Prevalence and risk factors of prehypertensive status in people from the rural area of Lanxi county,Heilongjiang province / 中华流行病学杂志

ABSTRACT

Objective To access the prevalence of prehypertensive stage and its associated risk factors in rural inhabitants from Lanxi county in Heilongjiang province.Methods Through cluster multistage and random sampling methods,local people aged≥15 years old in Lanxi county were selected.A survey on blood pressure and associated risk factors wasearried out.Overnight fasting blood specimen of people aged≥35 years old Was collected.Chi square test,t-test and logistic regression analyses were then performed.Results 5272 residents were surveyed including 2539 male and 2733 female subjects.The overall prevalence of prehypertension Was 36.34％.The prevalence of prehypertension appeared to be higher in males(39.50％)than in females(33.41％)(X2=58.9887,P<0.0001),The prevalence of prehypertension decreased with increasing age in men≥25 years old(x=96.0698,P<0.0001),and in women≥35 years old(X2=11.5784,p=0.0208).Data from multivariable logistic regression showed that being male.Aged(≥55 years old),with waist circumference As≥85 cm for men and≥80 cm for women.BMI≥25.0 kg/m2 and fasting plasma glucose≥7.0 mmol/L were risk factors of prehypertension while high.Density Iipoprotein cholesterol<0.9 mmol/L was shown as a protective factor(OR=0.740,P=0.0036).Dose-response relationships were seen between prehypertension and age,BMI and FPG.Conclusion Prehypertension Was popular in the rural area,with high prevalence seen in teenagers.Programs on prehypertension prevention should start from teenagers.Risk factors of prehypertension increased when people became age 55 or older.There was a need to monitot BP more often and to eontror BP through non-drug methods.