Study On Hypertension Prevalence And Risk Factors Of Mongolian Inhabitants In Nileke County Of Xinjiang

Objective: To investigate the hypertension prevalence of Mongolian inhabitants in Nileke County of Xinjiang, and inquire into the relationship between hypertension and its risk factors in order to find out a way to deal with the hypertension and provide reference foundation of changing unhealthy life pattern for Mongolians. Methods: A randomized cluster sampling conducted in 349 Mongolian inhabitants aged>18 in Nileke were selected as objects. 1. A survey of general situation, life pattern and behavior, and physical examination was taken using a questionnaire; A diet survey was taken using food frequency questionnaires combining with 24-hour dietary recalls; A survey was taken from the fasting blood measuring serum TC, TG, HDL, LDL, Apo-A, Apo-B and FPG. 2.A randomized sampling of serum NO, MDA, SOD, ET, leptin, Ca, Mg, K and Na conducted in 45 hypertension patients(23male, 22female) and 45 normal ones(22male, 23female) respectively. 3. Analysis of variance, pearson analysis and Logistic regression analysis were applied to analyse the relationship of indicators. Results: 1. The hypertension prevalence rate was 28.1%, and there was no obvious difference between male and female. 2. The incidence of overweight and obesity and abdominal obesity were 61.6% and 62.8% respectively,and the level of blood pressure had a clear-cut correlation with the increase of BMI and WHR(P=0.000). 3. The incidence of dyslipidemia was 14.6%. There was a obvious increase in women of hypertension in TC and TG compared with those normal ones. There was a obvious increase in men in TG and Apo-B compared with women among those who had normal blood pressure(P<0.01). 4. Investigation of the local Mongolians in calories, protein, carbohydrate, lipids, riboflavine, vitamin C and other vitamins and minerals were most to meet or surpass the standards RNI, while fiber, thiamin, calcium and magnesium were less than RNI. 5. The level of calories, protein, lipids and carbohydrate in hypertension group were higher than those in normal ones(P<0.05). 6. This study showed that education level, income level, fiber, riboflavine, thiamin, vitamin C, magnesium, NO and SOD was negatively positively correlated with blood pressure, while BMI, WHR, calories, protein, lipids, sodium, MDA, ET and Leptin was positively correlated with blood pressure. 7. Logistic regression analysis showed that education level, BMI, calories and fiber may be the risk factors of hypertension. Conclusions:1. The hypertension prevalence of local Mongolians was still serious. 2. The education level, BMI, calories and fiber may be the risk factors of hypertension. 3. Recommended the strengthening of the local residents hypertension health education, prevention of hypertension from occurring.