Bloch K V, Klein C H, de Souza e Silva N A, Nogueira A da R, Campos L H
Hospital Universitário Clementino Fraga F., Faculdade de Medicina, UFRJ e Escola Nacional de Saúde Pública, Rio de Janeiro.
Arq Bras Cardiol. 1994 Jan;62(1):17-22.
To investigate the association between hypertension and obesity and also their prevalence in the adult population from Ilha do Governador-Rio de Janeiro.
It is a domiciliar inquiry, with a probalistic cluster sample in two stages. We interviewed 1272 adult residents in the selected households. Social-demographic information, anthropometric measures, habits related to smoking, physical activities and blood pressure were registered.
The prevalence of hypertension-systolic pressure > or = 160mmHg or diastolic pressure > or = 95mmHg or anti-hypertensive treatment at the moment of the interview, was 24.9% whereas the prevalence of obesity-body mass index (BMI) > or = 27kg/m2 was 28.4%. The prevalence of hypertension increased 2.4 fold from the lowest (< 25kg/m2) to the highest (> or = 30kg/m2) band of BMI. It was observed an association between hypertension and obesity that persisted after adjusting for sex, age, skin color, smoking, physical activity and level of education. Interaction of obesity with sex, age and skin color was found. The association between hypertension and obesity was stronger for men, for the youngest and also for the white people.
The results point out the necessary of actions to prevent and control the occurrence of both hypertension and obesity, mainly at younger ages, to decrease the rates of cardiovascular diseases.
研究里约热内卢州州长岛成年人群中高血压与肥胖之间的关联及其患病率。
这是一项家庭调查,采用两阶段概率整群抽样。我们对选定家庭中的1272名成年居民进行了访谈。记录了社会人口学信息、人体测量指标、吸烟、体育活动和血压等相关习惯。
高血压(收缩压≥160mmHg或舒张压≥95mmHg或访谈时正在接受抗高血压治疗)的患病率为24.9%,而肥胖(体重指数[BMI]≥27kg/m²)的患病率为28.4%。高血压患病率从BMI最低组(<25kg/m²)到最高组(≥30kg/m²)增加了2.4倍。在对性别、年龄、肤色、吸烟、体育活动和教育程度进行调整后,观察到高血压与肥胖之间的关联仍然存在。发现肥胖与性别、年龄和肤色之间存在相互作用。高血压与肥胖之间的关联在男性、最年轻者和白人中更强。
结果指出有必要采取行动预防和控制高血压和肥胖的发生,主要是在较年轻的年龄段,以降低心血管疾病的发病率。