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2017年浙江省50-69岁居民高血压患病率、控制情况及钠钾摄入量

[Prevalence, control of hypertension and intake of sodium and potassium among residents aged 50-69 years old in Zhejiang Province in 2017].

作者信息

Du X F, Chen X Y, Zhang J, Fang L, Yu M, Xu J W, Bai Y M, Wu J, Ma J X, Zhong J M

机构信息

Department of Chronic Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.

National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2019 May 6;53(5):464-469. doi: 10.3760/cma.j.issn.0253-9624.2019.05.006.

Abstract

To understand prevalence, control of hypertension and intake of sodium and potassium among residents aged 50-69 years old in Zhejiang Province. A multi-stage random cluster sampling method was used to select 3 032 residents aged 50-69 years old in Zhejiang Province. The demographic characteristics, prevalence and control of hypertension were collected through a questionnaire survey, and physical measurement was also performed. The stratified random sampling method was used to detect the level of sodium and potassium in the 24 h urine of 676 subjects. The total amount of 24 h urinary sodium ≥102.55 mmol and the ratio of 24 h urinary sodium and potassium content ≥2 were defined as excessive. The prevalence of hypertension (95) was 56.89% (54.39%-59.40%), and the awareness, treatment and control rate of hypertension were 58.25% (55.01%-61.49%), 45.37% (42.10%-48.65%) and 19.75% (17.01%-22.50%), respectively. 78.99% (=534) of residents had excessive 24 h urinary sodium, and 95.41% (=360) of residents had excessive ratio of 24 h urinary sodium and potassium. The prevalence of hypertension in residents aged 50-69 years old in Zhejiang Province was at a high level, and the control of hypertension was not satisfactory in 2017. Most of residents have excessive level of sodium intake and the level of sodium and potassium intake was not balanced.

摘要

了解浙江省50-69岁居民高血压患病率、控制情况以及钠和钾的摄入量。采用多阶段随机整群抽样方法选取浙江省3032名50-69岁居民。通过问卷调查收集人口学特征、高血压患病率及控制情况,并进行体格测量。采用分层随机抽样方法检测676名研究对象24小时尿钠和钾水平。将24小时尿钠总量≥102.55 mmol以及24小时尿钠与钾含量比值≥2定义为超标。高血压患病率(95%)为56.89%(54.39%-59.40%),高血压知晓率、治疗率和控制率分别为58.25%(55.01%-61.49%)、45.37%(42.10%-48.65%)和19.75%(17.01%-22.50%)。78.99%(n=534)的居民24小时尿钠超标,95.41%(n=360)的居民24小时尿钠与钾比值超标。2017年浙江省50-69岁居民高血压患病率处于较高水平,高血压控制情况不理想。大多数居民钠摄入水平超标,钠和钾摄入水平不均衡。

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