首页|体重指数及中医体质与老年高血压相关性分析

体重指数及中医体质与老年高血压相关性分析

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目的 分析老年人群体重指数及中医体质与高血压患病风险的相关性.方法 选取2021年武汉市某社区体检的3488名老年人群,收集人群基本资料并进行中医体质辨识,运用Pearson-x2分析不同特征人群高血压患病率的差异以及不同中医体质人群的高血压患病率差异;运用Logistics回归分析体重指数联合中医体质对高血压患病风险的影响.结果 除性别外,高血压患病率在年龄、婚姻状况、有无糖尿病及体重指数分布上差异具有统计学意义(P均<0.05).不同中医体质的高血压患病率差异也具有统计学意义(P均<0.05).以平和质组为对照,痰湿质组高血压患病风险是其1.396倍[95%CI(1.137~1.714)],其余中医体质类型差异无统计学意义(P>0.05).以体重指数正常组为对照,超重组、肥胖组高血压患病风险分别为对照组的1.533倍[95%CI(1.281~1.836)]、2.478倍[95%CI(1.852~3.315)].以平和质联合体重指数正常组为对照组,平和质联合体重指数肥胖组的高血压患病风险最高[OR=3.573,95%CI(2.708~4.714)].与平和质联合体重指数正常组相比,痰湿质联合高体重指数会显著增加高血压患病风险.结论 高血压的患病风险随体重指数的升高而明显增加,且痰湿质人群的高血压患病风险明显增加;通过调节体重与改善偏颇体质可预防高血压.
Study on the Correlation Between Body Mass Index,Constitutions of Chinese Medicine and Hypertension in the Elderly
Objective To analyze the correlation between body mass index,constitutions of Chinese medicine,and the risk of hypertension in the elderly.Methods A total of 3488 elderly people who underwent physical exami-nation in a community in Wuhan in 2021 were selected.The basic data of the population were collected,and the constitutions of Chinese medicine were identified.The differences in the prevalence of hypertension among popula-tions with different characteristics and populations with different constitutions of Chinese medicine were analyzed using Pearson-x2.The impact of body mass index combined with traditional Chinese medicine constitutions on the risk of hypertension were analyzed using logistic regression.Results Except gender,the prevalence rate of hyper-tension had significantly difference in age,marital status,with or without diabetes,and the body mass index distri-bution(P all<0.05).The difference in the prevalence rate of hypertension among different traditional Chinese medicine constitutions were also statistically significant(P all<0.05).Using the constitution of yin-yang harmony group as a control,the risk of hypertension in the constitution of phlegm-dampness group were 1.396 times[95%CI(1.137-1.714)]higher than the control group,while there was no statistically significant difference in other types of traditional Chinese medicine constitution(P>0.05).Using the normal body mass index group as a control,the risk of hypertension in the overweight and obese groups were respectively 1.533 times[95%CI(1.281-1.836)]and 2.478 times[95%CI(1.852-3.315)]higher than the control group.Using the constitution of yin-yang harmony and normal body mass index group as a control,the constitution of yin-yang harmony and obese group had the highest risk of hypertension[OR=3.573,95%CI(2.708-4.714)].The combination of phlegm-dampness constitution and high body mass index significantly increased the risk of hypertension when compared to the yin-yang harmony con-stitution in combination with normal body mass index group.Conclusion The risk of hypertension increased sig-nificantly with the increase of body mass index and in population with phlegm-dampness constitution.Therefore,adjusting weight and improving abnormal constitution of Chinese medicine could prevent hypertension.

hypertensionelderlybody mass indexconstitutions of Chinese medicine

杨帆、谭华、彭玉林、王平

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湖北中医药大学第一临床学院,武汉 430060

湖北中医药大学附属武汉市第一医院感染性疾病科,武汉 430030

高血压 老年人 体质指数 中医体质

2024

中西医结合研究
华中科技大学

中西医结合研究

影响因子:0.649
ISSN:1674-4616
年,卷(期):2024.16(1)
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