原发性高血压与膳食及其他相关因素的关系
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Effects of Dietary and Other Relative Factors on Essential Hypertension
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    摘要:

    研究原发性高血压与膳食及其他因素的关系,以便找出高血压的相关危险因素。对郑州市参加健康体检的35岁以上居民共15 4名研究对象进行营养健康状况问卷调查和血压及其他相关指标的测量。先分别从性别、年龄、体力劳动强度、家族史、体质指数、腰围、生活习惯、血脂、血糖、食物类别及营养素摄入量等方面进行比较,尔后以ForwardSelection法作二项分类因变量的非条件Logistic回归分析。结果发现,饮酒、高热能摄入均可引起原发性高血压患病率的增高(P<0 .0 5 )。在进入Logistic回归模型的各因素中,家族史、腰围、体质指数、血甘油三酯和膳食脂肪均是原发性高血压患病的危险因素,其OR值依次为1.9770、1.0 810、1.16 70、1.5 170和1.6 0 80 ;新鲜蔬菜的摄入是保护性因素,其OR值为0 .0 0 80。谷类、蔬菜、水果摄入量的减少及肉、蛋、油脂类和食盐摄入量的增加可能与调查人群高血压患病率高有关。结果提示,原发性高血压的发生除与遗传因素有关外,后天的膳食及生活方式同样重要。

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    Aim To explore the effects of dietary and other relative factors on essential hypertension and to find risky factors of it. Methods A total of 154 residents aged over 35 taking part in healthy physical examination in Zhengzhou city of Henan Province were selected. Questionnaires on nutrient status and health condition, blood pressure and other relative indexes were conducted. Firstly one sample t-test, group t-test for independent samples, chi-square test and then forward selection of logistic regression for two dependent variables were used to analysis the data by means of SAS6. 12 statistical software, respectively from gender, age, physical labour level, family history, body mass index, waist circumference, life habits, lipemia, blood glucose, food and nutrients intakes. Results Chi-square test and t-test find that drinking and intakes of excessive energy can both increase the prevalence rate of essential hypertension (p<0.05). Of those which enter logistic regression model, family history, waist circumference, body mass index, blood triglyceride and dietary fat are all the risky factors of essential hypertension, their Odds Rates are as follows by order: 1.9770, 1.0810, 1.1670, 1.5170, 1.6080; fresh vegetable is a protective factor of essential hypertension, its OR is 0.0080. This investigation also indicates that inadequate intakes of grain, vegetable and fruit and excessive intakes of meat, egg, oil and salt may increase the hypertensive prevalence rate of this investigated population. Conclusion Dietary and life style is as important as hereditary to the occurrence of essential hypertension.

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王中群,,吕全军,裴迎新,王旗,朱明君,时宝庆,袁中华.原发性高血压与膳食及其他相关因素的关系[J].中国动脉硬化杂志,2004,12(4):461~465.

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  • 收稿日期:2003-09-23
  • 最后修改日期:2004-05-17
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