Epidemiological Study of Prevalence and Risk Factors for Hypertension in Urban Areas of Chengdu City_West China Medical Journal

Authors：

 LIZhichao ¹ , WANGWei-wen ² , ZHUANGLei-xue ³ ,  LIAOXiao-yang ³

1. Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Neurology, General Hospital of Chengdu Military Region of PLA, Chengdu, Sichuan 610083, P. R. China;
3. Department of General Practice, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIAOXiao-yang, Email: 625880796@qq.com

Keywords：

Hypertension; Urbanite; Cardiovascular disease; Risk factor

DOI：

10.7507/1002-0179.20140371

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the prevalence of hypertension and to find the cardiovascular risk factors in the urban residents of Chengdu city. Methods By cluster sampling, a population of 994 inhabitants were selected from 14 urban communities in Chengdu city between February and October 2010. They were 35-70 years old and had resided in the area for over 2 years. Hypertension questionnaire was used and physical examinations were taken to investigate. The definition of hypertension was determined by the Guidelines of Hypertension Prevention and Control made by National Revision Committee in 2010. Logistic regression model was used to define the risk factors for hypertension. Results The prevalence rate of hypertension was 44.87%, and the standardized prevalence rate was 39.21% (male:41.07%, female:38.20%). The difference of prevalence rate between males and females was not significant (P>0.05). The prevalence rate of hypertension increased significantly with age. By multi-factor logistic regression analysis, age (OR=1.103, P<0.001), serum uric acid (OR=1.003, P=0.001), heart rate (OR=1.014, P=0.027), and waist circumference (OR=1.624, P<0.001) were the risk factors for hypertension. Conclusion The prevalence rate of hypertension is high in urban communities of Chengdu city, and age, serum uric acid, heart rate, and waist circumference are the risk factors for hypertension.

Citation： LIZhichao, WANGWei-wen, ZHUANGLei-xue, LIAOXiao-yang. Epidemiological Study of Prevalence and Risk Factors for Hypertension in Urban Areas of Chengdu City. West China Medical Journal, 2014, 29(7): 1201-1204. doi: 10.7507/1002-0179.20140371 Copy

1.	中國高血壓防治指南修訂委員會. 中國高血壓防治指南2010[J]. 中華心血管病雜志, 2011, 39(7):579-616.
2.	衛生部心血管病防治研究中心. 中國心血管病報告2012[M]. 北京:中國大百科全書出版社, 2013:10-13.
3.	李立明, 饒克勤, 孔靈芝, 等. 中國居民2002年營養與健康狀況調查[J]. 中華流行病學雜志, 2005, 26(7):478-484.
4.	中華醫學會糖尿病學分會. 中國2型糖尿病防治指南(2010年版)[J]. 中國糖尿病雜志, 2012, 20(1):81-117.
5.	中國成人血脂異常防治指南制訂聯合委員會. 中國成人血脂異常防治指南[J]. 中華心血管病雜志, 2007, 35(5):390-419.
6.	陳春明, 國際生命科學學會中國辦事處中國肥胖問題工作組聯合數據匯總分析協作組. 中國成人體質指數分類的推薦意見簡介[J]. 中華預防醫學雜志, 2001, 35(5):349-350.
7.	World Health Organization Centers for Disease Control (U.S). Tobacco questions for surveys:a subset of key questions from the Global Adult Tobacco Survey (GATS):global tobacco surveillance system[M]. Geneva:WHO Library Cataloguing-in-Publication Data:World Health Organization, 2011:3-5.
8.	王增武, 武陽豐, 趙連成, 等. 中國中年人群高血壓患病率及知曉率、治療率、控制率的演變趨勢[J]. 中華流行病學雜志, 2004, 25(5):407-411.
9.	李東, 劉冰, 張耀華, 等. 北京市西城區35~70歲居民高血壓流行現況及相關危險因素調查[J]. 中華全科醫師雜志, 2009, 8(2):118-120.
10.	楊偉健, 田朝偉, 鐘赟, 等. 廣州市海珠區社區居民高血壓患病率、知曉率、治療率及控制率的調查分析[J]. 廣東醫學, 2012, 33(3):392-394.
11.	黃曉波, 胡蓉, 樂慶榮, 等. 重慶市城鄉居民高血壓患病及影響因素分析[J]. 中國公共衛生, 2009, 25(1):25-27.
12.	何森, 陳曉平, 陳小妮, 等. 成都地區自然人群的高血壓患病率及血壓水平15年(1992~2007)的變化[J]. 四川大學學報·醫學版, 2010, 41(3):494-497, 535.
13.	姚思君, 曾偉, 魏詠蘭, 等. 成都市城鄉居民高血壓流行狀況及危險因素分析[J]. 中國慢性病預防與控制, 2012, 20(3):265-267.
14.	Yang T, Chu CH, Bai CH, et al. Uric acid concentration as a risk marker for blood pressure progression and incident hypertension:a Chinese cohort study[J]. Metabolism, 2012, 61(12):1747-1755.
15.	Zhang W, Sun K, Yang Y, et al. Plasma uric acid and hypertension in a Chinese community:prospective study and metaanalysis[J]. Clin Chem, 2009, 55(11):2026-2034.
16.	Gillman MW, Kannel WB, Belanger A, et al. Influence of heart rate on mortality among persons with hypertension:the Framingham Study[J]. Am Heart J, 1993, 125(4):1148-1154.
17.	Paul L, Hastie CE, Li WS, et al. Resting heart rate pattern during follow-up and mortality in hypertensive patients[J]. Hypertension, 2010, 55(2):567-574.
18.	邵也常, 劉小清, 麥勁壯, 等. 靜息心率與高血壓發病的前瞻性研究[J]. 中山醫科大學學報, 2002, 23(z1):40-42.
19.	Julius S, Palatini P, Kjeldsen S, et al. Tachycardia predicts cardiovascular events in the VALUE trial[J]. J Clin Hypertension, 2010, 12:529.
20.	丁素琴, 楊學軍, 邢麗麗, 等. 北京市東城區成年人慢性病患病現狀及危險因素分析[J]. 中國健康教育, 2012, 28(3):188-190, 214.
21.	李麗君, 殷堰, 黃秋圓, 等. 社區老年人常見慢性病及相關危險因素調查[J]. 中國老年學雜志, 2008, 28(2):169-170.
22.	何森, 陳曉平, 蔣凌云, 等. 成都地區中老年人群體重指數對高血壓患病率及血壓水平的影響[J]. 華西醫學, 2009, 24(11):2823-2825.

