Cross-sectional Study Of Hypertension Among Senior Citizens In A Community In Tanggu District Of Tianjin

Objective: Through the study of Tanggu District of Tianjin city elderly hypertensive epidemiology and related risk factors, understand the epidemic characteristics of the community elderly hypertension, the distribution characteristics, influencing factors of patients with hypertension, lipid profiles and compliance, for the relevant policies, to further develop the prevention and treatment of hypertension in community population to provide a basis for targeted prevention and control measures.Methods: Selected Tanggu District Tianjin city community residents aged more than 60 in 3500 people with a unified questionnaire and by direct inquiry method, a detailed record of medical history, hypertension patient demographic characteristics, and family history. According to the principle of random sampling from the extraction of part of samples for blood lipid, blood glucose test. Respectively according to blood pressure level of different age, gender population; blood pressure level in different BMI groups; blood pressure level in different WC, WHR, WHtR groups; different blood glucose level people’s blood pressure level; and the grade of hypertension group carries on the analysis comparison, equal. Results: SBP and DBP in residents of a community in Tanggu District 1 Tianjin city average levels were 135.32±11.45 and 80.21±6.32 mmHg mmHg. The mean levels of SBP in female were higher than male, no statistically significant differences between boys and girls(P > 0.05). While men the mean level of DBP was higher than that of females, the difference has statistical significance. The SBP and DBP groups the average level of the highest obesity; weight less than SBP and DBP groups the average minimum. There were statistically significant differences between SBP and DBP groups with different BMI. Comparison of 2 different WC, WHR, WHtR, blood pressure level, the average level of abdominal obesity group SBP and DBP were higher than that in the normal group, the difference of SBP and DBP in the average level of two groups among groups were statistically significant(P<0.05). 3 according to the fasting blood glucose were divided into normal group and IFG group(IFG), the average level of IFG group SBP and DBP were higher than that of normal group, there were statistically significant differences in the average level of two SBP between the groups(P<0.05), no statistically significant differences in the average level of two DBP between the groups(P > 0.05). 4 primary school and high school, college and above, below, cultural degree hypertension prevalence increased with culture degree decreases.5 the survey a total of 1481 hypertension, crude prevalence rate and standardized prevalence rates were 42.3% and 41.8%, respectively, 40.9% and 38.7% for male, female were 43.8% and 44.3%, there were statistically significant differences between boys and girls. Women in each age group the prevalence rate is higher than the male, the difference was statistically significant. 6 stage 1 hypertension, hypertensive grade 2 and grade 3 hypertension prevalence rate were 22.3%, 12.6% and 8.3%, the difference was statistically significant, after two two comparison, between the two groups any difference was statistically significant grade 1 hypertension prevalence rate is the highest, the lowest grade 3 hypertension prevalence rate. Constitute the grade of hypertension of different age groups than the results of the analysis show: each age group stage 1 hypertension accounted for the highest proportion, the hypertension 3 level had the lowest percentage, but the difference was not statistically significant. 7 stage 1 hypertension, hypertensive grade 2 and grade 3 hypertension prevalence rate were 22.3%, 12.6% and 8.3%, the difference was statistically significant. Stage 1 hypertension prevalence rate is the highest, the lowest grade 3 hypertension prevalence rate. Each age group stage 1 hypertension accounted for the highest proportion, the hypertension 3 level had the lowest percentage, but the difference was not statistically significant. Rate of 8 hypertension awareness, the awareness rate of women than men, there are statistically significant differences between boys and girls. Hypertension treatment rate, treatment rate was higher in females than in males, the difference was statistically significant. The hypertension control rate, control rate are lower than the male female, no significant difference. Weight rate of super 9 hypertensive population was 42.2%, the rate of obesity was 20.9%, IFG was 24.9%, DW was 18%, the abnormal rate of TC, TG, HDL-c and LDL-c was respectively 47.1%, 27%, 7.6%, and 47.9%, Total lipid abnormality rate was 64.5%, overweight, obesity, anomalies of TC, TG, abnormality of high density lipoprotein cholesterol, low density of abnormal rate and total lipid abnormality rate was statistically significant between male and female. 10. between different grade of hypertension,TG and TC was statistically significant(P<0.05), blood lipid level in the hypertension 3 level of above grade 2 hypertension, TC and TG are in the stage 2 hypertension group and hypertension has statistically significant difference between the 3 level group(P<0.05). No statistically significant difference in HDL-c, LDL-c and FBG(P > 0.05). TC, TG, LDL-c and FBG levels increased with the increase of BMI, HDL-c decreased with the increase of BMI. Higher levels of abdominal obesity group TG, TC, LDL-c and FBG, HDL-c level is low, there was TG, HDL-c and FBG difference(P<0.01), but no significant difference between TC and LDL-c(P>0.05). Higher levels of abdominal obesity group TG, TC, LDL-c and FBG, HDL-c level is low, there was statistical significance in TC, TG, HDL-c and FBG difference(P<0.05), but LDL-c showed no statistically significant difference(P>0.05). Abdominal obesity group LDL-c TC,TG, and FBG levels were higher, lower levels of HDL-c were HDL-c, TG, and FBG difference, but no significant difference between TC and LDL-c(P>0.05). Conclusion: hypertension in Tanggu District of Tianjin city some elderly residents of the community prevalence and the standardized prevalence rate is higher, the prevalence rate was lower in males than in females. In hypertension grade, grade 1 hypertension accounted for the highest proportion. Age, culture degree, occupation, family history, WC, TG, BMI and FBG may be the independent factors influencing the prevalence of hypertension. The treatment rate,awareness rate and control rate of hypertension, treatment rate and control in developed countries is still relatively low compared American etc.. Rates are higher than the domestic level of hypertension in patients with metabolic diseases. Community CPAT is poor, should strengthen the community intervention, popularization and implementation guidelines for hypertension, health education in community elderly patients with hypertension, choose the best treatment, vigorously promote the family self testing blood pressure, in order to improve the compliance of patients with antihypertensive therapy.