Objective:To analyze the status of hypertension in middle-aged and elderly people and its influencing factors.Methods:The physical examination data of middle-aged and elderly people in Yushan town of Kunshan city from 2021 to 2022 were analyzed retrospectively.They were divided into hypertension group(n =2 514)and normal blood pressure group(n =3 144)according to whether the blood pressure was higher than the normal index.The general data such as gender,age,educational level,various living habits and laboratory examination results were compared between the two groups,and the influencing factors of hypertension in middle-aged and elderly people were analyzed by multi-factor Logistic regression.Results:Among the 5 658 subjects,2 514 were hypertensive,accounting for 44.4%.After statistical analysis,the prevalence of hypertension was different in different age,heart rate,BMI,educational level,central obesity,exercise frequency,smoking,drinking,urine protein,blood glucose,electrocardiogram abnormality and blood lipid(P<0.05).Multivariate logistic regression analysis showed that age 65～<75 years old(OR =1.435,P<0.001),age≥75 years old(OR =2.157,P<0.001),overweight(OR =1.365,P<0.001),obesity(OR =1.659,P<0.001),heart rate≥80(OR =1.462,P<0.001),occasional alcohol consumption(OR =1.546,P =0.002),frequent alcohol consumption(OR =1.516,P =0.033),daily alcohol consumption(OR =1.681,P<0.001),hyperglycemia(OR =1.480,P<0.001),hyperlipidemia(OR =1.247,P =0.006),central obesity(OR =1.218,P =0.005)and positive urinary protein(OR = 1.476,P = 0.001)were independent risk factors for hypertension,and the difference was statistically significant(P<0.05).Normal BMI(OR =0.620,P =0.020),occasional smoking(OR =0.624,P =0.048),daily smoking(OR =0.677,P<0.001),daily exercise(OR =0.793,P<0.001),primary school education(OR = 0.791,P =0.012),middle school education(OR =0.715,P<0.001),high school education(OR =0.560,P<0.001),college education OR above(OR = 0.342,P<0.001)were independent protective factors for hypertension,and the difference was statistically significant(P<0.05).Conclusion:High age,drinking,overweight and obesity,central obesity,hyperglycemia,hyperlipidemia,high heart rate and positive urinary protein may be the risk factors for hypertension.Smoking,normal BMI,daily exercise and high educational level may be protective factors for hypertension.
the middle-aged and elderlyhigh blood pressurecross-sectional studyinfluence factor
NETL
NSTL
维普
万方数据
