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目的:分析40~65岁健康体检人群身体健康得分与高血压患病风险的相关性。方法:本研究为横断面研究，选取2022年3—11月于福泉市第一人民医院体检中心进行健康体检的1 104例40~65岁人群为研究对象，收集其一般资料、体格检查、身体成分及高血压疾病史等资料。身体健康得分由小米体脂秤配套运动健康软件报告，综合体脂、水分等体成分数据计算得出。采用限制性立方样条回归模型分析身体健康得分与高血压患病风险的相关性，并进行敏感性和性别分层分析，采用多因素logistic回归结合分层分析探索各维度身体成分与高血压患病风险的相关性。结果:纳入分析的1 104例健康体检人群中，高血压患者的身体健康得分显著低于非高血压患者［52.0（30.0）比69.0（35.8）分］（ Z=-8.547， P<0.001）。身体健康得分越低，高血压的患病风险越高（ χ2=18.48， P非线性<0.001）。在总人群中，高体重指数与高血压患病风险增加相关（ OR=1.744，95% CI：1.104~2.765），高蛋白质含量与高血压患病风险降低相关（ OR=0.587，95% CI：0.344~0.982）（均 P<0.05）。性别分层分析结果显示，仅在男性中高蛋白质含量与高血压患病风险降低相关（ OR=0.233，95% CI：0.080~0.592）（ P=0.004）。当身体健康得分≥60分时，高体重指数与高血压患病风险呈正相关（ OR=2.378，95% CI：1.255~4.542）（ P=0.008）；当身体健康得分<60分时，高内脏脂肪指数（VAI）与高血压患病风险呈正相关（ OR=4.395，95% CI：1.466~13.620），高蛋白质含量与高血压患病风险呈负相关（ OR=0.255，95% CI：0.091~0.638）（均 P<0.05）。 结论:40~65岁健康体检人群身体健康得分越低，高血压的患病风险越高；男性在高血压风险防控中应注意机体蛋白质的影响；当身体健康得分≥60分时，应注意体重指数的影响，当身体健康得分<60分时，应注意VAI和机体蛋白质的影响。

Objective:To analyze the association between body health score and the risk of hypertension among health examination population aged 40-65 years.Methods:This study was a cross-sectional study, and 1 104 people aged 40-65 years who underwent physical examination at the Physical Examination Centre of the First People′s Hospital of Fuquan City from March to November 2022 were selected. Clinical data, such as general information, physical examination, body composition and history of hypertension diseases, were collected. The body health score was reported by the Xiaomi Body Fat Scale′s accompanying exercise health software, and was calculated by combining body fat, water and other body composition data. The association between body health score and the risk of hypertension was analyzed using restricted cubic spline regression models, while a sensitivity analysis and sex-stratified analyses were performed. Multivariate logistic regression combined with stratified analysis was used to explore the association between dimensions of body composition and the risk of hypertension.Results:The body health score was significantly lower in hypertensive patients than in non-hypertensive patients among the 1 104 health examination population [52.0(30.0) vs 69.0(35.8) points] ( Z=-8.547, P<0.001). The lower the body health score, the higher the risk of hypertension ( χ2=18.48, PNonlinear<0.001). In the total population, high body mass index was associated with an increased risk of hypertension ( OR=1.744, 95% CI: 1.104-2.765), high protein content was associated with a reduced risk of hypertension ( OR=0.587, 95% CI: 0.344-0.982) (both P<0.05). Gender-stratified analyses showed that high protein content was associated with a reduced risk of hypertension only in men ( OR=0.233, 95% CI: 0.080-0.592) ( P=0.004). High body mass index was positively associated with the risk of hypertension when the body health score was ≥60 points ( OR=2.378, 95% CI: 1.255-4.542) ( P=0.008). High visceral adiposity index (VAI) was positively associated with the risk of hypertension when the body health score was <60 points ( OR=4.395, 95% CI: 1.466-13.620), and high protein content was negatively associated with the risk of hypertension ( OR=0.255, 95% CI: 0.091-0.638) (all P<0.05). Conclusions:Health examination population aged 40-65 years with lower scores of physical health are more likely to have a risk of hypertension. Men should pay attention to the impact of body protein in hypertension risk prevention and control. The effect of body mass index should be noted when body health scores are ≥60 points, and the effect of VAI and body protein should be considered when body health scores are <60 points.