Yu D M, Fu P, Yu W T, Guo H J, Yang X G, Zhao W H, Zhao L Y
National Institute for Nutrition and Food Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Oct 6;51(10):933-938. doi: 10.3760/cma.j.issn.0253-9624.2017.10.012.
To analyze the average systolic blood pressure (SBP) and diastolic blood pressure (DBP) among adults aged 18 years old and above in China between 2010 and 2012; and to compare the difference in the results measured by mercury sphygmomanometer and converted electronic sphygmomanometer. The data was collected from Chinese Nutrition and Health Surveillance in 2010-2012. 120 428 adults aged 18 years old and above were selected from 150 survey counties (districts) of 31 provinces in China Mainland, by multi-stage stratified and probability proportion to size (PPS) cluster randomization sampling method. The average blood pressure value was calculated from three systolic and diastolic blood pressure readings measured by mercury sphygmomanometer. The value of Electronic Sphygmomanometer was converted by regression formula. Age-standardized results were calculated incorporating a complex sample weighting using the population data from the National Bureau of Statistics in 2009. The overall adjusted mean of SBP based on the value of mercury sphygmomanometer among Chinese adults aged 18 years old and above was 122 mmHg (1 mmHg=0.133 kPa), 124 mmHg in men and 120 mmHg in women. The average SBP value was separately 115, 127, and 137 mmHg in groups of adults aging 18-44, 45-59 and ≥60 years old. The average SBP was 122 mmHg in urban and 122 mmHg in rural areas. Mean DBP was 78 mmHg, 79 mmHg in men and 76 mmHg in women. The average DBP was separately 75, 81, and 81 mmHg in groups of adults aging 18-44, 45-59 and ≥60 years old. The average DBP was 78 mmHg in urban and 77 mmHg in rural areas. The overall adjusted mean of SBP based on converted electronic device was 129 mmHg,130 mmHg in men and 127 mmHg in women, respectively. The mean of SBP was separately122, 134, and 143 mmHg in groups of adults aging 18-44, 45-59 and ≥60 years old. Mean SBP was both 129 mmHg in urban and in rural areas. Mean DBP was 76 mmHg, 78 mmHg in men and 75 mmHg in women, respectively. The average DBP was separately 74, 79, and 79 mmHg in groups of adults aging 18-44, 45-59 and ≥60 years old. The average DBP was both 76 mmHg in urban and rural areas. The average SBP and DBP was different between the mercury sphygmomanometer and converted electronic device. However, the results from both measures showed that the blood pressure was higher in men than in women, the blood pressure increased with the increase of age, and there was no difference between urban and rural areas.
分析2010年至2012年中国18岁及以上成年人的平均收缩压（SBP）和舒张压（DBP）；并比较水银血压计和换算后的电子血压计测量结果的差异。数据来自2010 - 2012年中国营养与健康监测。通过多阶段分层和按规模大小概率比例抽样（PPS）整群随机抽样方法，从中国大陆31个省的150个调查县（区）中选取了120428名18岁及以上的成年人。平均血压值由水银血压计测量的三次收缩压和舒张压读数计算得出。电子血压计的值通过回归公式进行换算。采用2009年国家统计局的人口数据，结合复杂样本加权计算年龄标准化结果。基于水银血压计测量值，中国18岁及以上成年人SBP的总体调整均值为122 mmHg（1 mmHg = 0.133 kPa），男性为124 mmHg，女性为120 mmHg。18 - 44岁、45 - 59岁和≥60岁成年人组的平均SBP值分别为115、127和137 mmHg。城市和农村地区的平均SBP均为122 mmHg。平均DBP为78 mmHg，男性为79 mmHg，女性为76 mmHg。18 - 44岁、45 - 59岁和≥60岁成年人组的平均DBP分别为75、81和81 mmHg。城市地区平均DBP为78 mmHg，农村地区为77 mmHg。基于换算后的电子设备测量值，SBP的总体调整均值分别为男性130 mmHg、女性127 mmHg。18 - 44岁、45 - 59岁和≥60岁成年人组的平均SBP分别为122、134和143 mmHg。城市和农村地区的平均SBP均为129 mmHg。平均DBP分别为男性78 mmHg、女性75 mmHg。18 - 44岁、45 - 59岁和≥60岁成年人组的平均DBP分别为74、79和79 mmHg。城市和农村地区的平均DBP均为76 mmHg。水银血压计和换算后的电子设备测量的平均SBP和DBP存在差异。然而，两种测量方法的结果均显示男性血压高于女性，血压随年龄增长而升高，且城乡之间无差异。
