大学新生超重肥胖及高血压与静息心率过快的相关性
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摘要
目的探讨不同性别大学新生超重和肥胖及高血压与静息心率(RHR)过快(RHR>100次/min)的相关性,为心血管病早期防控提供科学依据。方法 2016年9月对江汉大学4 362名大学新生进行身高、体重、血压及RHR测量,观察身高、体重、血压及RHR过快分布情况,分析不同性别大学新生超重肥胖及高血压对RHR过快的影响。结果大学新生RHR过快检出率为1.81%,男生(2.03%)高于女生(1.62%),差异无统计学意义(χ~2=0.99,P>0.05)。随着体质量指数(BMI)和血压的增加,男、女生RHR过快检出率均呈上升趋势;校正混杂因素后,男生超重肥胖发生RHR过快风险是体重正常者的1.13(95%CI=1.05～2.59)和2.87倍(95%CI=1.99～4.88),女生则是1.34(95%CI=1.11～2.85)和3.83倍(95%CI=2.12～8.84);男女生高血压患者发生RHR过快风险分别是血压正常者的15.52和17.81倍。结论大学新生超重肥胖及高血压与RHR过快具有密切的关系,高血压患者发生RHR过快风险较高,对BMI及血压的监测有助于预防和控制心血管病的发生。
Objective To explore the correlation of overweight, obesity and hypertension with fast resting heart rate( RHR3>100 times/min) among college freshmen in different genders, and to provide scientific reference for early prevention and control for cardiovascular disease. Methods In September 2016, 4 362 college freshmen were measured by height, weight, blood pressure and RHR to observe the distribution of fast RHR and analyze the effects of overweight obesity and hypertension on fast resting heart rate of freshmen of different genders. Results The detection rate of fast resting heart rate of college freshmen was 1.81%,that of male students( 2.03%) was higher than that of female students( 1.62%), and the difference was not statistically significant( χ~2= 0.99, P>0.05). fast RHR increased with body mass index( BMI) and blood pressure. After adjusting other risk factors, for male freshmen, the risk of fast RHR in overweight and obesity were 1.13 fold( 95%CI: 1.05-2.59) and 2.87 fold( 95%CI: 1.99-4.88) higher than that of the healthy people. For females, the risks were 1.34 fold( 95% CI: 1.11-2.85) and 3.83 fold( 95% CI:2.12-8.84). In comparison to the normal blood pressure group, the ALT abnormal rate of the high blood pressure group was 15.52 fold higher in male freshmen and 17.81 fold higher in females. Conclusion Overweight, obesity and hypertension were positively correlated with fast RHR among college freshmen. Hypertensive patients have a high risk of fast RHR. Monitoring BMI and blood pressure is helpful to prevent and control cardiovascular disease.
Objective To explore the correlation of overweight, obesity and hypertension with fast resting heart rate( RHR3>100 times/min) among college freshmen in different genders, and to provide scientific reference for early prevention and control for cardiovascular disease. Methods In September 2016, 4 362 college freshmen were measured by height, weight, blood pressure and RHR to observe the distribution of fast RHR and analyze the effects of overweight obesity and hypertension on fast resting heart rate of freshmen of different genders. Results The detection rate of fast resting heart rate of college freshmen was 1.81%,that of male students( 2.03%) was higher than that of female students( 1.62%), and the difference was not statistically significant( χ~2= 0.99, P>0.05). fast RHR increased with body mass index( BMI) and blood pressure. After adjusting other risk factors, for male freshmen, the risk of fast RHR in overweight and obesity were 1.13 fold( 95%CI: 1.05-2.59) and 2.87 fold( 95%CI: 1.99-4.88) higher than that of the healthy people. For females, the risks were 1.34 fold( 95% CI: 1.11-2.85) and 3.83 fold( 95% CI:2.12-8.84). In comparison to the normal blood pressure group, the ALT abnormal rate of the high blood pressure group was 15.52 fold higher in male freshmen and 17.81 fold higher in females. Conclusion Overweight, obesity and hypertension were positively correlated with fast RHR among college freshmen. Hypertensive patients have a high risk of fast RHR. Monitoring BMI and blood pressure is helpful to prevent and control cardiovascular disease.
