PLoS One:我国20岁以上成年人高血压患病率高达26.6%

2013-07-17 佚名 医师报

6月11日,北京中日友好医院杨文英教授等公布的2007-2008年中国糖尿病和代谢紊乱研究最新数据显示,我国20岁以上成年人中,高血压患病率高达26.6%,即高血压患病人数达2.54 亿, 其中20~44岁年轻人和农村人群中高血压患病率增长快。而据2002年调查数据,我国18 岁以上成年人中,高血压患病率为18.8%。该研究结果发表在《公共科学图书馆在线杂志》上[PLoS One. 2013, 8

6月11日,北京中日友好医院杨文英教授等公布的2007-2008年中国糖尿病和代谢紊乱研究最新数据显示,我国20岁以上成年人中,高血压患病率高达26.6%,即高血压患病人数达2.54 亿, 其中20~44岁年轻人和农村人群中高血压患病率增长快。而据2002年调查数据,我国18 岁以上成年人中,高血压患病率为18.8%。该研究结果发表在《公共科学图书馆在线杂志》上[PLoS One. 2013, 8: e65938]。

该研究入选46 239 名年龄≥20岁的受试者,高血压定义为:血压≥140/90 mm Hg 或应用降压药物。结果显示,我国成年人高血压总患病率为26.6%,男性中患病率显著高于女性(29.2% 与24.1%,P<0.001,图1中A 图)。在年轻人(20~44岁)、中年人(45~64岁)及老年人(≥65岁)中,高血压患病率依次为13.0%、36.7% 和56.5%。在我国经济发达的地区,农村居民中高血压患病率明显高于城镇居民(31.3% vs.29.2%,P=0.001)。然而, 在女性(24.0% vs.24.0%,P=0.942)和北方居民(31.6% vs. 31.2%,P=0.505)中,城乡间的高血压患病率差异消失。

研究者发现, 男性(OR=1.66)、年龄增长(每增长10 岁,OR=1.66)、高血压家族史(OR=2.09)、教育程度为大学以下(OR=1.36)、心率增快(每增快10 次/min,OR=1.22)、超重(OR=1.80)、肥胖(OR=3.29)、腹型肥胖(OR=1.41)、糖尿病前期(OR=1.46)、糖尿病(OR=1.58)、血清甘油三酯(每升高0.56 mmol/L,OR=1.04)和胆固醇(每升高0.52 mmol/L,OR=1.08) 水平升高、经济较发达(OR=1.35)和北方居民(OR=1.15)均与高血压正相关。

2002年,我国高血压患者的知晓率、治疗率和控制率依次为30.2%、24.7%和6.1%。2007-2008年,我国高血压知晓率、治疗率和控制率均有所提高,依次为45.0%、36.2% 和11.1%(图1中B 图),但仍处于较低水平。1999-2010年美国NHANES 数据显示,高血压患者的知晓率、治疗率和控制率分别为74.0%、71.6% 和46.5%。

  研究者观点

与1991年相比,我国成年人高血压总患病率增长了83.4%(26.6% 与 14.5%);年轻人中高血压患病率增长1.5倍,而年轻高血压患者的知晓率明显低于中老年患者。年轻人工作生活压力大,对健康关注度不够,因此需要对该人群尽早进行高血压教育和定期体检。该研究显示,城市居民的高血压风险较低,肥胖相关疾病如糖尿病前期的发生率也略低于农村居民,这与农村地区城镇化及其相关的生活方式和饮食结构有关。中国亟需开展以社区为基础的标准化血压管理项目。

原始出处:
Gao Y, Chen G, Tian H, Lin L, Lu J, Weng J, Jia W, Ji L, Xiao J, Zhou Z, Ran X, Ren Y, Chen T, Yang W; China National Diabetes and Metabolic Disorders Study Group.Prevalence of hypertension in china: a cross-sectional study. PLoS One. 2013 Jun 11;8(6):e65938.
    

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    2015-01-17 epamn

    高血压的研究,越做越深入、精细,值得学习

    0

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    2014-01-09 muller2016

    高血压确实是个大病,但是这跟饮食也有关系吧

    0

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