吐尔孙古丽·麦麦提, 陈凤辉, 玛依拉·吾甫尔, 程祖亨, 朱鹏程, 玉素甫江·阿不拉, 邱长春. 塔克拉玛干沙漠部落人群高血压与血脂和血糖等因素的关系[J]. 环境与职业医学, 2015, 32(2): 123-127. DOI: 10.13213/j.cnki.jeom.2015.14373
引用本文: 吐尔孙古丽·麦麦提, 陈凤辉, 玛依拉·吾甫尔, 程祖亨, 朱鹏程, 玉素甫江·阿不拉, 邱长春. 塔克拉玛干沙漠部落人群高血压与血脂和血糖等因素的关系[J]. 环境与职业医学, 2015, 32(2): 123-127. DOI: 10.13213/j.cnki.jeom.2015.14373
Tuersunguli MAIMAITI , CHEN Feng-hui , Mayila WUPUER , CHENG Zu-heng , ZHU Peng-cheng , Yusupujiang ABULA , QIU Chang-chun . Relationship between Hypertension in Taklamakan Desert Tribes and Factors of Blood Lipid and Blood Glucose[J]. Journal of Environmental and Occupational Medicine, 2015, 32(2): 123-127. DOI: 10.13213/j.cnki.jeom.2015.14373
Citation: Tuersunguli MAIMAITI , CHEN Feng-hui , Mayila WUPUER , CHENG Zu-heng , ZHU Peng-cheng , Yusupujiang ABULA , QIU Chang-chun . Relationship between Hypertension in Taklamakan Desert Tribes and Factors of Blood Lipid and Blood Glucose[J]. Journal of Environmental and Occupational Medicine, 2015, 32(2): 123-127. DOI: 10.13213/j.cnki.jeom.2015.14373

塔克拉玛干沙漠部落人群高血压与血脂和血糖等因素的关系

Relationship between Hypertension in Taklamakan Desert Tribes and Factors of Blood Lipid and Blood Glucose

  • 摘要: 目的 探讨新疆塔克拉玛干沙漠腹地氏族部落人群高血压病常见危险因素及其与膳食、血糖相关因素分析。

    方法 应用世界卫生组织(WHO)多国心血管病趋势及决定因素的研究(Multinational Monitoring of Trends and Determinants inCardiovascular Disease,MONICA)方案,采取随机抽样的方法,对508名 ≥ 16岁塔克拉玛干沙漠腹地氏族部落人群进行高血压流行病学调查,包括膳食调查及生化检测。将 ≥ 30岁282名该部落人群(沙漠 ≥ 30岁组)与随机抽取新疆和田于田县 ≥ 30岁成年人151名进行对照分析。

    结果 沙漠腹地氏族部落 ≥ 16岁508人的高血压检出率为10.89%,沙漠组高血压检出率为14.55%,对照组高血压检出率为42.95%。两组(≥ 30岁)BMI、HDL-C比较,差异有统计学意义(P< 0.05),两组TG、TC、LDL-C、空腹血糖、摄入脂肪量、摄盐量比较,差异有统计学意义(P<0.001),沙漠组除HDL-C外,其他危险因素均低于对照组。沙漠组与对照组每天膳食中主要营养素和食物摄入量比较,差异有统计学意义(P<0.001),沙漠组钠、钾、碳水化合物、脂肪等营养素及盐、油脂类等食物摄入量均低于对照组,而肉类食物摄入量高于对照组。多因素logistic回归分析示:年龄、腰围、高血糖及摄盐量为沙漠组高血压的危险因素(OR>1)。

    结论 沙漠腹地氏族部落人群高血压检出率低,该地区人群膳食中钠、碳水化合物、脂肪等营养素及盐、油脂类食物摄入量也较低,可能与该人群高血压患病率低相关。

     

    Abstract: Objective To explore the traditional risk factors of hypertension in the hinterland tribal population in Taklamakan Desert as well as its association with diet and blood sugar.

    Methods We performed an epidemiological survey on hypertension in cluding diet and plasma biochemical assays in the Taklimakan Desert hinterland tribe population aged ≥ 16 years old, using WHO (World Health Organization) MONICA (Multinational Monitoring of Trends and Determinants in Cardiovascular Disease) protocol and adopting the method of random sampling. In addition, we compared the profiles between 282 Taklamakan tribal adults (≥ 30 years of age, the desert group) and 151 controls (≥ 30 years of age) randomly selected from Yutian County of Hetian City.

    Results The detection rates of hypertension were 10.89% in the 508 tribal participants more than 16 years old, 14.55% in the desert group, and 42.95% in the control group. Significant differences were identified between the two groups (≥ 30 years of age) in BMI and HDL-C (P< 0.05), as well as in TG, TC, LDL-C, fasting blood sugar, fat intake, and salt intake (P<0.001); the other risk factors of the desert group were lower than the control group, except HDL-C. Significant differences in major nutrients and food intakes were also found between the desert and the control groups (P<0.001). The nutrients including sodium, potassium, carbohydrates, fats, and the food intakes like salt, oil were lower in the desert group than those in the control group, but meat intake was higher. Age, waistline, high blood glucose, salt intake were identified as risk factors of high blood pressure in the desert group (OR > 1).

    Conclusions A low hypertension rate is detected in the Desert hinterland tribal population (10.89%). Low intakes of dietary nutrients such as sodium, carbohydrates, and lipids and foods like salts and fat may be associated with the lower occurrence of hypertension.

     

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