Guo Yan-ying, Wang Kun, Zhao Lei, He Bing-xian
Postdoctoral Management Office, the People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China. Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Mar;31(3):264-8.
To study the prevalence and distribution of high-normal blood pressure (BP) and the prevalence rates of risk factors related to cardiovascular diseases (CVD) among Uygur, Kazak, Mongolian and Han populations in Boertala Mongol Autonomous Prefecture of Xinjiang.
4325 Subjects, with numbers of Uygur, Kazak, Mongolian, Han ethnicities as 1247, 1047, 817, 1214 cases, respectively and aged 20 - 79 years, were selected from the cross-sectional study on hypertension in Boertala Mongol Autonomous Prefecture of Xinjiang. The prevalence rates of related risk factors on CVD were analyzed among multiethnic populations with high-normal BP.
(1) The prevalence rates of high-normal BP were 39.2%, 34.5%, 36.0%, 36.5% respectively in Uygur, Kazak, Mongolian, Han populations. The prevalence rate of aged < 40 years in Uygur, Kazak, Mongolian was higher than that of aged 40 - 60 (P = 0.000, 0.006, 0.016 respectively in Uygur, Kazak, Mongolian) and > 60 years (all the P = 0.000 in the three ethnic populations) in the same ethnic population. (2) In the high-normal BP groups, subjects with both SBP (120 - 139 mm Hg) and DBP (80 - 89 mm Hg) at high-normal BP level accounted for the majority (> 45%) while subjects with only DBP (80 - 89 mm Hg) at high-normal BP level had the lowest prevalence rate (> 13%). (3) The prevalence rates of overweight-obesity (body mass index >/= 24.0 kg/m(2)), visceral obesity (waist circumference >/= male 85 cm/female 80 cm), dyslipidemia and >/= 1 risk factors of CVD in multiethnic populations respectively were >/= 57%, 62%, 43% and 82%. (4) Analyzed by multiple regression, aging, over-weight and or obesity, being male etc. were risk factors for high-normal BP.
High-normal blood pressure was common among aged 20 - 79 years Uygur, Kazak, Mongolian, Han populations, especially among people < 40 years, in Xinjiang Boertala region, which was often accompanied by others risk factors of cardiovascular disease. Prevention and control programs on risk factors for population with high-normal blood pressure need to be strongly advocated.
研究新疆博尔塔拉蒙古自治州维吾尔族、哈萨克族、蒙古族和汉族人群中高正常血压的患病率及分布情况，以及心血管疾病（CVD）相关危险因素的患病率。
从新疆博尔塔拉蒙古自治州高血压横断面研究中选取4325名受试者，其中维吾尔族、哈萨克族、蒙古族、汉族人数分别为1247、1047、817、1214例，年龄在20 - 79岁。分析多民族高正常血压人群中CVD相关危险因素的患病率。
（1）维吾尔族、哈萨克族、蒙古族、汉族人群中高正常血压的患病率分别为39.2%、34.5%、36.0%、36.5%。在同民族人群中，维吾尔族、哈萨克族、蒙古族年龄<40岁人群的患病率高于40 - 60岁人群（维吾尔族、哈萨克族、蒙古族P值分别为0.000、0.006、0.016）和>60岁人群（三个民族P值均为0.000）。（2）在高正常血压组中，收缩压（SBP）（120 - 139 mmHg）和舒张压（DBP）（80 - 89 mmHg）均处于高正常血压水平的受试者占多数（>45%），而仅DBP（80 - 89 mmHg）处于高正常血压水平的受试者患病率最低（>13%）。（3）多民族人群中超重肥胖（体重指数≥24.0 kg/m²）、腹型肥胖（腰围≥男性85 cm/女性80 cm）、血脂异常及≥1种CVD危险因素的患病率分别≥57%、62%、43%和82%。（4）多元回归分析显示，年龄增长、超重和/或肥胖、男性等是高正常血压的危险因素。
在新疆博尔塔拉地区20 - 79岁的维吾尔族、哈萨克族、蒙古族、汉族人群中，高正常血压较为常见，尤其是在<40岁人群中，且常伴有其他心血管疾病危险因素。需大力倡导针对高正常血压人群危险因素的防控方案。
