土耳其高血压成年人群体中人体测量学指标与血脂谱的关联
The association of anthropometric measurements and lipid profiles in Turkish hypertensive adults.
作者信息
Hilal Yildiran, Acar T N, Koksal E, Gezmen K M, Akbulut G, Bilici S, Sanlier N
机构信息
Department of Nutrition and Dietetics, Faculty of Health Sciences, Gazi University, Besevler, Ankara, Turkey.
出版信息
Afr Health Sci. 2011 Sep;11(3):407-13.
BACKGROUND
Few studies have associated anthropometric measurements and lipid profile with hypertension in adult populations and to the best of our knowledge none has been done in Turkey
OBJECTIVES
To relate anthropometric derivatives of overweight/obesity with hyperlipidemia status in a group of Turkish hypertensive adults.
METHODS
Six hundred forty nine (307 male, 342 female) hypertensive adults aged between 20 and 64 years were included in the study.
RESULTS
The mean systolic and diastolic blood pressure (BP) of participants were measured as 147.6 ± 17.2 and 91.4 ± 10.4 mmHg for males and 149.9 ± 16.3 and 91.1 ± 9.4 mmHg for females, respectively. With respect to BMI classification systolic BP was significantly higher in obese males and females, and diastolic BP was only higher in obese females (p<0.05). According to BMIs for lipid profile, high-density lipoprotein-cholesterol (HDL-C), total cholesterol (TC) levels were found to be lower in normal females than other BMI groups. Age and waist circumference (WC) in particular was the most related factor for systolic and diastolic BP in both genders (p<0.05).
CONCLUSIONS
This study indicates most hypertensive adults surveyed were overweight and obese. Furthermore, age and WC were the important factors that affects the systolic and diastolic BP in both genders.
背景
很少有研究将人体测量指标和血脂谱与成年人群的高血压联系起来，据我们所知，土耳其尚未开展此类研究。
目的
在一组土耳其成年高血压患者中，探讨超重/肥胖的人体测量指标与高脂血症状态之间的关系。
方法
本研究纳入了649名年龄在20至64岁之间的成年高血压患者（307名男性，342名女性）。
结果
参与者的平均收缩压和舒张压，男性分别为147.6±17.2和91.4±10.4 mmHg，女性分别为149.9±16.3和91.1±9.4 mmHg。就BMI分类而言，肥胖男性和女性的收缩压显著更高，而舒张压仅在肥胖女性中更高（p<0.05）。根据BMI的血脂谱情况，正常体重女性的高密度脂蛋白胆固醇（HDL-C）、总胆固醇（TC）水平低于其他BMI组。年龄和腰围（WC）尤其是与男女收缩压和舒张压最相关的因素（p<0.05）。
结论
本研究表明，大多数接受调查的成年高血压患者超重或肥胖。此外，年龄和腰围是影响男女收缩压和舒张压的重要因素。
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