中国45岁及以上中老年人群握力与高血压的关联研究
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(1.广州市疾病预防控制中心,广东省广州市 510440;2.暨南大学基础医学院流行病学教研室,广东省广州市 510632)

作者简介:

陈海燕,硕士研究生,医师,研究方向为疾病预防控制,E-mail为chenhy2020@hotmail.com。

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基金项目:

国家自然科学青年基金(82003521);暨南大学科研培育与创新基金项目(11619332)


Association of handgrip strength with risk of hypertension in the middle-aged and elderly population in China
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1.Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong 510440, China;2.Department of Epidemiology, School of Medicine, Jinan University, Guangzhou, Guangdong 510632, China)

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    摘要:

    目的 探讨中国45岁及以上中老年人群握力与高血压发病风险之间的关联,为高血压预防干预策略的制定提供科学依据。方法 数据来源于中国健康与养老追踪研究。采用多因素Logistic回归或多元线性回归分析握力与高血压及血压水平之间的关联。握力指标选用相对最大握力(最大握力/体质指数),并根据其三分位数分为低、中、高三组。结果 共纳入5 876例研究对象,随访3.85年后,人群高血压的发病率为19.11%。随着握力水平降低,高血压的发病呈上升趋势(Ptrend<0.05)。多因素Logistic回归模型显示,在调整一般人口学、生活方式、健康状况等因素后,握力与高血压发病风险呈负相关。男女性高握力组高血压的发病风险比低握力组分别低46%(RR:0.54,95%CI:0.34~0.84,P<0.01)和59%(RR:0.41,95%CI:0.26~0.67,P<0.01)。调整其他协变量后,男性基线高握力组收缩压及舒张压水平较低握力组低3.03 mmHg及1.33 mmHg(P<0.05),女性基线高握力组收缩压和舒张压水平较低握力组低4.48 mmHg及1.92 mmHg(P<0.05)。结论 中国中老年人群基线握力水平与高血压的发病风险呈负相关,提示握力水平可能作为高血压的预测因子。

    Abstract:

    Aim To investigate the longitudinal association between handgrip strength and risk of hypertension in the middle-aged and elderly population in China. Methods The participants aged 45 years and older were selected from the China health and retirement longitudinal study(CHARLS). Multivariate Logistic regression models or linear regression models were used to analyze the associations of handgrip strength with hypertension and blood pressure. In the primary analysis, the relative maximum handgrip strength (maximum handgrip strength/body mass index) was divided into three groups according to the tertiles. Results A total of 5 876 subjects were included in this study. After an average follow-up of 3.85 years, the incidence of hypertension was 19.11%. The incidence of hypertension was increased with the decreasing of handgrip strength (Ptrend<0.05). The multivariate Logistic regression model showed that relative handgrip strength was negatively associated with the risk of hypertension after adjusting for general demographic, lifestyle, health status and other factors. The risk of hypertension in the high relative handgrip strength group was 46% (RR:0.4,5%CI:0.34~0.84, P<0.01) and 59% (RR:0.1,5%CI:0.26~0.67, P<0.01) lower than that in the low relative grip strength group for men and women, respectively. The systolic and diastolic blood pressure levels in high relative handgrip strength group were 3.03 mmHg and 1.33 mmHg (P<0.05) lower than those in the low relative handgrip strength group for men, and were 4.48 mmHg and 1.92 mmHg (P<0.05) lower than those in the low relative handgrip strength group for women. Conclusions The handgrip strength was longitudinally associated with the high risk of hypertension in middle-aged and elderly population. It suggested that handgrip strength may be a predictor of hypertension.

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陈海燕,张豪,徐建敏,许聪辉,郝光.中国45岁及以上中老年人群握力与高血压的关联研究[J].中国动脉硬化杂志,2021,29(9):782~787.

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  • 收稿日期:2020-08-19
  • 最后修改日期:2020-10-03
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  • 在线发布日期: 2021-08-10