成都地区成年人群正常高值血压和高血压流行现状与分析

Epidemiological Status and Analysis of Prehypertension and Hypertension among Adults in Chengdu Area

摘要: 目的：通过分析成都地区正常高值血压和高血压人群的流行现状和危险因素，为成都地区高血压防控提供研究依据。方法：选取成都地区2023年12月美年大健康各体检机构117,512例成年体检人员作为研究对象，分析该人群年龄、性别、体重指数、空腹血糖、尿酸、血脂等指标与血压的关系，筛选成都地区成年人血压增长的危险因素。结果：不同年龄、性别、体重指数、空腹血糖、尿酸、血脂等指标分组的正常高值血压和高血压人数均有不同，且具有差异(P < 0.05)，多因素逻辑回归显示这些指标对于血压增长而言均是危险因素。结论：在成都地区，男性、BMI异常、年龄增长、高FPG、脂代谢异常、尿酸代谢异常和肾功能异常均是血压增长的危险因素，BMI异常、年龄增长、高FPG、男性危险程度较高。在健康宣教、慢病管理等方面都需要对这些危险因素加强管理。成都地区目前中年人群正常高值血压检出人数不断增长，导致了老年人群高血压患病率明显增加，需要引起足够的重视，并制定相应的防控策略。

Abstract: Objective: To provide research evidence for hypertension prevention and control in Chengdu by analyzing the epidemiological status and risk factors of pre-hypertension and hypertension in the region. Methods: A total of 117,512 participants who attended routine health examinations from various physical examination institutions of Meinian One health in Chengdu in December 2023 were selected as the research subjects. The relationship between age, gender, body mass index, fasting plasma glucose, uric acid, blood lipids, and other indicators with blood pressure was analyzed to screen the risk factors for blood pressure increase among adults in Chengdu. Results: Significant differences were observed in the number of individuals with high-normal blood pressure and hypertension across groups stratified by age, gender, BMI, FPG, uric acid, and blood lipids (P < 0.05). Multivariate logistic regression analysis indicated that these indicators were all risk factors for blood pressure increase. Conclusion: In Chengdu, male gender, abnormal BMI, increasing age, high FPG, dyslipidemia, abnormal uric acid metabolism, and renal dysfunction are risk factors for blood pressure increase, with abnormal BMI, increasing age, high FPG, and male gender posing higher risks. Strengthened management of these risk factors is essential in health education and chronic disease management. Currently, the number of middle-aged individuals with high-normal blood pressure is on the rise in Chengdu, leading to a significant increase in the prevalence of hypertension among the elderly population. This necessitates sufficient attention and the formulation of corresponding prevention and control strategies.