摘要
目的了解上海市初中学生血压水平及血压偏高的现状,探讨不同肥胖类型与血压偏高之间的关联性,为青少年血压偏高的防治提供依据。方法2018年在上海市选择5个区开展学生肥胖和相关因素调查工作,选取1704名初中生作为研究对象,探讨不同肥胖类型与中学生血压偏高的关系。结果上海市中学生总体肥胖率为23.59%,其中外周型肥胖、腹型肥胖和混合型肥胖的检出率分别为0.88%、10.50%和12.21%,不同肥胖类型在性别(χ^2=38.17,P<0.01)、年龄(P<0.01)和城乡(χ^2=17.86,P<0.01)之间存在差异。血压偏高的总体检出率为4.46%,不同年龄(χ^2=18.42,P<0.01)、城乡(χ^2=9.36,P<0.01)和肥胖类型(χ^2=24.28,P<0.01)之间在存在差异,但无性别差异。总体血压水平在不同肥胖类型中,收缩压:混合型肥胖组>腹型肥胖组>外周型肥胖组>正常组(两两比较:混合型肥胖组与其他组之间P值均<0.05,腹型肥胖组与正常组之间P值<0.05);舒张压:混合型肥胖组>外周型肥胖组>腹型肥胖组>正常组(两两比较:混合型肥胖组与正常组、腹型肥胖组与正常组之间P值均<0.05)。多因素Logistic回归结果显示,相对于正常体型,混合型肥胖者发生血压偏高的危险性最大,腹型肥胖者次之,OR值分别3.90、2.12。结论混合型肥胖和腹型肥胖与中学生血压偏高密切相关,对青春期血压偏高的防治应从预防肥胖做起。
Objective To analyze the association between blood pressure and obesity types among junior middle school students in Shanghai,and to provide clues for the prevention and control of hypertension among children and adolescents.Methods Survey on obesity and related factors among students was performed in five districts of Shanghai in 2018.A total of 1704 junior middle school students were enrolled to explore the relationship between different types of obesity and high blood pressure.Results The overall obesity prevalence rate of middle school students in Shanghai was 23.59%.The prevalences of peripheral obesity,abdominal obesity and mixed obesity were 0.88%,10.50%and 12.21%,respectively.There were significant differences in gender(χ^2=38.17,P<0.01),age(P<0.01)and place of residence(χ^2=17.86,P<0.01)in the subjects with different types of obesity.The overall prevalence of hypertension was 4.46%.There were significant differences in age(χ^2=18.42,P<0.01),place of residence(χ^2=9.36,P<0.01)and obesity types(χ^2=24.28,P<0.01)in the subjects with high blood pressure.Significant difference was found in both the systolic blood pressure(SBP)and diastolic blood pressure(DBP)in students with different obesity types(SBP:mixed obesity>abdominal obesity>peripheral obesity>normal[mixed obesity vs.other groups,P<0.05],DBP:mixed obesity>peripheral obesity>abdominal obesity>normal[mixed obesity vs.normal,abdominal obesity vs.normal,P<0.05]).Multivariate logistic regression showed that the greatest risk of hypertension was mixed obesity,followed by abdominal obesity,with OR values of 3.90 and 2.12,respectively.Conclusion Mixed obesity and abdominal obesity are closely related to hypertension in middle school students.Prevention and treatment of adolescent hypertension should place priority on obesity prevention.
作者
严琼
罗春燕
周月芳
杨东玲
齐文娟
冯晓刚
YAN Qiong;LUO Chunyan;ZHOU Yuefang;YANG Dongling;QI Wenjuan;FENG Xiaogang(Institute of Child and Adolescent Health,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China)
出处
《教育生物学杂志》
2019年第4期207-212,共6页
Journal of Bio-education
基金
国家自然科学基金(81602851)
上海市卫生健康委员会优秀青年基金(2017YQ043)
上海市卫生健康委员会面上项目(201640161)
关键词
肥胖
血压
初中学生
青春期
流行特征
obesity
blood pressure
junior middle school students
adolescent
epidemic characteristics
