高血压与地理海拔之间的关系：一项针对西藏居民的横断面调查
Relationship between hypertension and geographic altitude: a cross-sectional survey among residents in Tibet.
作者信息
Song Ci, Chongsuvivatwong Virasakdi, Zhu Luo Bu Ou, Ji De, Sang Zhuo Ma Ba, Sriplung Hutcha
机构信息
Department of Preventive Medicine, Tibet University Medical College, Lhasa, China.
Epidemiology Unit, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
出版信息
J Int Med Res. 2020 Feb;48(2):300060520903645. doi: 10.1177/0300060520903645.
Abstract
OBJECTIVE
This study aimed to assess the prevalence of hypertension (HT) among individuals living at different altitudes in Tibet.
METHODS
We conducted a stratified cluster survey among 1,631 participants in Tibet living in areas at three different altitudes.
RESULTS
Mean systolic and diastolic blood pressure and body mass index (BMI) values were highest at the lowest altitudes. After adjusting for age and sex, the prevalence of HT at low, medium, and high altitudes was 40.6%, 32.5%, and 20.4%, respectively. The prevalence of HT decreased with increasing altitude and increased with increasing age and BMI value.
CONCLUSION
Increasing altitude tended to decrease BMI levels, and as a consequence, the prevalence of HT was reduced. National policies and guidelines for HT in Tibet should focus on this relationship.
摘要
目的
本研究旨在评估西藏不同海拔地区居民的高血压（HT）患病率。
方法
我们对居住在西藏三个不同海拔地区的1631名参与者进行了分层整群调查。
结果
平均收缩压、舒张压及体重指数（BMI）值在最低海拔地区最高。在对年龄和性别进行校正后，低、中、高海拔地区的HT患病率分别为40.6%、32.5%和20.4%。HT患病率随海拔升高而降低，随年龄和BMI值增加而升高。
结论
海拔升高往往会降低BMI水平，因此HT患病率也会降低。西藏高血压的国家政策和指南应关注这种关系。
相似文献
1
Relationship between hypertension and geographic altitude: a cross-sectional survey among residents in Tibet.高血压与地理海拔之间的关系：一项针对西藏居民的横断面调查
J Int Med Res. 2020 Feb;48(2):300060520903645. doi: 10.1177/0300060520903645.
2
[Prevalence and Influencing Factors of Isolated Diastolic Hypertension in Tibetan Population in Tibet].[西藏藏族人群单纯舒张期高血压的患病率及影响因素]
Sichuan Da Xue Xue Bao Yi Xue Ban. 2024 Mar 20;55(2):360-366. doi: 10.12182/20240360501.
3
Bone mass loss is associated with systolic blood pressure in postmenopausal women with type 2 diabetes in Tibet: a retrospective cross-sectional study.西藏绝经后2型糖尿病女性骨量流失与收缩压相关：一项回顾性横断面研究
Osteoporos Int. 2017 May;28(5):1693-1698. doi: 10.1007/s00198-017-3930-6. Epub 2017 Feb 2.
4
Prevalence, awareness, treatment, and control of hypertension among herdsmen living at 4,300 m in Tibet.西藏 4300 米海拔地区牧民高血压的患病率、知晓率、治疗率和控制率。
Am J Hypertens. 2012 May;25(5):583-9. doi: 10.1038/ajh.2012.9. Epub 2012 Feb 23.
5
Relationship between altitude and the prevalence of hypertension in Tibet: a systematic review.西藏地区海拔与高血压患病率的关系：一项系统评价
Heart. 2015 Jul;101(13):1054-60. doi: 10.1136/heartjnl-2014-307158. Epub 2015 May 7.
6
Association between high-altitude polycythemia and hypertension: a cross-sectional study in adults at Tibetan ultrahigh altitudes.高原红细胞增多症与高血压的关系：藏区超高海拔地区成年人的横断面研究。
J Hum Hypertens. 2024 Jul;38(7):555-560. doi: 10.1038/s41371-024-00916-3. Epub 2024 May 27.
