中文摘要：

目的：探讨河南省农村地区成年人身体脂肪率与高血压的关系。方法：采用整群随机抽样的方法选择河南农村35~74岁成年人9 980人,问卷调查收集研究对象的人口学特征、生活习惯及高血压家族史等信息,采用电子血压计测量坐位上臂血压,生物电阻抗法测量身体脂肪率。结果：河南农村地区成年人群高血压患病率（标化率）为33.99%（29.13%）,其中男性为35.45%（31.96%）,女性为33.19%（27.85%）,男性高于女性（P=0.023）。总人群身体脂肪率中位数（P25~P75）为31.8%（26.6%~35.7%）,男性为25.1%（21.8%~28.0%）,女性为34.5%（31.7%~37.1%）;女性大于男性（Z=71.700,P〈0.001）。按照身体脂肪率四分位数将研究对象分为4组：

英文摘要：

Aim： To explore the association of body fat percentage and hypertension in the adults from Henan rural areas. Methods： Questionnaire survey was applied to collect the social demographic characteristics,life habits and the family history of hypertension in 9 980 participants（ aged 35-74 years） from the rural areas of Henan Province. The electronic sphygmomanometer was used to measure the blood pressure,and instrument based on bioelectric impedance analysis was adopted to obtain measurement of body fat percentage. Results： The prevalence（ standardized prevalence） of hypertension was 33. 99%（ 29. 13%） in general population,35. 45%（ 31. 96%） in males and 33. 19%（ 27. 85%） in females,and that of males was higher than females（ P = 0. 023）. The median（ P25-P75） of body fat percentage was 31. 8%（ 26. 6%-35. 7%）,25. 1%（ 21. 8%-28. 0%） and 34. 5%（ 31. 7%-37. 1%） in the general population,males and females,respectively,and that of females was higher than males（ Z = 71. 700,P〈0. 001）. The participants were allocated into 4groups according to the quartiles of body fat percentage; Q1 group（ P25）,Q2 group（ P25-）,Q3 group（ P50-） and Q4group（ ≥P75）. Compared with those of Q1 group,the prevalence of hypertension increased in Q2,Q3 and Q4 group（ P〈0. 001）,adjusted OR（ 95% CI） was 1. 71（ 1. 48-1. 97）,2. 69（ 2. 25-3. 22）,4. 34（ 3. 60-5. 23）,respectively. The similar association was found in males and females. Conclusion： The prevalence of hypertension is higher in adults from rural areas of Henan Province,and body fat percentage is strongly associated with hypertension.