Epidemiology Of Prehypertension And Hypertension And Associated With Risk Factors Analysis In Dehui City

Objectives: To study the prevalence of prehypertension andhypertension, and to analyze the risk factors associated withprehypertension and hypertension in Dehui city, Jilin Province.Methods: Selecting the permanent residents as the research objectbetween November2013and January2014in Dehui City, JilinProvince,and investigating the questionnaire,physical examination andblood biochemical tests using convenient sampling method. Thequestionnaire including age, gender, education level, household income,physical activity, occupation, smoking, drinking,and family history ofblood pressure. The physical examination including blood pressure,height, weight and waist circumference was completed by the qualifiedphysicians who were trained in First Hospital of Jilin University. Theblood biochemical parameters was completed by the First Hospital ofJilin University Laboratory. Using SPSS21.0statistical software toanalyze the intact date of1393pepole,which were grouped according tothe age, sex, blood pressure levels.Using univariate and multivariateLogistic regression analysis method to analyze the risk factors associated with prehypertension and hypertension, calculate the odds ratio (OddsRatio, OR) and95%confidence interval,when P <0.05, the difference wasstatistically significant.Results: It is shown that the prevalence of hypertension is48.0%,which was52.8%in male higher than that was44.4%in female inthis investigation. The prevalence of prehypertension is35.6%.It issuggested that there is a descending trend for the percentage ofprehypertension, while there was a ascending trend for the percentage ofhypertension with age arising among the total people. The prevalence ofprehypertension in male,urban areas,low income and drinking group wassignificantly higher than the female,rural areas,high income and nodrinking group without hypertension, which exhibits significantdifference (P <0.05).The prevalence of hypertension in male,urban areasand family history of blood pressure group was significantly higher thanthe female,rural areas and without family history of blood pressure amongthe total people,which exhibits significant difference(P <0.05).And therewas a ascending trend for the prevalence of hypertension with agearising.Compared with the normotension,there was significance amongthe age, body mass index, waist circumference,systolic blood pressure,diastolic blood pressure, total cholesterol, triglyceride, fasting bloodglucose and serum trioxypurine in the prehypertension. And there wassignificance among the age, body mass index, waist circumference, systolic blood pressure, diastolic blood pressure, total cholesterol,triglyceride, low-density lipoprotein-c, high-density lipoprotein-c, fastingblood glucose, serum trioxypurine and Hcy in the hypertension.Compared with the prehypertension, there was significance among theage, body mass index, waist circumference, systolic blood pressure,diastolic blood pressure, total cholesterol, triglycerides, low-densitylipoprotein-c, high-density lipoprotein-c, fasting blood glucose, andserum trioxypurine in hypertension,which exhibits significant difference(P<0.05). The abnormal rate of metabolic indices in prehypertensiongroup of central obesity, overweight, high total cholesterol, hightriglycerides, high fasting blood glucose was significantly higher thannormotension, which exhibits significant difference.And the abnormalrate of metabolic indices in hypertension group of central obesity,overweight, high total cholesterol, high triglyceride, high low-densitylipoprotein-c, high high-density lipoprotein-c,,high fasting blood glucose,high serum trioxypurine, high homocysteine was significantly higher thannormotension, which exhibits significant difference.While the abnormalrate of metabolic indices in hypertension group of central obesity,overweight, high total cholesterol, high triglyceride, high low-densitylipoprotein-c, low high-density lipoprotein-c,high fasting blood glucose,high serum trioxypurine was significantly higher than prehypertension,which exhibits significant difference. Multivariate Logistic regression analysis showed that: risk factors for pre-hypertension group included:old age （OR：1.042，95%Cl：1.025-1.059）, the male（OR：1.674，95%Cl：1.178-2.378）、the urban population ratio（OR：1.623，95%Cl：1.161-2.268）,overweight （OR：2.129，95%Cl：1.463-3.099）,high triglycerides（OR：1.873，95%Cl：1.293-2.711）, hypertension riskfactors include: old age （OR：1.069，95%Cl：1.056-1.081）, the urbanpopulation ratio（OR：1.382，95%Cl：1.088-1.756）, overweight（OR：1.771，95%Cl：1.382-2.269）, family history of hypertension （OR：3.393，95%Cl：2.234-5.153）, high triglycerides（OR：1.724，95%Cl：1.352-2.200）, high fasting glucose （OR：1.692，95%Cl：1.219-2.347）,uric acid（OR：1.511，95%Cl：1.103-2.069）.Conclusion：1. The prevalence of hypertension was48%,and the prevalence ofprehypertension was35.6%in this investigation.So it was the highprevalence of hypertension area.2. The prevalence of hypertension increased with the growth of theage.3. The prevalence of prehypertension in male,urban areas,lowincome and drinking group was significantly higher than the female,ruralareas,high income and no drinking group without hypertension.4. The prevalence of hypertension in male,urban areas and familyhistory of blood pressure group was significantly higher than the female,rural areas and without family history of blood pressure groupamong the total people.5. The independent risk factors of prehypertension is the old age,male,city, overweight, and high triglycerides.6. The independent risk factors of hypertension is the old age, city,overweight, family history of blood pressure, high triglycerides, highfasting blood glucose,and high blood uric acid.