7
Prevalence of metabolic syndrome and common metabolic components in high altitude farmers and herdsmen at 3700 m in Tibet.西藏 3700 米海拔地区高原农牧民代谢综合征及常见代谢组分的流行情况。
High Alt Med Biol. 2013 Mar;14(1):37-44. doi: 10.1089/ham.2012.1051.
8
Prevalence and risk factors associated with hypertension and prehypertension in a working population at high altitude in China: a cross-sectional study.中国高海拔地区工作人群高血压和高血压前期的患病率及相关危险因素：一项横断面研究。
Environ Health Prev Med. 2017 Apr 4;22(1):19. doi: 10.1186/s12199-017-0634-7.
9
Analysis of the current status and associated risk factors of cognitive function in Tibetan hypertensive patients at various altitudes.分析不同海拔地区藏区高血压患者认知功能的现状及相关影响因素。
Clin Exp Hypertens. 2024 Dec 31;46(1):2393331. doi: 10.1080/10641963.2024.2393331. Epub 2024 Aug 27.
10
[Prevalence of hypertension among 30 to 70 years old citizens of Lhasa, Tibet China].[中国西藏拉萨市30至70岁居民高血压患病率]
Zhonghua Xin Xue Guan Bing Za Zhi. 2010 Aug;38(8):755-8.
引用本文的文献
1
The association between altitude and cerebral small vessel disease burden in the Tibetan population: a cross-sectional study.藏族人群中海拔与脑小血管病负担之间的关联：一项横断面研究。
Sci Rep. 2025 Jul 5;15(1):24035. doi: 10.1038/s41598-025-09891-2.
2
The impact of high altitude (hypobaric hypoxia) on insulin resistance in humans.高海拔（低压缺氧）对人体胰岛素抵抗的影响。
J Physiol Biochem. 2025 Feb;81(1):35-55. doi: 10.1007/s13105-025-01069-8. Epub 2025 Feb 28.
3
Relationship between lipid levels, TyG, TyG-BMI index and hypertension in Tibetan population in Tibet, China based on restricted cubic spline model.基于受限立方样条模型的中国西藏藏族人群血脂水平、TyG、TyG-BMI指数与高血压的关系
BMC Public Health. 2024 Dec 27;24(1):3595. doi: 10.1186/s12889-024-21160-x.
4
Association of altitude with all-cause and cardiovascular mortality among patients with hypertension: a cohort study in Southwest China.高血压患者海拔高度与全因死亡率和心血管死亡率的关联：中国西南地区的一项队列研究
BMC Public Health. 2024 Dec 18;24(1):3461. doi: 10.1186/s12889-024-20891-1.
5
Clinical characteristics and the prognosis of diabetic foot in Tibet: A single center, retrospective study.西藏糖尿病足的临床特征与预后：一项单中心回顾性研究。
Open Life Sci. 2023 Oct 17;18(1):20220740. doi: 10.1515/biol-2022-0740. eCollection 2023.
6
Factors Affecting Carotid Artery Stenosis in the Elderly Living at High Altitudes.影响高海拔地区老年人群颈动脉狭窄的因素。
Cureus. 2023 Oct 15;15(10):e47048. doi: 10.7759/cureus.47048. eCollection 2023 Oct.
7
Prevalence of hypertension in adults living at altitude in Latin America and the Caribbean: A systematic review and meta-analysis.拉丁美洲和加勒比地区高原地区成年人高血压患病率：系统评价和荟萃分析。
PLoS One. 2023 Oct 12;18(10):e0292111. doi: 10.1371/journal.pone.0292111. eCollection 2023.
8
Recent public health concerns of the high-altitude tribal population of Lahaul and Spiti, Himachal Pradesh.喜马偕尔邦拉胡尔和斯皮提高海拔部落人口近期的公共卫生问题。
J Family Med Prim Care. 2023 Apr;12(4):660-665. doi: 10.4103/jfmpc.jfmpc_1416_22. Epub 2023 Apr 17.