引文
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[18]汤玲燕,彭浩,晁湘琴,等.儿童肥胖与心率的关系[J].中国学校卫生,2012,33(7):841-843.
[19]王英慧,吴芊.不同性别高校新生超重肥胖及高血压与血清丙氨酸氨基转移酶异常的相关性分析[J].现代预防医学,2017,44(8):1520-1523.
[20]张璐,杨跃进,温瑞,等.超重,肥胖和腹型肥胖与心血管代谢性疾病的关联研究[J].现代预防医学,2016,43(21):3887-3891.
[21]吴寿岭,钟吉文,王丽晔,等.高血压前期人群中心脑血管事件发生情况及影响因素[J].中华高血压杂志,2012,20(3):247-251.
[22]韩硕,张一径,张学颖,等.静息心率与代谢综合征相关性研究[J].中国实用内科杂志,2015,35(6):540-541.
[2]KOLLOCH R,LEGLER U F,CHAMPION A,et al. Impact of rest-ing heart rate on outcomes in hypertensive patients with coronary arter-y disease:findings from the international verapamil-sr/trandolaprilstudy(INVEST)[J]. Eur Heart J,2008,29(9):1327-1334.
[3]雍雪莲,叶勇,吴芊,等.大学新生超重和肥胖与血清丙氨酸氨基转移酶及血尿酸相关性分析[J].现代预防医学,2015,42(5):930-932.
[4]施仲伟.《高血压患者心率管理中国专家共识》解读[J].中华高血压杂志,2018,26(2):119-123.
[5]中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006.
[6]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中国医学前沿杂志(电子版),2011,3(5):42-93.
[7]万学红,卢雪峰.诊断学[M].7版.北京:人民卫生出版社,2008:149-159.
[8]杨晓红,李爱民,李文志.交感神经系统与高血压的研究进展[J].心血管病学进展,2013,34(5):641-643.
[9]郭勤,钱德富,周子华,等.体检职工心率与相关因素[J].公共卫生与预防医学,2014,25(6):51-56.
[10]周春蕾,施斌斌,张辉,等.静息心率对高血压前期人群进展为高血压的影响[J].华南国防医学杂志,2016,30(1):19-21.
[11]彭瑞华,白梅.高血压患者心率与心率昼夜节律分析的意义[J].临床心电学杂志,2017,26(1):31-33.
[12]郑宏健,卢新政,心率控制的新认识[J].心血管病学进展,2011,32(6):809-811.
[13]牛杨,汤庆娅,赵雪林,等.肥胖儿童尿酸水平与糖尿病及心血管疾病危险因子的相关性[J].中国学校卫生,2016,37(12):1859-1862.
[14]易兰芬,文红霞,黄小力,等.学龄期肥胖儿童心脏自主神经功能分析[J].中国当代儿科杂志,2017,19(5):524-528.
[15]杨艳丽.肥胖研究进展[J].济宁医学院学报,2012,35(1):64-66.
[16]赵青,张抒扬.肥胖症与心血管疾病[J].中国医学科学院学报,2012,34(4):431-436.
[17]孙颖,段佳丽,米杰,等.超重肥胖中学生代谢性疾病风险分析[J].中国学校卫生,2014,35(3):407-409.
[18]汤玲燕,彭浩,晁湘琴,等.儿童肥胖与心率的关系[J].中国学校卫生,2012,33(7):841-843.
[19]王英慧,吴芊.不同性别高校新生超重肥胖及高血压与血清丙氨酸氨基转移酶异常的相关性分析[J].现代预防医学,2017,44(8):1520-1523.
[20]张璐,杨跃进,温瑞,等.超重,肥胖和腹型肥胖与心血管代谢性疾病的关联研究[J].现代预防医学,2016,43(21):3887-3891.
[21]吴寿岭,钟吉文,王丽晔,等.高血压前期人群中心脑血管事件发生情况及影响因素[J].中华高血压杂志,2012,20(3):247-251.
[22]韩硕,张一径,张学颖,等.静息心率与代谢综合征相关性研究[J].中国实用内科杂志,2015,35(6):540-541.