Prevalence And Risk Factors Of Hypertension Among Population Received Physical Examination In 2014

Objective:With the continuous development of modern society, the speeding-up pace of life and the life level of ascension, the prevalence of hypertension is also rising year by year. According to the latest reports, Chinese adult hypertension prevalence rate has risen from 15.6% in 1991 to 20.9% until now. Further development of hypertension can lead to cerebral hemorrhage, atherosclerosis and other disease of heart head blood-vessel. High morbidity and high mortality among its complications bring heavy economic and psychological burden for every ill family and society, seriously affect the quality of survival, reducing life expectancy as well.At present, in the worldwide, recognized as the related risk factor of hypertension mainly divided into two categories:Firstly, congenital factors, also named as genetic background reasons; Secondly:the acquired factors, such as smoking, alcohol intake, bad living habits such as high salt diet. Relevant research shows that development of hypertension has closely correlation with modern dietary levels, but in the view of the levels of fat-linked biochemical index and the correlation between these two factors research is relatively small. This study based on the laboratory tests of the serum biochemical indicators linked with hypertension risk factors, and then further discusses the risk indicators associated with hypertension, finally to provide targeted hypertension prevention measures with a strong data support.Methods:We gather physical examination data from January 1,2014 to December 31,2014 from a provincial hospital, Hebei province, which we take it as the research objects. Then carry on the cross-sectional survey, all the research objects are from the Hebei province, and were informed consent. Screening all the physical examination results of 2014, we exclude those whose examination project is not completed or the personnel of a medical record are not completed. At last, the remaining in the cross-sectional study is 55,672 people. Regular medical projects include age, gender, past medical history, family history, systolic pressure, diastolic blood pressure, height, weight, body mass index, abdomen circumference, history of smoking, history of drinking, triglyceride levels, total cholesterol levels, low density lipoprotein cholesterol (LDL-C) levels, high-density lipoprotein cholesterol (HDL-C) levels, etc. According to the research objects, according to different genders and ages we divide all the aspects into several groups. We calculate and separate fat indicators and blood lipids index (such as body mass index, abdomen circumference, and related laboratory examination level their critical value) as the standard to classify the objects in these study. And then we calculate each group with their hypertension prevalence, to explore the trend of hypertension prevalence with age. Comparing with hypertension prevalence rate between different age and gender difference between groups, we use the chi-square test. At last we adopt the method of binary logistic regression analysis to figure out influencing factors of hypertension prevalence in many types of medical data.Results:1 The total number of the cross-sectional study is 55,672, whose age ranged as 52.85±12.67, male 31,732 (57.00%) with age ranged 53.46±11.04, female 23,940 (43.00%) with age ranged 51.24±13.24. This study showed that total prevalence rate of hypertension was 31.17%, the total prevalence in male is 38.24%, the total prevalence of female is 21.80%, there is statistical significant between genders. More than 61 years old male hypertension prevalence rate was 48.63%, while the female check-up hypertension prevalence rate was 47.51%; The male between 51 to 60 hypertension prevalence rate was 42.56%, the female check-up hypertension prevalence rate is 27.05%; The male between 41 to 50 hypertension prevalence rate was 34.03%, the female check-up hypertension prevalence rate was 11.85%; The male between 31 to 40 male medical hypertension prevalence rate was 24.66%, the female check-up hypertension prevalence rate was 3.71%.2 Accompanied with the growth of the age, the prevalence of hypertension increased, the difference between groups statistically significant (P< 0.05); In addition to> 61 age group, there is no statistical difference of hypertension prevalence compared with genders, the rest of the male hypertension prevalence rate are (P< 0.05) statistical significantly different higher than that in female among all age groups.3 According to the single factor analysis, compared with the non-hypertension population, the family history, body mass index, triglyceride, total cholesterol, low density lipoprotein cholesterol, high-density lipoprotein cholesterol level (male groups including smoking history) was incorporated into the regression study, with all P< 0.05.4 According to the results of the logistic regression analysis,we found that in all ages and different genders, the main factors affected the hypertension prevalence are as listed:family history of high blood pressure, triglyceride levels and serum high density lipoprotein level, with all P< 0.05 OR>1, the above factors can be incorporated into future prevention and control.Conclusions:1 According to our annual physical examination results, accompanied with the growth of the age, the prevalence of hypertension rise up as well in 2014, which was statistical significance; The female people who was younger than 60, whose hypertension prevalence rate is lower than that in male population, which was statistical significance.2 The data showed that higher body weight is one of the causes resulting to higher hypertension prevalence. And obesity is one of the reasons that may lead to higher hypertension prevalence. Promote weight loss prevention and treatment as soon as possible benefits a lot to hypertension.3 Based on the survey findings, we could draw a conclusion that controllable risk factors of hypertension are:BMI serum triglycerides and HDL levels. Only taken specific measures to prevent these from happening and can us control hypertension in our province successfully. Our survey provide amount of data to support the reasonable prevention measures.