| 原发性高血压患者运动血压与体质量指数关系 |
| 投稿时间：2010-03-30 修订日期：2010-06-22 点此下载全文 |
| 引用本文：陈如杰,林孟相,张芳,杨鹏麟.原发性高血压患者运动血压与体质量指数关系[J].医学研究杂志,2010,39(9):101-104 |
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| 中文摘要:目的研究原发性高血压患者运动血压与体质量指数（BMI）的关系。探讨肥胖与运动高血压的关系,为运动高血压的治疗提供依据。 方法入选2008年5月~2009年8月在温州医学院附属第二医院心内科就诊的原发性高血压患者135例，所有患者签知情同意书后予按Bruce方案进行活动平板运动，根据亚级量运动收缩压结果分为运动高血压组(运动收缩压峰值≥200mmHg，n=39）和运动血压正常组（运动收缩压峰值＜200mmHg，n=96）。根据身高、体重计算BMI。结果亚极量运动收缩压与体质量指数正相关（r=0.331，P＜0.001），Logistic回归显示BMI（OR:2.669;95% CI:1.108~6.427)，吸烟（OR:2.563;95% CI:1.033~6.357)，高血脂（OR:2.808;95% CI:1.186~6.648)均是影响运动高血压的独立危险因素。 结论原发性高血压患者体质量指数与运动血压密切相关，提示肥胖可能是导致运动高血压的重要危险因素。 |
| 中文关键词:运动高血压 体质量指数 |
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| The Relationship between Exercise Blood Pressure and Body Mass Index in Patients with Essential Hypertension |
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| Abstract:ObjectiveTo explore the relationship between exercise blood pressure and body mass index in patients with essential hypertension,and probe the relationship between exaggerated blood pressure response to exercise and obesity for the evidence of the exercise hypertension treatment. MethodsOne hundred and thirty-five patients with essential hypertension in the second affiliated hospital of Wenzhou medical college from may 2008 to August 2009 were divided into two groups according to negative treadmill exercise test using the bruce protocol：those with a hypertensive response to exercise (n=39) (peak exercise systolic blood pressure ≥200mmHg) and those with normal blood pressure response (n=96) (peak exercise systolic blood pressure <200mmHg). Body mass index was measured in each patient. ResultSub-maximal exercise systolic blood pressure was related to body mass index (r=0.331, P<0.01). Body mass index (OR:2.669;95% CI:1.108~6.427), cigarette smoking (OR:2.563;95% CI:1.033~6.357), and hyperlipemia (OR:2.808;95% CI:1.186~6.648) were associated independently with the hypertensive response to exercise. ConclusionHypertensive response to exercise is related to acceleration of body mass index,which suggestes obesity may be an important factor in the interpretation of the hypertensive response to exercise-associated risk. |
| keywords:Exaggerated blood pressure response to exercise Body mass index |
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