Analysis On Blood Pressure Distribution Characteristics And Related Factors Of Elderly People In Xinjiang Community

Objective: To clarify the distribution characteristics and influencing factors of blood pressure among the elderly in Xinjiang communities,establish a phenotypic database of hypertension among the elderly in southern,eastern,and northern Xinjiang,and provide scientific basis for the control and prevention of hypertension among the elderly in Xinjiang.Methods: From January 2021 to December 2021,random number sampling was used to conduct a cross-sectional study on the distribution characteristics and influencing factors of hypertension in Xinjiang communities.Results: In this study,a total of 86514 local residents aged 60 and above were surveyed,and 83887 people were effectively surveyed,with a response rate of 96.96%.There were 42995 cases in the hypertension group and 40892 cases in the non hypertension group.There were statistically significant differences between the two groups in area,gender,age,ethnic group,education level,marriage,occupation,smoking history,drinking history,obesity,diabetes,BMI,fasting blood glucose,total cholesterol,triglycerides,serum low-density lipoprotein,serum high-density lipoprotein,serum alanine aminotransferase,serum glutamic oxaloacetic transaminase,systolic blood pressure,diastolic blood pressure constituent ratio(P<0.001).There was no statistically significant difference in the composition ratio of serum urea nitrogen(P=0.824).The prevalence rate of hypertension among the elderly population in Xinjiang is 51.3%,with the prevalence rates of male and female hypertension being 48.5%and 53.8%,respectively.After adjusting for age and sex,the results of logistic regression analysis suggest that rising latitude,female,aging,drinking,overweight,obesity,diabetes,and dyslipidemia are risk factors for hypertension.Compared with southern Xinjiang(low latitude region),the OR value and 95% confidence interval for hypertension in eastern Xinjiang(middle latitude region)and northern Xinjiang(high latitude region)were 1.436(1.390～1.484)and 1.998(1.932～2.066),respectively;Compared with the age group 60 to 69,the OR value and 95% confidence interval for hypertension in the age groups 70 to79 and 80 to 89 were 1.183(1.146 ～ 1.220)and 1.149(1.101 ～ 1.200),respectively;Compared with normal body type,the OR value and 95% confidence interval for overweight and obese patients with hypertension were 1.681(1.626～1.737)and 2.626(2.531 ～ 2.724),respectively;Compared with men,the OR value and 95% confidence interval for women with hypertension were 1.153(1.119～1.189);Compared with people without diabetes,the OR value and 95% confidence interval of hypertension in people with diabetes were 1.695(1.629～1.764);Compared with non drinkers,the OR value and95% confidence interval for hypertension among drinkers were 1.364(1.279 ～1.454);Compared with people with normal blood lipids,the OR value and 95% confidence interval for hypertension in people with abnormal blood lipids were 1.109(1.074～1.144).Conclusion: The prevalence of hypertension among elderly people in Xinjiang communities is high;Aging,female,rising latitude,drinking,overweight,obesity,diabetes,dyslipidemia are the risk factors of hypertension in this population;In addition to aging,femininity,and elevated latitude,other risk factors are controllable.It is recommended to strengthen population lifestyle interventions,change adverse living habits,strengthen weight loss,control blood sugar,and abstain from alcohol,which will be beneficial to the prevention and control of hypertension.