Manca C, Guize L, Albertini D, Assanelli D, Barilli A L, Visioli O
Arch Mal Coeur Vaiss. 1980 Jan;73(1):98-106.
Distribution of arterial blood pressure and prevalence of hypertension have been reported in 172 subjects (568 males and 144 females), derived from screening of a bank clerks population. 99 subjects were found to be hypertensive: 46 (46.4 p. 100) were aware of being hypertensive, 24 (24.3 p. 100) resulted to be under treatment and only in 5 subjects blood pressure values were effectively controlled. The relationships between arterial blood pressure and some recognized or suspected coronary risk factors were also determined by multiple regression analysis. Age, heart rate, body mass index, glycemia after loading, turned out the variables most correlated with blood pressure. The multiple regression analysis showed that overall evaluation of coronary risk factors explained up to 21 p. 100 of the systolic blood pressure variation and to 17 p. 100 of diastolic pressure in male subjects, while for women the obtained values were 34 p. 100 and 24 p. 100 respectively. After a critical evaluation of different parameters able to affect arterial blood pressure, the difficult approach to hypertension preventive and therapeutic problems was emphasized.
对银行职员群体进行筛查,得到了172名受试者(568名男性和144名女性)的动脉血压分布情况及高血压患病率。发现99名受试者患有高血压:其中46名(46.4%)知晓自己患有高血压,24名(24.3%)正在接受治疗,只有5名受试者的血压值得到了有效控制。还通过多元回归分析确定了动脉血压与一些公认或疑似的冠心病危险因素之间的关系。年龄、心率、体重指数、负荷后血糖,是与血压最相关的变量。多元回归分析表明,对男性受试者而言,冠心病危险因素的综合评估对收缩压变化的解释率高达21%,对舒张压变化的解释率为17%;而对女性而言,相应的值分别为34%和24%。在对能够影响动脉血压的不同参数进行批判性评估后,强调了高血压预防和治疗问题的棘手性。