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[海南百岁老人血压分布特征]

[Distribution characteristics of blood pressure in Hainan centenarians].

作者信息

Li J, Wang S S, Yang S S, Tai P G, Kou F Y, Zhao Y L, Jia W P, Cao W Z, Han K, Luan F X, Zhou D F, Zhang S B, Liu L, Zhu Q, Ning C X, Liu M, He Y

机构信息

Health Service Department, the Fifth Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100853, China;Institute of Geriatrics, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, National Clinical Research Center for Geriatrics Diseases, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

Institute of Geriatrics, Beijing Key Laboratory of Research on Aging and Related Diseases, State Key Laboratory of Kidney Disease, National Clinical Research Center for Geriatrics Diseases, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jan 10;42(1):73-79. doi: 10.3760/cma.j.cn112338-20200424-00641.

Abstract

To explore the blood pressure levels and the influencing factors of hypertension among Hainan centenarians, and provide basic data for the further blood pressure related studies of the centenarian population. The baseline data were from China Hainan Centenarian Cohort Study (CHCCS). This cross-sectional data, based on the community population, was a complete sample study of centenarians, including questionnaire survey, physical examination and physiological index detection. A total of 1 002 centenarians were recruited to describe the blood pressure level. According to the guidelines for the prevention and treatment of hypertension in Chinese adults in 2018, the prevalence of hypertension was analyzed. The median levels of systolic blood pressure, diastolic pressure and pulse pressure were 152.0, 76.0 and 76.5 mmHg, respectively. Blood pressure level was higher in females than in males. The prevalence of hypertension was 71.9%, mainly in isolated systolic hypertension with the prevalence of 60.1%. The results of multivariate analysis showed that the risk of hypertension in women was higher than that in men (=1.624, 95%: 1.155-2.283), and the risk of hypertension in the northern (=0.625, 95%: 0.434-0.901) and central areas (=0.586, 95%: 0.346-0.993) was lower than that of the Eastern. The prevalence of hypertension, mainly in isolated systolic hypertension, showing gender and regional distribution differences.

摘要

探讨海南百岁老人的血压水平及高血压影响因素,为进一步开展百岁老人群体血压相关研究提供基础数据。基线数据来自中国海南百岁老人队列研究(CHCCS)。该横断面数据基于社区人群,是对百岁老人的全样本研究,包括问卷调查、体格检查和生理指标检测。共纳入1002名百岁老人描述血压水平。根据2018年中国成人高血压防治指南分析高血压患病率。收缩压、舒张压和脉压的中位数水平分别为152.0、76.0和76.5mmHg。女性血压水平高于男性。高血压患病率为71.9%,主要为单纯收缩期高血压,患病率为60.1%。多因素分析结果显示,女性高血压风险高于男性(=1.624,95%:1.155 - 2.283),北部(=0.625,95%:0.434 - 0.901)和中部地区(=0.586,95%:0.346 - 0.993)高血压风险低于东部地区。高血压患病率主要为单纯收缩期高血压,呈现性别和地区分布差异。

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