1. 中國高血壓防治指南修訂委員會. 中國高血壓防治指南2010[J]. 中華心血管病雜志, 2011, 39(7):579-616.
2. 衛生部心血管病防治研究中心. 中國心血管病報告2012[M]. 北京:中國大百科全書出版社, 2013:10-13.
3. 李立明, 饒克勤, 孔靈芝, 等. 中國居民2002年營養與健康狀況調查[J]. 中華流行病學雜志, 2005, 26(7):478-484.
4. 中華醫學會糖尿病學分會. 中國2型糖尿病防治指南(2010年版)[J]. 中國糖尿病雜志, 2012, 20(1):81-117.
5. 中國成人血脂異常防治指南制訂聯合委員會. 中國成人血脂異常防治指南[J]. 中華心血管病雜志, 2007, 35(5):390-419.
6. 陳春明, 國際生命科學學會中國辦事處中國肥胖問題工作組聯合數據匯總分析協作組. 中國成人體質指數分類的推薦意見簡介[J]. 中華預防醫學雜志, 2001, 35(5):349-350.
7. World Health Organization Centers for Disease Control (U.S). Tobacco questions for surveys:a subset of key questions from the Global Adult Tobacco Survey (GATS):global tobacco surveillance system[M]. Geneva:WHO Library Cataloguing-in-Publication Data:World Health Organization, 2011:3-5.
8. 王增武, 武陽豐, 趙連成, 等. 中國中年人群高血壓患病率及知曉率、治療率、控制率的演變趨勢[J]. 中華流行病學雜志, 2004, 25(5):407-411.
9. 李東, 劉冰, 張耀華, 等. 北京市西城區35~70歲居民高血壓流行現況及相關危險因素調查[J]. 中華全科醫師雜志, 2009, 8(2):118-120.
10. 楊偉健, 田朝偉, 鐘赟, 等. 廣州市海珠區社區居民高血壓患病率、知曉率、治療率及控制率的調查分析[J]. 廣東醫學, 2012, 33(3):392-394.
11. 黃曉波, 胡蓉, 樂慶榮, 等. 重慶市城鄉居民高血壓患病及影響因素分析[J]. 中國公共衛生, 2009, 25(1):25-27.
12. 何森, 陳曉平, 陳小妮, 等. 成都地區自然人群的高血壓患病率及血壓水平15年(1992~2007)的變化[J]. 四川大學學報·醫學版, 2010, 41(3):494-497, 535.
13. 姚思君, 曾偉, 魏詠蘭, 等. 成都市城鄉居民高血壓流行狀況及危險因素分析[J]. 中國慢性病預防與控制, 2012, 20(3):265-267.
14. Yang T, Chu CH, Bai CH, et al. Uric acid concentration as a risk marker for blood pressure progression and incident hypertension:a Chinese cohort study[J]. Metabolism, 2012, 61(12):1747-1755.
15. Zhang W, Sun K, Yang Y, et al. Plasma uric acid and hypertension in a Chinese community:prospective study and metaanalysis[J]. Clin Chem, 2009, 55(11):2026-2034.
16. Gillman MW, Kannel WB, Belanger A, et al. Influence of heart rate on mortality among persons with hypertension:the Framingham Study[J]. Am Heart J, 1993, 125(4):1148-1154.
17. Paul L, Hastie CE, Li WS, et al. Resting heart rate pattern during follow-up and mortality in hypertensive patients[J]. Hypertension, 2010, 55(2):567-574.
18. 邵也常, 劉小清, 麥勁壯, 等. 靜息心率與高血壓發病的前瞻性研究[J]. 中山醫科大學學報, 2002, 23(z1):40-42.
19. Julius S, Palatini P, Kjeldsen S, et al. Tachycardia predicts cardiovascular events in the VALUE trial[J]. J Clin Hypertension, 2010, 12:529.
20. 丁素琴, 楊學軍, 邢麗麗, 等. 北京市東城區成年人慢性病患病現狀及危險因素分析[J]. 中國健康教育, 2012, 28(3):188-190, 214.
21. 李麗君, 殷堰, 黃秋圓, 等. 社區老年人常見慢性病及相關危險因素調查[J]. 中國老年學雜志, 2008, 28(2):169-170.
22. 何森, 陳曉平, 蔣凌云, 等. 成都地區中老年人群體重指數對高血壓患病率及血壓水平的影響[J]. 華西醫學, 2009, 24(11):2823-2825.

Next Article
The Effects of Combined Bisoprolol and Candesartan Therapy on Left Ventricular Hypertrophy and Left Heart Function in Elderly Patients with Hypertension

West China Medical Journal

Epidemiological Study of Prevalence and Risk Factors for Hypertension in Urban Areas of Chengdu City

Abstract Full text Figures/Tables Video References Cited by

Next Article

Format

Content