Sayeed M A, Khan A R, Banu A, Hussain M Z, Ali S M
Department of Epidemiology and Biostatistics, Dhaka.
Bangladesh Med Res Counc Bull. 1994 Aug;20(2):27-35.
A cluster sampling of five villages in Dohar thana were selected for screening of hypertension and diabetes in relation to age structure and body habitus. All the subjects over 15 years of age were enlisted for investigation. The response rate was more than 70%. Height, weight, blood pressure (BP) and capillary blood glucose (fasting and 2-hPG) were measured. Diagnostic criteria of international standard were used for hypertension and diabetes. Out of 1005 participants 106 subjects (10.5%) had systolic blood pressure (sBP) more than 140 mmHg and 9% of them had diastolic blood pressure (dBP) more than 90 mmHg. The prevalence of non-insulin-dependent diabetes mellitus (NIDDM) was 2.1% and impaired glucose tolerance (IGT) was 13.3%. The mean body mass index (BMI) of men was 20.39 (SD = 2.91) and that of women was 20.11 (SD = 2.92), having no significant difference between them. Increased age (> or = 50 yr), high BMI (> or = 23.0) and hyperglycemia (2-hPG > 7.8 mmol/L) were the risk factors for both systolic (sBP > 140 mmHg) and diastolic (dBP > 90 mmHg) hypertension. Likewise, increased age, high BMI and hypertension showed significant association with glucose intolerance. Moreover, significant correlations were observed between age and BP (sBP, r = 0.328 p < 0.001; dBP, r = 0.187 p < 0.001) BMI and BP (sBP, r = 0.193 p < 0.001; dBP, r = 0.192 p < 0.001) and 2-hPG and BP (sBP, r = 0.188 p < 0.001; dBP, r = 0.134 p < 0.001).
在多哈尔塔纳区，采用整群抽样法选取了5个村庄，以筛查高血压和糖尿病与年龄结构及身体状况的关系。所有15岁以上的受试者均被纳入调查。应答率超过70%。测量了身高、体重、血压（BP）和毛细血管血糖（空腹及餐后2小时血糖）。高血压和糖尿病采用国际标准诊断标准。在1005名参与者中，106名受试者（10.5%）收缩压（sBP）超过140 mmHg，其中9%舒张压（dBP）超过90 mmHg。非胰岛素依赖型糖尿病（NIDDM）患病率为2.1%，糖耐量受损（IGT）患病率为13.3%。男性的平均体重指数（BMI）为20.39（标准差=2.91），女性为20.11（标准差=2.92），两者之间无显著差异。年龄增加（≥50岁）、高BMI（≥23.0）和高血糖（餐后2小时血糖>7.8 mmol/L）是收缩压（sBP>140 mmHg）和舒张压（dBP>90 mmHg）高血压的危险因素。同样，年龄增加、高BMI和高血压与糖耐量受损显著相关。此外，年龄与血压（收缩压，r = 0.328，p < 0.001；舒张压，r = 0.187，p < 0.001）、BMI与血压（收缩压，r = 0.193，p < 0.001；舒张压，r = 0.192，p < 0.001）以及餐后两小时血糖与血压（收缩压，r = 0.188，p < 0.001；舒张压，r = 0.134，p < 0.001）之间均存在显著相关性。
