王璐, 梁琪, 秦淑霞. 甘肃某化工企业员工饮食习惯与血压的关系[J]. 环境与职业医学, 2023, 40(9): 1052-1057. DOI: 10.11836/JEOM23085
引用本文: 王璐, 梁琪, 秦淑霞. 甘肃某化工企业员工饮食习惯与血压的关系[J]. 环境与职业医学, 2023, 40(9): 1052-1057. DOI: 10.11836/JEOM23085
WANG Lu, LIANG Qi, QIN Shuxia. Relationships between dietary habits and blood pressure in employees of a chemical enterprise in Gansu Province[J]. Journal of Environmental and Occupational Medicine, 2023, 40(9): 1052-1057. DOI: 10.11836/JEOM23085
Citation: WANG Lu, LIANG Qi, QIN Shuxia. Relationships between dietary habits and blood pressure in employees of a chemical enterprise in Gansu Province[J]. Journal of Environmental and Occupational Medicine, 2023, 40(9): 1052-1057. DOI: 10.11836/JEOM23085

甘肃某化工企业员工饮食习惯与血压的关系

Relationships between dietary habits and blood pressure in employees of a chemical enterprise in Gansu Province

  • 摘要: 背景

    已有研究中鲜见关于中国西北化工企业员工饮食习惯与正常高值血压、高血压风险的关联研究。

    目的

    掌握甘肃省某大型化工企业员工红肉、内脏、食盐的摄入超量情况,正常高值血压、高血压检出现状,分析不同饮食习惯与正常高值血压和高血压风险的关系。

    方法

    以甘肃省某大型国有化工企业为研究对象,根据企业年龄构成比采用分层随机抽样法抽取914名员工,通过问卷调查和健康检测系统性开展调查,饮食习惯构成比的比较采用χ2检验。对于χ2检验结果显示差异有统计学意义的因素,采用多因素多分类logistic回归模型进一步分析不同饮食习惯与化工企业员工正常高值血压、高血压的关系及风险。

    结果

    共914名员工完成本次调查。不同性别、年龄、体重指数(BMI)、高血压家族史的化工企业员工正常血压、正常高值血压、高血压水平分布差异具有统计学意义(P<0.001)。化工企业员工红肉、内脏、食盐摄入超量率分别为25.4%、29.0%和62.1%。不同红肉、内脏、食盐摄入程度的化工企业员工正常血压、正常高值血压、高血压水平分布差异具有统计学意义(P < 0.001)。正常高值血压的检出率在内脏、食盐摄入超量的员工中最高( P < 0.001)。员工高血压患病率随红肉、食盐摄入程度的增加而增加( P < 0.001)。调整性别、年龄、BMI、高血压家族史等因素后,多因素多分类logistic回归分析结果显示,具有红肉超量饮食习惯员工的正常高值血压、高血压风险是具有少量摄入饮食习惯员工的1.55(95%CI:1.00~2.38)倍、2.88(95%CI:1.63~5.07)倍。具有内脏超量饮食习惯员工的正常高值血压、高血压风险分别是具有从不摄入习惯员工的1.75(95%CI:1.12~2.72)倍、1.87(95%CI:1.01~3.44)倍。具有食盐超量饮食习惯员工的正常高值血压、高血压风险分别是具有适量饮食习惯员工的1.80(95%CI:1.22~2.65)倍、2.59(95%CI:1.63~4.11)倍。

    结论

    在化工企业员工中,普遍存在超量红肉、内脏、食盐饮食习惯。超量红肉、内脏、食盐的摄入是正常高值血压、高血压的危险因素。西北化工企业应进一步在员工中倡导健康合理的饮食,倡议减少红肉、内脏、食盐的摄入。

     

    Abstract: Background

    Few studies have been conducted on the associations of dietary habits with the risks of high normal blood pressure and hypertension in employees of chemical companies in northwest China.

    Objective

    To understand the excess intakes of red meat, offal, and salt, the current status of high normal blood pressure and hypertension detection among employees of a large chemical company in Gansu, China, and to analyze the relationships between different dietary habits and the risks of high normal blood pressure and hypertension.

    Methods

    A large state-owned chemical enterprise in Gansu Province was selected and 914 employees were recruited by age-stratified random sampling. A set of questionnaires and health examination were adopted for the survey. χ2 test was used to compare dietary habits. A logistic regression model was used to analyze the relationships between different dietary habits and the risks of high normal blood pressure and hypertension in the chemical enterprise employees after including the factors significantly different in the χ2 test.

    Results

    A total of 914 workers completed the survey. Significant differences were found in the distribution of normal blood pressure, high normal blood pressure, and hypertension among the participants grouped by gender, age, body mass index (BMI), and family history of hypertension (P < 0.001). The excess intake rates of red meat, offal, and salt were 25.4%, 29.0%, and 62.1%, respectively. Significant differences were found in the distribution of normal blood pressure, high normal blood pressure, and hypertension among the participants grouped by intakes of meat, offal, and salt ( P < 0.001). The highest positive rate of high normal blood pressure was detected in the workers with excess intakes of offal and salt ( P < 0.001). The prevalence rate of hypertension increased with higher intakes of red meat, offal, and salt ( P < 0.001). After adjusting for gender, age, BMI, family history of hypertension, and other factors, the results of logistic regression showed that the risks of high normal blood pressure and hypertension in workers with excess red meat intake were 1.55 (95%CI: 1.00, 2.38) times and 2.88 (95%CI: 1.63, 5.07) times higher than those in workers with low red meat intake respectively. The risks of high normal blood pressure and hypertension in workers with excess offal intake were 1.75 (95%CI: 1.12, 2.72) times and 1.87 (95%CI: 1.01, 3.44) times higher than those in workers with no offal intake respectively. The risks of high normal blood pressure and hypertension in workers with excess salt intake were 1.80 (95%CI: 1.22, 2.65) times and 2.59 (95%CI: 1.63, 4.11) times higher than those in workers with moderate salt intake, respectively.

    Conclusion

    Excessive intakes of red meat, offal or salt are common among the chemical enterprise workers. Excess intakes of red meat, offal, and salt are risk factors for both high normal blood pressure and hypertension. The northwest chemical enterprise should further advocate a healthy and reasonable diet among employees, and propose to reduce the intakes of red meat, offal, and salt.

     

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