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：

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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

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10.	杨伟健, 田朝伟, 钟赟, 等. 广州市海珠区社区居民高血压患病率、知晓率、治疗率及控制率的调查分析[J]. 广东医学, 2012, 33(3):392-394.
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21.	李丽君, 殷堰, 黄秋圆, 等. 社区老年人常见慢性病及相关危险因素调查[J]. 中国老年学杂志, 2008, 28(2):169-170.
22.	何森, 陈晓平, 蒋凌云, 等. 成都地区中老年人群体重指数对高血压患病率及血压水平的影响[J]. 华西医学, 2009, 24(11):2823-2825.

1. 中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华心血管病杂志, 2011, 39(7):579-616.
2. 卫生部心血管病防治研究中心. 中国心血管病报告2012[M]. 北京:中国大百科全书出版社, 2013:10-13.
3. 李立明, 饶克勤, 孔灵芝, 等. 中国居民2002年营养与健康状况调查[J]. 中华流行病学杂志, 2005, 26(7):478-484.
4. 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2010年版)[J]. 中国糖尿病杂志, 2012, 20(1):81-117.
5. 中国成人血脂异常防治指南制订联合委员会. 中国成人血脂异常防治指南[J]. 中华心血管病杂志, 2007, 35(5):390-419.
6. 陈春明, 国际生命科学学会中国办事处中国肥胖问题工作组联合数据汇总分析协作组. 中国成人体质指数分类的推荐意见简介[J]. 中华预防医学杂志, 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, 武阳丰, 赵连成, 等. 中国中年人群高血压患病率及知晓率、治疗率、控制率的演变趋势[J]. 中华流行病学杂志, 2004, 25(5):407-411.
9. 李东, 刘冰, 张耀华, 等. 北京市西城区35~70岁居民高血压流行现况及相关危险因素调查[J]. 中华全科医师杂志, 2009, 8(2):118-120.
10. 杨伟健, 田朝伟, 钟赟, 等. 广州市海珠区社区居民高血压患病率、知晓率、治疗率及控制率的调查分析[J]. 广东医学, 2012, 33(3):392-394.
11. 黄晓波, 胡蓉, 乐庆荣, 等. 重庆市城乡居民高血压患病及影响因素分析[J]. 中国公共卫生, 2009, 25(1):25-27.
12. 何森, 陈晓平, 陈小妮, 等. 成都地区自然人群的高血压患病率及血压水平15年(1992~2007)的变化[J]. 四川大学学报·医学版, 2010, 41(3):494-497, 535.
13. 姚思君, 曾伟, 魏咏兰, 等. 成都市城乡居民高血压流行状况及危险因素分析[J]. 中国慢性病预防与控制, 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, 刘小清, 麦劲壮, 等. 静息心率与高血压发病的前瞻性研究[J]. 中山医科大学学报, 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, 杨学军, 邢丽丽, 等. 北京市东城区成年人慢性病患病现状及危险因素分析[J]. 中国健康教育, 2012, 28(3):188-190, 214.
21. 李丽君, 殷堰, 黄秋圆, 等. 社区老年人常见慢性病及相关危险因素调查[J]. 中国老年学杂志, 2008, 28(2):169-170.
22. 何森, 陈晓平, 蒋凌云, 等. 成都地区中老年人群体重指数对高血压患病率及血压水平的影响[J]. 华西医学, 2009, 24(11):2823-2825.

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

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