Correlation of traditional Chinese medicine constitutions andbody mass index with hypertension in the elderly
ZHANG Xue-mei1, YANG Xue1, CHEN Hao-tian2, YANG Chun-xia1
1.West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, China; 2.West China School of Medicine, Sichuan University, Chengdu, Sichuan 610041, China
Abstract：Objective To explore the relationship of traditional Chinese medicine (TCM) constitutions and body mass index (BMI) with hypertension in elderly people aged 60 years and above. Methods Cluster sampling method was used to select elderly people aged 60 years and above who were filed and managed in a community health service center from January to June in 2018. The standard TCM physique questionnaire was used to evaluate the types of TCM constitution, body height and weight were measured to calculate BMI, and the elderly people’s general information was also collected. The data were analyzed by using descriptive statistics, Chi-square test and multivariate logistic regression analysis. Results A total of 2,757 surveyed subjects were assessed, with a mean age of (72.21±7.41) years. Males accounted for 45.77%. The prevalence rate of hypertension was 59.09%. Univariate analysis showed that age, smoking, drinking, exercise, BMI and TCM constitution were the factors influencing hypertension. The prevalence rate of hypertension showed an upward tendency with the increasing age (χ2=23.36, P<0.001). The higher the BMI, the higher the prevalence rate of hypertension (χ2=58.62, P<0.001). The prevalence rates of hypertension in the elderly with different TCM constitutions showed statistically significant differences (P<0.001), and the prevalence rate was found to be the highest in the phlegm-dampness constitution (70.45%), followed by yang-deficiency constitution (65.38%) and Yin-deficiency constitution (64.64%). Multivariate logistic regression analysis displayed that the prevalence of hypertension increased with the increasing age, and the prevalence rate of hypertension was higher in population aged 80- years than in population aged 60- years (OR=1.88, 95%CI:1.48-2.38). Overweight (OR=1.41, 95%CI: 1.17-1.69), obesity (OR=1.59, 95%CI:1.17-2.16), phlegm-dampness constitution (OR=1.77, 95%CI:1.45-2.16), yang-deficiency constitution (OR=1.60, 95%CI:1.12-2.29) and Yin-deficiency constitution (OR=1.50, 95%CI:1.08-2.09) were risk factors for hypertension. Conclusions Elevated BMI is a risk factor for hypertension. Elderly people with the types of phlegm-dampness constitution, yin-deficiency constitution and yang-deficiency constitution are susceptible to high blood pressure, and hence, targeted health education and guidance should be conducted among them.
张雪梅, 杨雪, 陈皓田, 杨春霞. 老年人中医体质及体质指数与高血压的关系[J]. 实用预防医学, 2019, 26(12): 1462-1465.
ZHANG Xue-mei, YANG Xue, CHEN Hao-tian, YANG Chun-xia. Correlation of traditional Chinese medicine constitutions andbody mass index with hypertension in the elderly. , 2019, 26(12): 1462-1465.
2019, Vol. 26 
