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中国南方中老年人群手握力与高血压的相关性:一项横断面研究。

Association of handgrip strength with hypertension among middle-aged and elderly people in Southern China: A cross-sectional study.

机构信息

Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangdong, P. R. China.

School of Public Health, Shanghai Lida University, Shanghai, China.

出版信息

Clin Exp Hypertens. 2020;42(2):190-196. doi: 10.1080/10641963.2019.1601206. Epub 2019 Apr 19.

Abstract

Hypertension has been regarded as one of the most common chronic diseases reported in different studies, and handgrip strength is a good indicatorof anindividual's overall health. However, few studies have concentrated on investigating the relationship between hypertension and handgrip strength, especially for the middle-aged and elderly population in the community. Therefore, the purpose of this study was to explore the association of handgrip strength with the risk of hypertension. A cross-sectional study was conducted using a multi-instrument questionnaire. A total of 1152 participants aged 45 and older were included in this study. Handgrip strength, social-demographiccharacteristics, behavioral lifestyle and health-related variables were collected. Binary logistic regression was employed to analyse the relationship. Handgrip strength was positively related to the risk of hypertension. Binary logistic regression models revealed that the increase of handgrip strength was significantly associated with the reduction of hypertension risk in female after adjusting forsocial-demographic characteristics, behavioral lifestyle and health-related variables ( [] =0.265 [0.089-0.787]). In addition, after stratifying by age groups, the significant association was still existing in 60-74 years and ≥75 years of female groups, respectively( [] =0.158 [0.032-0.779]; ( [] =0.009 [0.000-0.409]). No significant associations were observed in male after adjusting variables. stronger handgrip strength was association with the lower risk ofhypertension for the elderly female population. BMI: body mass index; DBP: diastolic blood pressure; HC: hip circumference; SBP, systolic blood pressure; WC: waist circumference; WHC: hip-waist relation.

摘要

高血压已被视为不同研究中报告的最常见慢性病之一,而握力是个体整体健康的良好指标。然而,很少有研究集中探讨高血压与握力之间的关系,特别是针对社区中老年人群。因此,本研究旨在探讨握力与高血压风险之间的关系。本研究采用多仪器问卷进行了一项横断面研究。共纳入了 1152 名年龄在 45 岁及以上的参与者。收集了握力、社会人口统计学特征、行为生活方式和与健康相关的变量。采用二项逻辑回归分析了两者之间的关系。握力与高血压风险呈正相关。二项逻辑回归模型显示,在校正社会人口统计学特征、行为生活方式和与健康相关的变量后,握力的增加与女性高血压风险的降低显著相关( [] =0.265 [0.089-0.787])。此外,按年龄组分层后,在 60-74 岁和≥75 岁的女性组中,这种显著关联仍然存在( [] =0.158 [0.032-0.779]; [] =0.009 [0.000-0.409])。在校正变量后,男性中未观察到显著关联。握力较强的老年女性人群患高血压的风险较低。BMI:体重指数;DBP:舒张压;HC:臀围;SBP:收缩压;WC:腰围;WHC:腰臀比。

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