TĂNG HUYẾT áp và các CHỈ số NHÂN TRẮC ở NGƯỜI 25 64 TUỔI tại lâm ĐỒNG năm 2010

G HUYT ÁP VÀ CÁC CH S NHÂN TRC  I 25-64 TUI
T

Lê Quang Đạo
1
, Nguyễn Đỗ Nguyên
2
1
Trung Tâm Y T huyng,
2
Bộ môn Dịch tễ, Khoa Y tế công cộng, Đại học Y Dược TP. HCM






Mục tiêu:

Phương pháp:  



hàng ngày. 


Kết quả: 






Kết luận: 
 


Từ khóa: -mông

SUMMARY
THE PREVALENCE OF HYPERTENSION AND BODY MASS INDEX AMONG
ADULTS AGED 25-64 YEARS AT LAM DONG IN 2010
Background: Lam Dong is a mountainous province in central highland area, with various
ethnic minorities. Prevalence of hypertension and other non-communicable diseases are
increasing with economic growth and modern life styles. There has been no province wide
research to identify the prevalence of hypertension.
Objectives: To determine the prevalence of hypertension among adults aged 25-64 years in
2010.
Methods: A cross-sectional survey using STEPs approach. Study subjects were selected by a
probability proportionate to size two-stage cluster sampling. High blood pressure is defined as a

with antihypertensive. Overweight is defined as body mass index or waist to hip ratio .9
for male, and .8 for female. Frequency distribution, mean, and 95% confidence interval were
adjusted by the inverse of selection probability of a study subject.
Results: The prevalence of hypertension was 16%, higher among males than females. The
overall prevalence including on going treatment subjects was 18%. The proportion of overweight
based on BMI was 7.9%, higher among females than males at both rural and urban areas. Based
on waist to hip ratio, the proportion of overweight was 25%, higher at urban than rural area and
among females than males. An increasing trend the prevalence of hypertension was found with
body mass index in both sexes, and with the higher waist to hip ratio groups.
Conclusion: The prevalence of hypertension in Lam Dong high, especially among
overweight subjects or living in urban areas. Physical inactivity and consumption of energy-rich

foods need to be considered in health education and intervention programs.
Key words: prevalence of hypertension, body mass index, waist to hip ratio.

I. T V



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





-34, 35-44, 45-54, và 55--
     
          
-






dù 






                 
      






                 

-





Bng 3.m v dân s xã hi cng nghiên cu phân b theo khu vc
(N=1991).
Khu vc
m
Thành th
Nông thôn
Tng
n
%
n
%

n
%
Gii
(N=997)
(N=994)
(N=1991)
Nam
N
492
505
49,4
50,6
489
505
49,2
50,8
981
1010
49,3
50,7
Nhóm tui
(N=997)
(N=994)
(N=1991)
2534
3544
4554
5564
240
245

255
257
24,0
24,6
25,6
25,8
256
262
250
226
25,8
26,3
25,2
22,7
496
507
505
483
24,9
25,5
25,4
24,2
Dân tc
(N=997)
(N=994)
(N=1991)
Kinh
Khác
845
152

84,7
15,3
862
132
86,7
13,3
1707
284
85,7
14,3
 hc vn
(N=995)
(N=993)
(N=1988)
Mù ch
u hc
Tiu hc
Trung h
Trung hc ph thông
i hc
i hc
48
93
252
273
176
147
6
04,8
09,4

25,3
27,4
17,7
14,8
00,6
53
179
392
255
84
27
3
05,3
18,0
39,5
25,5
08,5
02,7
00,3
101
272
644
528
260
174
9
05,1
13,7
32,4
26,6

13,1
08,7
00,4
Khu vc
m
Thành th
Nông thôn
Tng
n
%
n
%
n
%
Ngh nghip
(N=997 )
(N=994 )
(N=1991)
c
Công nhân viên phi chính ph
T làm ch
Làm không công
Sinh viên
Ni tr

Tht nghip có th làm vic
Tht nghip không th làm
vic
147
7

702
9
4
71
40
13
4
14,7
00,7
70,4
00,9
00,4
07,1
04,0
01,3
00,4
20
4
866
17
2
77
5
2
1
02,0
00,4
87,1
01,7
00,2

07,7
00,5
00,2
00,1
167
11
1568
26
6
148
45
15
5
08,4
00,5
78,7
01,3
00,3
07,4
02,3
00,7
00,3
Thu nhp (tring)
(N=971)
(N=924)
(N=1895)
1
89
09,2
209

22,6
298
15,7
>1-
377
38,8
406
43,9
783
41,3
>3-
381
39,2
205
22,2
586
30,9
>7
124
12,8
104
11,2
228
12,0

- 

- 

- 

- 
- 
- 
Bm th lc phân b theo gii tính và khu vc (N=1991)
Gii

Khu vc
Nam
N
Hai gii
Trung
bình
Sai s
chun
n
Trung
bình
Sai s
chun
n
Trung
bình
Sai s
chun
n
Thành th
BMI

2
(%)

T s eo-mông
Béo bng (%)

