obese. According to waist circumference 51% of men and 83% of women belonged to the high risk group. Under 80 y the mean blood pressure was in the pathological range both in the case of men and women. That could be considered as a sign of the insufficient efficiency of treatment or bad compliance. By 60% of this elderly population hypertension was registered. 75% of people, considered overweight or obese according to BMI, showed hypertension. According to the waist circumference, in 73% of people in the high risk group hypertension was detected versus 6% of persons in the non-risk group. This relation could not be observed in women.
The prevalence of obesity and overweight is higher in the elderly group than in the younger adult population. Decrease in body mass may be suggested only by cautious nutritional intervention, control of systolic blood pressure should be more regular and prudent.
在发达国家和发展中国家,老年人在人口中的占比都在不断增加。人体测量学指标为评估健康和营养状况以及预测死亡率提供了一种廉价且简便的方法。本研究对老年人的人体测量学参数及其与血压的关系进行了探讨。
纳入213名老年人(83名65岁以上男性和110名60岁以上女性)。测量体重、身高、腰围和臀围,并计算腰臀比和体重指数(BMI)。使用血压计测量血压。收缩压≥140mmHg和/或舒张压≥90mmHg时诊断为高血压。采用Windows版SPSS 10进行统计分析。
根据BMI,72%的男性和65%的女性被认为超重或肥胖。根据腰围,51%的男性和83%的女性属于高危组。80岁以下的男性和女性平均血压均处于病理范围。这可被视为治疗效果不佳或依从性差的迹象。该老年人群中60%患有高血压。根据BMI被认为超重或肥胖的人群中,75%患有高血压。根据腰围,高危组中73%的人检测出高血压,而非高危组中这一比例为6%。女性中未观察到这种关系。
老年人群中肥胖和超重的患病率高于年轻成年人群。仅通过谨慎的营养干预可能有助于减轻体重,应更规律、谨慎地控制收缩压。