本文選題：青中年 + 高血壓　； 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討新疆烏魯木齊市天山區(qū)維吾爾族青中年人體質(zhì)量指數(shù)(BMI)、腰圍(WC)、腰臀比(WHR)、體脂百分比(PBF)與高血壓的相關(guān)性,為制定青中年高血壓防治措施提供科學(xué)依據(jù)。方法:本研究采用整群隨機(jī)抽樣的方法,從烏魯木齊市天山區(qū)二道橋片區(qū)(包括躍進(jìn)街社區(qū)、雙慶巷社區(qū)、二道橋社區(qū)、新市路南社區(qū)、福壽巷社區(qū)、固原巷社區(qū)、油庫(kù)巷社區(qū)),抽取了18~59歲的1145人維吾爾族青中年人進(jìn)行橫斷面調(diào)查,對(duì)其進(jìn)行身高、體重、體質(zhì)量、腰圍、腰臀比、體脂百分比、血壓、心率的測(cè)定,并進(jìn)行問(wèn)卷調(diào)查。采用多元逐步回歸分析及ROC曲線分析各肥胖指標(biāo)與高血壓水平的關(guān)系。結(jié)果:烏魯木齊市維吾爾族青中年居民中,不同BMI、WC、WHR、PBF男女收縮壓(SBP)和舒張壓(DBP)水平間差異均有統(tǒng)計(jì)學(xué)意義(P0.05),無(wú)論是根據(jù)BMI或PBF劃分肥胖,肥胖組居民高血壓及高血壓前期患病率均高于超重居民和體脂量正常居民。無(wú)論是以WC或WHR劃分腹型肥胖,腹型肥胖組居民高血壓及高血壓前期患病率均高于正常體型組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。Logistic逐步回歸分析顯示:BMI、WC、WHR、PBF均是高血壓發(fā)生的危險(xiǎn)因素,其中PBF的OR值在男性和女性中均最高(2.747/2.935)。ROC曲線表明,男女兩性中均以BPF的曲線下面積最大(0.783/0.813),與BMI、WC、WHR比較有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:烏魯木齊市維吾爾族青中年人體質(zhì)量指數(shù)(BMI)、腰圍(WC)、腰臀比(WHR)、體脂百分比(PBF)與高血壓的發(fā)生密切相關(guān),其中體脂百分比(PBF)預(yù)測(cè)高血壓的診斷效能最佳,是預(yù)測(cè)高血壓較敏感的肥胖測(cè)量指標(biāo)。
[Abstract]:Objective: to investigate the correlation between body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), body fat percentage (PBF) and hypertension in Uygur nationality of Tianshan District, Urumqi, Xinjiang. Methods: cluster random sampling was used in this study from Erdaoqiao District of Tianshan District of Urumqi (including Yuejin Street Community, Shuangqing Xiang Community, Erdaqiao Community, Lunan Community of Xinshi City, Fushou Xiang Community, Guyuan Lane Community). A cross-sectional survey was conducted among 1145 young and middle-aged Uygur people aged 1859 years. Height, weight, body mass, waist circumference, waist-to-hip ratio, percentage of body fat, blood pressure and heart rate were measured, and questionnaires were conducted to investigate their height, weight, body mass, waist circumference, waist-to-hip ratio, body fat percentage, blood pressure and heart rate. Multiple stepwise regression analysis and ROC curve were used to analyze the relationship between obesity and hypertension. Results: there were statistically significant differences in systolic blood pressure (SBP) and diastolic blood pressure (DBP) between men and women with different BMI-WCCW-WHRF PBF levels among Uygur young and middle-aged residents in Urumqi (P0.05), regardless of whether they were obese according to BMI or PBF. The prevalence of hypertension and prehypertension in obese group was higher than that in overweight and normal population. The prevalence of hypertension and prehypertension in abdominal obesity group was significantly higher than that in normal body type group (P0.05). Logistic stepwise regression analysis showed that BMIWCWHRPBF was the risk factor of hypertension. The OR value of PBF was the highest in both male and female (2.747 / 2.935) .ROC curve showed that the area under the curve of BPF was the largest (0.783 / 0.813), which was statistically significant compared with BMIWCU WHR (P0.05). Conclusion: the body mass index (BMI), waist circumference (WC), waist hip ratio (WHR) and body fat percentage (PBF) of Uygur people in Urumqi are closely related to the occurrence of hypertension, and the body fat percentage (PBF) is the best in the diagnosis of hypertension. It is a sensitive index to predict hypertension.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R544.1

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本文編號(hào)：2113958