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研究生:李美增
研究生(外文):Mei-Tseng Lee
論文名稱:血壓相關因子之橫斷性研究
論文名稱(外文):A cross-sectional study on the relationship between blood pre- ssure and environmental factors
指導教授:高美丁高美丁引用關係
指導教授(外文):Mei-Ding Kao
學位類別:碩士
校院名稱:靜宜大學
系所名稱:食品營養學系
學門:醫藥衛生學門
學類:營養學類
論文種類:學術論文
論文出版年:1994
畢業學年度:82
語文別:中文
論文頁數:371
中文關鍵詞:血壓危險因子橫斷性研究複迴歸分析
外文關鍵詞:blood pressurerisk factorcross-sectional study
相關次數:
  • 被引用被引用:4
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血壓與其影響因子間關係模式的建立有助於高血壓防治工作的推展。本研
究主要目的在於了解血壓與環境因子間的相關性, 包括年齡、體重、血脂
值、血清及尿液中鈉、鉀、鈣等離子、營養素攝取量、生活型態及飲食習
慣。於民國八十一年十二月至八十三年三月間以台中榮民總醫院健檢中心
之七百七十二位中老年人為對象, 進行問卷調查及血壓、體位測量並收集
空腹血液及隔夜尿液, 分析血清、尿液生化值。調查結果顯示三十五到六
十四歲高血壓盛行率為26.6%, 有 64.1% 知道自己患高血壓, 但控制良好
的比率僅達36.3% 有待加強。收縮壓與舒張壓均隨年齡、體重增加而上升
。資料經分析結果顯示血清成份中以血清三酸甘油酯與血壓之正相關最顯
著(r=0.13), 另外收縮壓、舒張壓與血清膽固醇 (r=0.08)、總膽固醇/高
密度脂蛋白膽固醇比值(r=0.09; 0.10)亦呈顯著正相關。十二小時尿液成
份,收縮壓與鈣總排泄量、鈉/肌酸酐比值、鈣/肌酸酐比值、鈉/鉀比值呈
正相關(r=0.10;r=0.10; r=0.12; r=0.14),與鉀總排泄量呈負相關(
r=-0.08)。舒張壓與鈣 / 鎂比值及鈣總排泄量呈正相關(r=0.08;
r=0.10)。以收縮壓、舒張壓為應變項, 身體質量指數、年齡、性別及營
養素攝取量為自變項進行逐步複迴歸分析, 結果顯示收縮壓方面有鈉/鉀
比值、蛋白質、 和鉀等變項進入迴歸模式, 收縮壓與蛋白質攝取量呈顯
著正相關 (p<0.05), 與鈉/鉀比值呈正相關、與鉀呈負相關 , 但未達顯
著差異。舒張壓方面有鈣/鎂比值、蛋白質和鈣進入迴歸模式,其中與鈣/
鎂比值、蛋白質攝取量呈顯著正相關(p<0.05; p<0.01), 與鈣攝取量呈顯
著負相關(p<0.05)。在食物頻率方面, 高血壓者其鹽漬蔬菜類攝取頻率顯
著高於正常血壓者(p<0.05), 高血壓者其全脂牛奶攝取頻率顯著低於正常
血壓者(p<0.01)。由以上資料可知除減重、限鈉之飲食外, 增加鉀、鈣的
攝取在血壓調節上亦扮演重要之角色。
Hypertension continues to be a major public health problem in
Taiwan. The purpose of this study was to find out the rela-
tionship between blood pressure and environmental factors. From
December 1992 until March 1993, seven hundred and se- venty two
middle aged healthy examinees in Taichung Veterans'' Hospital
were studied. Blood pressure was measured along with various
anthropometric and biochemical measurements, while die- tary
and lifestyle data were also collected by interviewer. The
prevalence of hypertension in the samplewas 26.6%, with an
increased frequency among males,the elderly, and those in the
obese group. In the correlation analysis, serum triglyceride,
total cholesterol,and total cholesterol/high density
cholesterol were significantly and positively correlated with
both systolic and diastolic blood pressure. Urine tests for
calcium and ratios of calcium/creatinine, sodium/creatinine,
and sodium/potassium showed significant and positive
relationship to systolic pre- ssure, urinary potassium was
negatively related to systolic pre- ssure, while the calcium/
magnesium ratio and calcium were signi- ficantly and positively
related to diastolic pressure. Multiple regression analysis was
used to explore the relation of blood pressure to age, BMI,
sex, and nutrients. Statistically signi- ficant correlation
analysis showed that systolic blood pressure was positively
associated withd ietary protein. Diastolic blood pressure was
positively associated with dietary protein and the calcium/
magnesium ratio; it was negatively associated with cal- cium.
By means of the food frequency questionnaire, salted vege-
table consumption was significantly higher in hypertensive sub-
jects than in normotensive subjects and whole milk was signifi-
cantly lower. These findings support the conclusion in recent
epidemiolo- gical studies that higher intakes of calcium and
potassium are associated with lowerblood pressure.
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