中国济南50岁及以上成年人的肥胖及其与高血压的关系。
Obesity and its relationship with hypertension among adults 50 years and older in Jinan, China.
作者信息
Wang Shu-Kang, Ma Wei, Wang Shumei, Yi Xiang-Ren, Jia Hong-Ying, Xue Fuzhong
机构信息
Department of Epidemiology and Biostatistics, School of Public Health, Shandong University, Jinan, China.
The College of Physical Education of Shandong University, Jinan, China.
出版信息
PLoS One. 2014 Dec 17;9(12):e114424. doi: 10.1371/journal.pone.0114424. eCollection 2014.
BACKGROUND
The relationship between obesity and hypertension varies with geographical area, race and definitions of obesity. Our study aimed to investigate the prevalence of obesity using standard Chinese criteria based on the body mass index (BMI) and the waist circumference (WC) and to examine the association between obesity and hypertension among middle-aged and elderly people in Jinan city.
METHODS
This cross-sectional study examined 1,870 subjects from the blocks randomly selected from among the 6 communities of Jinan, China in 2011-2012. The Student's t-test was used to compare numerical data, and the χ2 test was used to compare categorical data. Multivariate logistic regression analyses were performed to assess the effects of general and central obesity on hypertension after adjusting for age or for education level, smoking, alcohol consumption, and continuous age.
RESULTS
The prevalence of general obesity among people age 50 years and older was 21.1% (17.0% for males and 23.1% for females), and the prevalence of central obesity was 77.8% for men and 78.7% for women. For men, compared with a normal BMI, the ORs and 95% CIs for overweight and general obesity were 1.853 (1.252, 2.744) and 3.422 (1.894, 6.182), respectively, after adjusting for age, smoking, alcohol consumption and educational level. Compared with a normal WC, the ORs and 95% CIs for central obesity were 2.334 (1.573, 3.465) and 2.318 (1.544, 3.479), respectively, for men. For women, compared with a normal BMI, the ORs and 95% CIs were 1.942 (1.473, 2.599) and 4.011 (2.817, 5.712), respectively, after adjusting for age, smoking, alcohol consumption and educational level. Compared with a normal WC, the ORs and 95% CIs for central obesity were 2.488 (1.865, 3.319) and 2.379 (1.773, 3.192), respectively, for women.
CONCLUSIONS
The relationship between hypertension and general obesity was stronger than the relationship between hypertension and either overweight or central obesity in both genders.
背景
肥胖与高血压之间的关系因地理区域、种族以及肥胖的定义而异。我们的研究旨在采用基于体重指数（BMI）和腰围（WC）的中国标准来调查肥胖的患病率，并探讨济南市中老年人肥胖与高血压之间的关联。
方法
这项横断面研究于2011 - 2012年对从中国济南市6个社区中随机选取的街区的1870名受试者进行了检查。采用Student's t检验比较数值数据，采用χ2检验比较分类数据。在调整年龄或教育水平、吸烟、饮酒以及连续年龄后，进行多变量逻辑回归分析以评估总体肥胖和中心性肥胖对高血压的影响。
结果
50岁及以上人群中总体肥胖的患病率为21.1%（男性为17.0%，女性为23.1%），中心性肥胖的患病率男性为77.8%，女性为78.7%。对于男性，在调整年龄、吸烟、饮酒和教育水平后，与正常BMI相比，超重和总体肥胖的OR值及95%置信区间分别为1.853（1.252, 2.744）和3.422（1.894, 6.182）。与正常WC相比，男性中心性肥胖的OR值及95%置信区间分别为2.334（1.573, 3.465）和2.318（1.544, 3.479）。对于女性，在调整年龄、吸烟、饮酒和教育水平后，与正常BMI相比，OR值及95%置信区间分别为1.942（1.473, 2.599）和4.011（2.817, 5.712）。与正常WC相比，女性中心性肥胖的OR值及95%置信区间分别为2.488（1.865, 3.319）和2.379（1.773, 3.192）。
结论
在男女两性中，高血压与总体肥胖之间的关系强于高血压与超重或中心性肥胖之间的关系。
Zotero 插件