9
Prevalence, Management, and Associated Factors of Obesity, Hypertension, and Diabetes in Tibetan Population Compared with China Overall.与中国整体人群相比，藏人群体中肥胖症、高血压和糖尿病的流行情况、管理情况及其相关因素。
Int J Environ Res Public Health. 2022 Jul 19;19(14):8787. doi: 10.3390/ijerph19148787.
10
Residential elevation and its effects on hypertension incidence among older adults living at low altitudes: a prospective cohort study.居住海拔高度及其对低海拔地区老年高血压发病率的影响：一项前瞻性队列研究。
Environ Health Prev Med. 2022;27:19. doi: 10.1265/ehpm.22-00001.
本文引用的文献
1
Tobacco control and Healthy China 2030.控烟与健康中国 2030.
Tob Control. 2019 Jul;28(4):409-413. doi: 10.1136/tobaccocontrol-2018-054372. Epub 2018 Jul 20.
2
Prevalence and risk factors associated with hypertension and prehypertension in a working population at high altitude in China: a cross-sectional study.中国高海拔地区工作人群高血压和高血压前期的患病率及相关危险因素：一项横断面研究。
Environ Health Prev Med. 2017 Apr 4;22(1):19. doi: 10.1186/s12199-017-0634-7.
3
Blood Pressure and Hypertension in Adults Permanently Living at High Altitude: A Systematic Review and Meta-Analysis.长期居住在高海拔地区的成年人的血压与高血压：一项系统评价和荟萃分析。
High Alt Med Biol. 2016 Sep;17(3):185-193. doi: 10.1089/ham.2015.0118. Epub 2016 Aug 30.
4
Inverse association between altitude and obesity: A prevalence study among andean and low-altitude adult individuals of Peru.海拔与肥胖之间的负相关关系：秘鲁安第斯地区和低海拔地区成年个体的患病率研究。
Obesity (Silver Spring). 2016 Apr;24(4):929-37. doi: 10.1002/oby.21401. Epub 2016 Mar 3.
5
Relationship between altitude and the prevalence of hypertension in Tibet: a systematic review.西藏地区海拔与高血压患病率的关系：一项系统评价
Heart. 2015 Jul;101(13):1054-60. doi: 10.1136/heartjnl-2014-307158. Epub 2015 May 7.
6
Prevalence of hypertension at high altitude: cross-sectional survey in Ladakh, Northern India 2007-2011.高海拔地区高血压患病率：2007 - 2011年印度北部拉达克地区的横断面调查
BMJ Open. 2015 Apr 20;5(4):e007026. doi: 10.1136/bmjopen-2014-007026.
7
Organizational update: the world health organization global status report on noncommunicable diseases 2014; one more landmark step in the combat against stroke and vascular disease.组织动态：《2014年世界卫生组织非传染性疾病全球状况报告》；抗击中风和血管疾病的又一里程碑式进展。
Stroke. 2015 May;46(5):e121-2. doi: 10.1161/STROKEAHA.115.008097. Epub 2015 Apr 14.
8
Hypertension.高血压。
Lancet. 2015 Aug 22;386(9995):801-12. doi: 10.1016/S0140-6736(14)61468-9. Epub 2015 Mar 29.
9
Blood pressure level and hypertension awareness and control differ by marital status, sex, and ethnicity: a population-based study.血压水平以及高血压知晓率和控制率因婚姻状况、性别和种族而异：一项基于人群的研究。
Am J Hypertens. 2014 Dec;27(12):1511-20. doi: 10.1093/ajh/hpu081. Epub 2014 May 2.
10
Prevalence, awareness, treatment, and control of hypertension in China: results from a national survey.中国高血压的患病率、知晓率、治疗率及控制率：一项全国性调查结果
Am J Hypertens. 2014 Nov;27(11):1355-61. doi: 10.1093/ajh/hpu053. Epub 2014 Apr 3.
Zotero 插件