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波尔塔瓦地区高血压发病的危险因素。

Risk factors for development of hypertension in poltava region.

作者信息

Khorosh Maksim V, Harkavenko Maksim O, Holovanova Irina A

机构信息

Higher State Educational Institution Of Ukraine "Ukrainian Medical Stomatological Academy", Poltava, Ukraine.

Higher State Educational Institution Of Ukraine "Ukrainian Medical Stomatological Academy", Poltava, Ukraine, +380504041164

出版信息

Wiad Lek. 2016;69(2 Pt 2):190-6.

Abstract

INTRODUCTION

Given the very dangerous situation in relation to cardiovascular morbidity, purpose of the study was to identify the main risk factors of hypertension among the population of Poltava region, to determine their role in the formation of this pathology.

AIM

study the factors for development of hypertension in Poltava region Material and methods: The study was conducted by anonymous questionnaires of adults of Poltava region (1285 individuals in 2 groups: 563 individuals with hypertension, 722 people - healthy). The data, obtained in the study, were processed using special software - IBM SPSS Statistic Version 22.0. By logistic regression were identified risk factors that significantly affect the development of hypertension.

RESULTS

According to the study identified major, statistically significant risk factors of hypertension among the population of Poltava region. Proved reliable impact these risk factors: age (over 40 years) - OR - 7.9, CI - 6,132-10,176, (p<0,001), gender (male) - OR - 1.899, CI - 1,512-2,386, (p<0,001), BMI (obesity) - OR - 3.9632, CI - 2,881-4,580, (p<0,001), smoking - OR - 1.918, CI - 1,263-2,913, (p=0,002), consumption of dairy products (occasionally) - OR - 1,553, CI - 1,215-1,985, (p<0,001), consumption of pork (often) - OR - 1,805, CI - 1,422-2,290, (p<0,001), consumption of beef (occasionally) - OR - 1,547, CI - 1,229-1,949, (p=0,006), consumption of smoked meat (often) - OR - 1,341, CI - 1,070-1,678, (p=0,006), consumption of sweets (often) - OR - 1,510, CI - 1,210-1,884, (p<0,001), night sleep (restless) - OR - 1,762, CI - 1,279-2,426, (p<0,001), duration of sleep (less than 6 hours) OR - 1,648, CI - 1,126-2,411, (p=0,01), physical activity (low) - OR - 2,734, CI - 2,102-3,555, (p<0,001), nature of the rest (passive) - OR - 2,476, CI - 1,970-3,112, (p<0,001), feeling stress (always) - OR - 1,537, CI - 1,227-1,926, (p<0,001), relations at home (tense) - OR - 3,072, CI - 1,517-6,221, (p=0,001), CVD in the family - OR - 1,397, CI - 1,110-1,758, (p=0,004), discomfort in the heart aria - OR - 3,090, CI - 2,453-3,893, (p<0,001), self-treatment - OR - 1.942, CI - 1,553-2,428, (p<0,001).

CONCLUSIONS

The study found regional differences in risk factors of hypertension among the population of Poltava region, emphasized the need to increase attention of health professionals of primary care for problems of cardiovascular disease, make a point of the need to intensify primary prevention, modernization of behavior on health among population, promotion of the principles of a healthy lifestyle.

摘要

引言

鉴于心血管疾病发病情况的严峻形势,本研究旨在确定波尔塔瓦地区人群中高血压的主要危险因素,并明确其在该疾病形成过程中的作用。

目的

研究波尔塔瓦地区高血压发病的相关因素。材料与方法:本研究通过对波尔塔瓦地区成年人进行匿名问卷调查展开(共1285人,分为两组:563名高血压患者,722名健康人)。研究所得数据使用专用软件——IBM SPSS Statistic 22.0版本进行处理。通过逻辑回归分析确定对高血压发病有显著影响的危险因素。

结果

根据研究,确定了波尔塔瓦地区人群中高血压的主要统计学显著危险因素。证实了这些危险因素的可靠影响:年龄(40岁以上)——比值比(OR)为7.9,置信区间(CI)为6.132 - 10.176,(p < 0.001);性别(男性)——OR为1.899,CI为1.512 - 2.386,(p < 0.001);体重指数(BMI,肥胖)——OR为3.9632,CI为2.881 - 4.580,(p < 0.001);吸烟——OR为1.918,CI为1.263 - 2.913,(p = 0.002);偶尔食用乳制品——OR为1.553,CI为1.215 - 1.985,(p < 0.001);经常食用猪肉——OR为1.805,CI为1.422 - 2.290,(p < 0.001);偶尔食用牛肉——OR为1.547,CI为1.229 - 1.949,(p = 0.006);经常食用烟熏肉——OR为1.341,CI为1.070 - 1.678,(p = 0.006);经常食用甜食——OR为1.510,CI为1.210 - 1.884,(p < 0.001);夜间睡眠不安稳——OR为1.762,CI为1.279 - 2.426,(p < 0.001);睡眠时间少于6小时——OR为1.648,CI为1.126 - 2.411,(p = 0.01);体力活动水平低——OR为2.734,CI为2.102 - 3.555,(p < 0.001);休息方式为被动——OR为2.476,CI为1.970 - 3.112,(p < 0.001);总是感到压力——OR为1.537,CI为1.227 - 1.926,(p < 0.001);家庭关系紧张——OR为3.072,CI为1.517 - 6.221,(p = 0.001);家族中有心血管疾病——OR为1.397,CI为1.110 - 1.758,(p = 0.004);心脏区域不适——OR为3.090,CI为2.453 - 3.893,(p < 0.001);自我治疗——OR为1.942,CI为1.553 - 2.428,(p < 0.001)。

结论

本研究发现了波尔塔瓦地区人群中高血压危险因素的区域差异,强调基层医疗保健专业人员需更加关注心血管疾病问题,指出有必要加强一级预防,使人群健康行为现代化,推广健康生活方式原则。

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