Xie Rui-Bin, Liao Pei-Juan, Yin Rui-Xing, Hu Xi-Jiang, Huang Jian, Wei Dai-Xun, Li Hui, Huang Feng, Yao Li-Mei, Pan Shang-Ling, Yang De-Zhai, Lin Wei-Xiong
Department of Cardiology, Institute of Cardiovascular Diseases, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Department of Cardiology, Institute of Cardiovascular Diseases, The First Affiliated Hospital, Guangxi Medical University, Nanning, China
J Int Med Res. 2015 Dec;43(6):819-33. doi: 10.1177/0300060515587579. Epub 2015 Oct 16.
*These authors contributed equally to this work. At present, they work at the Hezhou People's Hospital, Hezhou, China.To retrospectively compare differences in the prevalence of hypertension and associated risk factors between the Chinese Jing and Mulao populations.
Subjects of Jing and Mulao ethnicities were surveyed using stratified randomized sampling. Demography, diet and lifestyle data were collected using standardized questionnaires. Several anthropometric parameters, blood pressure (BP) levels and serum lipid concentrations were obtained.
Data from 915 Jing and 911 Mulao subjects aged ≥ 35 years were included. Diastolic BP levels and prevalence of hypertension were lower, but prevalence of isolated systolic hypertension was higher, in the Jing compared with the Mulao population. Prevalence of hypertension in the age 60-69 years, body mass index (BMI) > 24 kg/m(2), and smoker subgroups was lower in the Jing compared with the Mulao populations. Prevalence of hypertension correlated with age, cigarette smoking, triglyceride level, waist circumference, sodium intake and total dietary fibre in the Jing population; hypertension prevalence also correlated with age, triglyceride level, BMI, total fat, sodium intake and total dietary fibre in the Mulao population (unconditional logistic regression analyses).
Prevalence of hypertension and associated risk factors were different between the two ethnic minorities, which might result from the combined effects of differences in their geographic, dietary, lifestyle, and genetic backgrounds.
*这些作者对本研究贡献相同。目前,他们就职于中国贺州人民医院。*回顾性比较中国京族和仫佬族人群高血压患病率及相关危险因素的差异。
采用分层随机抽样方法对京族和仫佬族受试者进行调查。使用标准化问卷收集人口统计学、饮食和生活方式数据。获取了多项人体测量参数、血压(BP)水平和血脂浓度。
纳入了915名年龄≥35岁的京族受试者和911名年龄≥35岁的仫佬族受试者的数据。与仫佬族人群相比,京族人群的舒张压水平和高血压患病率较低,但单纯收缩期高血压患病率较高。在60 - 69岁、体重指数(BMI)>24 kg/m²以及吸烟者亚组中,京族人群的高血压患病率低于仫佬族人群。京族人群中高血压患病率与年龄、吸烟、甘油三酯水平、腰围、钠摄入量和总膳食纤维相关;仫佬族人群中高血压患病率也与年龄、甘油三酯水平、BMI、总脂肪、钠摄入量和总膳食纤维相关(无条件逻辑回归分析)。
两个少数民族之间高血压患病率及相关危险因素存在差异,这可能是由于他们在地理、饮食、生活方式和遗传背景等方面差异的综合作用所致。