21,5
11
0,8
16

0,19
2,9
0,009
4

492
63
492
92

21,7
11
0,8
43

0,18
1,7
0,004
3,4

500
64

499
252

21,6
11
0,8
30

0,17
1,9
0,007
3,5

992
127
991
344
Nông thôn
BMI

2

(%)T s eo-mông
Béo bng (%)

20,6
4
0,8
7,3

0,22
0,99
0,003
1,6

489
21
487
41

20,6
5,2
0,8
35

0,16
1,1
0,003
2,1

504
31
494
205

20,6
4,6
0,8
21

0,15
0,6
0,002
1,2

993
52
981
246
Tng
BMI

2
(%)
T s eo-mông
Béo bng (%)

21
7,6
0,8
11

0,18
1,7
0,005
2,3

981
84
979

133

21
8,2
0,8
39

0,18
1,2
0,003
2,3

1004
95
993
457

21
7,9
0,8
25

0,17
1,3
0,004
2,1

1985
179
1972

590
(T s eo- nam ho n)
Nh

nam 


Bng 3.3. Tr s huyt áp và t l THA phân b theo gii tính và khu vc (N=1991)
Gii
Huyt áp
(mmHg)
Nam
N
Hai gii
Trung
bình
Sai s
chun
N
Trung
bình
Sai sô
chun
N
Trung
bình
Sai sô
chun
N
Thành th

HA tâm thu

THA-1 (%)
THA-2 (%)

127
77
21
23

1,1
1,01
3,04
3,4

492
492
130
139

118
73
10
13

0,7
0,4
1,7
1,4

505
505
78
98

123
75
16
18

0,6
0,7
1,9
2

997
997
208
237
Nông thôn
HA tâm thu

THA-1 (%)
THA-2 (%)

127
78
22
23

1,6
1,4
4,6
4,3

489
489
127
135

119
73
12
13

0,98
0,96
1,1
1,05

505
505
80
89

123
76
17
18

0,9
0,9
2,3
2,4

994
994
207
224
Tng
HA tâm thu

THA-1(%)
THA-2(%)

127
78
21
23

0,96
0,8
2,7
2,7

981
981
257
274

119
73
11
13

0,6
0,5
1,01
0,9

1010
1010
158
187

123
75
16
18

0,5
0,6
1,5
1,5

1991
1991
415
461
(THA- trên s t áp  thm nghiên cu; THA- trên s t

áp  thm nghiên cu và tin s có THA)
Nhn xét: Trung b
          
huy
n m
                 

huy

Bng 3.4. THA phân b theo nhng ch s th lc (N=1991)
Gii
Ch s
Nam
N
Hai gii
n (%)
PR (KTC 95%)
n (%)
PR (KTC 95%)
n (%)
PR (KTC 95%)
BMI (kg/m
2
)
ng
Nh cân
Nng cân
Béo phì

120 (16)

46 (21)
52 (29)
39 (57)

1
1,3 (0,9-1,9)
1,8 (1,1-2,9)
3,5 (2,5-5)

90 (9)
19 (9)
30 (16)
18 (24)

1
0,99 (0,6-1,7)
1,7 (1,04-2,8)
2,5 (1,5-4,2 )

210 (13)
65 (15)
82 (23)
57 (40)

1
1,2 (0,8-1,8)
1,8 (1,2-2,6)
3,2 (2,2-4,5 )
T s eo-mông
Cao

ng

61 (41)
196 (19)

2,2 (1,5-3,1)

94 (16)
64 (8)

1,9 (1,2-3)

155 (22)
260 (14)

1,5 (1,1-2)
Nhn xét: T s
 l THA  nhóm tha cân béo phì
theo BMI cao gp 3,2 ln so vng (KTC 95%: 1,1-2,0). T l THA  nhóm có
ch s eo mông cao, cao gp 1,5 ln so vng (KTC 95%: 1,1-2,0).














 





-

2


kg/m
2

2

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 
(KTC95%: 2,2-
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2,67; KTC 95%:1,75- 
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THA 
 




1. -
               
Tháng 12-2005, pp. 36-47.
2. 

3. 
-48.
4.  
 
 -98.
5. 
6. 
             .  
31/12/2010.
7.  Hà

8. -
 
9. 

 -237.
10.       -          
, .
11. F Tesfaye, N G Nawi, H Van Minh et al (2007), Association between body mass index
and blood pressure across three populations in Africa and Asia, Journal of Human
Hypertension, 21:2837.
12. Howsom CP, Reddy KS, Ryan TJ et al (1998), Control of cardiovascular diseases in
developing countries, National academy press Washington, D.C 1998.
13. National Institutes of Health (2007), Aim for a Healthy Weight: Assess your Risk, pp 07-
08.
14. Nguyen T Tuan, Linda S Adair, Chirayath M Suchindran et al (2009). The association
between body mass index and hypertension is different between East and Southeast
Asians. The American Journal of Clinical Nutrition vol. 89 no. 6 1905-1912
15. US Deparment of health and Human Services (2004), The Seventh report of the Joint
National Committee on Prevention, detection, evaluation, and treatment of high blood

pressure 2003, Publication No 4  5230.
16. Yusuf S, Hawken S, Ounpuu S, et al. (2005), Obesity and the risk of myocardial
infarction in 27,000 participants from 52 countries: a case-control study, Lancet, 366
(9497): 16409.