摘要
目的探讨唐山地区青少年超重肥胖和血压偏高与左心室肥厚(LVH)的关系。方法通过整群抽样选取唐山地区中小学(2018年1月至2020年1月)1 023例7~18岁青少年,均进行问卷调查和血压、体重、身高测量及超声检查,统计1 023例青少年LVH发生率,根据是否超重肥胖[超重:年龄别体重Z评分>2;肥胖:身高别体重Z评分>2]和是否血压偏高(血压偏高:性别、年龄别P90≤SBP或DBP且<P95;高血压:SBP/DBP≥性别、年龄别P95)将1 023例青少年分为4组,比较不同体重和血压的青少年左室质量指数(LVMI)水平和LVH发生率,采用多因素logistic回归分析青少年超重肥胖和血压偏高与LVH的关系。结果 1 023例青少年中,98例LVH,925例正常;LVH组BMI、SBP、DBP、血压偏高率、超重肥胖率明显高于正常组(t=13.179、3.239、4.093;χ2=12.998、120.861,P<0.05)。各组LVMI水平随着体重和血压的上升而上升(P<0.05);血压偏高超重肥胖组LVH发生率明显高于血压正常超重肥胖组,血压正常超重肥胖组LVH发生率明显高于血压偏高体重正常组(P<0.05)。多因素logistic回归分析显示,与血压和体重均正常组相比,血压正常超重肥胖组和血压偏高超重肥胖组患LVH风险明显增加[OR(95%CI):12.04(4.95~29.14)、14.32(5.66~36.26)],血压偏高体重正常组患LVH风险未明显增加[OR(95%CI):2.53(0.61~10.21)]。结论唐山地区青少年LVH发生率较高,单纯血压偏高不会增加LVH风险,但超重肥胖合并血压偏高可进一步提升LVH风险,应积极预防血压偏高,控制超重肥胖,降低青少年心脏结构异常风险。
Objective To explore the relationship between ovenveight and obesity,high blood pressure and left ventricular hypertrophy(LVH)in adolescents in Tangshan.Methods Through cluster sampling,I 023 adolescents aged 7-18 were selected from primary and secondary schools in Tangshan(January 2018 to January 2020).Questionnaire survey,blood pressure,weight,height measurement and ultrasound examination were performed.The inceidence of LVH in 1023 adolescents was statistically analyzed.1023 adolescents were divided into four groups according to whether they were overweight or obesity(overweight:weight for age Z score>2;obesity:height for age Z score>2)and whether blood pressure was high[high blood pressure:systolic blood pressure(SBP)or diastolic blood pressure(DBP)≥gender/age P.and<Pgs;hypertension:SBP/DBP≥gender/age Pgs].The left ventricular mass index(LVMI)and the incidence of LVH were compared among different body weight and blood pressure.The relationship between overweight and obesity,high blood pressure and LVH was analyzed by mulivariate logistie regression.Results Among 1023 adolescents,98 were LVH and 925 were normal;the BMI,SBP,DBP,high blood pressure rate,and overweight and obesity rale in LVH group were signifcantly higher than normal group(t=13.179,3.239,4.093;χ^2=12.998,120.861,P<005).The LVMI level of each group increased with the increase of body weight and blood pressure(P<0.05);the ineidence of LVH in the overweight and obesily group with high blood pressure was significantly higher than that in the overweight and obesity group with normal blood pressure;the incidence of LVH was significantly higher in the overweight and obesity group with normal blood pressure was significantly higher than that in the high blood pressure and normal weight group(P<0.05).Multivariate logistic regression analysis showed that compared with the normal blood pressure and weight groups,the risk of LVH increased significantly in the obesilty and overweight group with high blood pressure and normal blood pressure[OR(95%CI):12.
作者
寇永妹
杨玉梅
陈新春
杨雪冰
Kou Yongmei;Yang Yumei;Chen Xinchun;Yang Xuelnng(Department of Pediatrics,Tangshan People's Hospital,Tangshan 063001,China)
出处
《中国医师杂志》
CAS
2020年第9期1285-1289,共5页
Journal of Chinese Physician
基金
河北省2017年度医学科学研究重点课题计划(20171280)。
关键词
超重
肥胖症
高血压
肥大
左心室
青少年
Overweight
Obesity
Hypertension
Hypertrophy,left ventricular
Adolescent
