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.
关键词
高血压/老年人/体质指数/中医体质
Key words
hypertension/elderly/body mass index/constitutions of Chinese medicine
维普
万方数据