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高血压家族史与高尿酸血症对高血压患病交互作用

Synergistic effect of family hypertension history and hyperuricemia on incidence of hypertension

  • 摘要: 目的探讨高血压家族史与高尿酸血症交互作用对高血压患病中的交互作用。方法采用分层随机抽样方法对在青岛市市南、市北、黄岛、胶南、四方、即墨6个区/市100个居委会抽取的5 165名≥35岁居民进行问卷调查、体格检查和实验室检测,根据高血压诊断标准将其中2 515例高血压患者作为对照组,其他2 650名血压正常者作为对照组,分析高血压家族史与高尿酸血症对高血压患病的交互作用。结果单因素logistic回归分析结果显示,有高血压家族史及高尿酸血症者高血压患病风险为无高血压家族史及高尿酸血症者的3.059倍(OR=3.059,95%CI=2.168~4.318),高血压家族史与高尿酸血症同时存在的协同效应指数为1.84,归因交互效应为0.94,归因交互效应百分比为32.7%,纯因子间归因交互效应百分比为45.6%;在控制混杂因素后,多因素logistic回归分析结果显示,有高血压家族史及高尿酸血症者高血压患病风险为无高血压家族史及高尿酸血症者的2.505倍(OR=2.505,95%CI=1.716~3.658),高血压家族史与高尿酸血症同时存在的协同效应指数为1.67,归因交互效应为0.60,归因交互效应百分比为24.1%,纯因子间归因交互效应百分比为40.1%。结论高血压家族史与高尿酸血症对高血压患病的影响存在正交互作用。

     

    Abstract: ObjectiveTo study the interaction between family hypertension history and hyperuricemia and its effect on the incidence of hypertension.MethodsTotally 2 515 newly diagnosed hypertension patients and 2 650 people with normal blood pressure and at the age of 35 years or older were selected from 100 communities in 6 urban areas of Qing-dao city for a case-control study.A questionnaire survey,physical examination and laboratory test were carried out among the participants.Univariate and multivariate logistic regression were used in data analyses.ResultsFamily hypertension history and hyperuricemia had positive relation with hypertension(P<0.001).After adjusting for confounding factors,a synergy index(1.67)between family hypertension history and hyperuricemia was observed,with an attributable interaction of 0.60;the attributable proportion due to the interaction was 24.1% and the pure attributable proportion due to the interaction was 40.1%.ConclusionThere is a synergistic effect between family hypertension history and hyperuricemia on the incidence of hypertension.

     

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