Physical fitness status and its influence on blood pressure level among adults in Liaoning province
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摘要: 目的了解辽宁省成年居民的体质状况及其对血压的影响,为高血压的预防控制提供参考依据。方法采用分层随机抽样方法对在辽宁省2010年第三次国民体质监测3个监测点(沈阳、丹东、朝阳市)抽取的5 817名20~69岁成年居民分为成年甲组(20~39岁)、成年乙组(40~59岁)和老年组(60~69岁),进行形态、生理机能和身体素质指标测量。结果辽宁省5 817名20~69岁居民中,正常血压、正常高值血压和高血压检出率分别为58.1%、17.0%和24.9%;成年甲组居民正常血压、正常高值血压和高血压者的体质合格率分别为80.4%、61.2%和58.3%,成年乙组居民分别为82.2%、76.4%和75.3%,老年组居民分别为91.7%、88.9%和84.3%;成年甲组居民正常血压者的体质合格率均高于正常高值血压者和高血压者(P<0.01),成年乙组、老年组居民正常血压者的体质合格率均高于高血压者(P<0.01);多因素logistic回归分析结果表明,辽宁省成年居民正常高值血压的危险因素为年龄较大、心率较快、超重和肥胖,保护因素为女性和台阶指数较高;辽宁省成年居民高血压的危险因素为年龄较大、心率较快、选择反应时较长、腰围较大、腹型肥胖、超重和肥胖,保护因素为女性、肺活量/体重较高、台阶指数较高。结论成年居民的体质状况对血压水平有一定影响,心率、体质指数、台阶指数、腰围、选择反应时和肺活量是居民血压水平的主要影响因素。Abstract: Objective To investigate physical fitness status and its influence on the blood pressure level among adults in Liaoning province,and to provide information for prevention and control of hypertension.Methods A total of 5 817 adults aged 20-69 years from three settings of the Third China's Nationa1 Physica1 Fitness Surveillance of Liaoning province(Shenyang,Dandong,and Chaoyang city)were selected by using stratified random sampling method.Age groups of adult A(20-39 years),adult B(40-59 years)and elder(60-69 years)were defined.Parameters of anthropometry,physiological function and physical constitution were determined.Results The prevalence of normal blood pressure,high normal blood pressure and hypertension were 58.1%,17.0%,and 24.9% among the adults aged 20-69 years in Liaoning province.The ratio of physical indexes reaching the national fitness standards for the adults with the normal blood pressure,high normal blood pressure,and hypertension were 80.4%,61.2% and 58.3% for the adults of group A,82.2%,76.4%,and 75.3% for the adults of group B,and 91.7%,88.9%,and 84.3% for the elder adults,respectively.For the aduts of group A,the ratio of physical indexes reaching the national fitness standards for adults with the normal blood pressure was significantly higher than that of adults with the high normal blood pressure and hypertension(P<0.01).For the adults in group B and elder group,the ratio of physical indexes reaching the national fitness standards for adults with the normal blood pressure were significantly higher than that of the hypertension(P<0.01).Multiple logistic regression analysis results showed that the risk factors for high normal blood pressure were age,elevated heart rate,overweight and obesity,while the protective factors were female gender and higher step-test index.Risk factors for hypertension were age,higher heart rate,long choice reaction time,larger waist circumference,abdominal obesity,overweight and obesity,while the protective factors were female,higher vital capacity per weight,and larger step-test index.ConclusionAmong adults,physical fitness status affects blood pressure level,and heart rate,body mass index,step-test index,waist circumference,choice reaction time,and vital capacity are main influencing factors of blood pressure.
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Keywords:
- high normal blood pressure /
- hypertension /
- physical fitness /
- blood pressure level /
- influence
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