摘要
目的了解银川市12~18岁青少年心血管代谢危险因素的流行状况。方法于2017年9月-2019年9月,采用方便抽样方法,抽取银川市城区12~18岁中学生1956名,年龄(14.4±1.4)岁,其中男生占52.1%、女生占47.9%,汉族占77.7%、回族占16.4%。通过问卷调查收集研究对象年龄、性别等基本资料,体格检查测量身高、体重、腰围和血压,并通过实验室检测空腹血糖、甘油三酯(trigly geride, TG)、总胆固醇(total cholesterol, TC)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol, HDL-C)和低密度脂蛋白胆固醇(low-density lipoprotein cholesterol, LDL-C)等。结果银川市城区12~18岁青少年心血管代谢危险因素检出率分别为肥胖8.3%、腹型肥胖17.9%、高血压12.4%、高血糖1.9%、高TG血症13.2%、高TC血症2.4%、低HDL-C血症18.6%、高LDL-C血症1.9%和血脂异常30.1%;其中男生肥胖、高血糖、高TG血症、低HDL-C血症、血脂异常检出率均高于女生(P<0.05),12~15岁青少年肥胖、腹型肥胖、高血压高于16~18岁(P<0.05),高TC血症、低HDL-C血症、高LDL-C血症、血脂异常检出率低于16~18岁(P<0.05)。比较男生和女生不同年龄段各心血管危险因素的检出率,结果发现男、女生均为12~15岁肥胖、腹型肥胖、高血压的检出率均高于16~18岁,而高TG血症、低HDL-C血症、高LDL-C血症及血脂异常检出率在12~15岁年龄组中较高,但这些差异只在男生中有统计学意义(P<0.05);在女生中,高TC血症、高LDL-C血症的检出率在12~15岁年龄组较高(P<0.05)。12~18岁青少年代谢综合征检出率为7.9%,男生(10.1%)高于女生(5.5%),12~15岁青少年代谢综合征检出率(9.1%)高于16~18岁(4.9%)(P<0.05)。结论银川市城区12~18岁青少年各心血管代谢危险因素检出率均处于较高水平,男生高于女生,12~15岁年龄段肥胖、腹型肥胖及高血压检出率较高,血脂异常在不同性别不同年龄段差异较大。
OBJECTIVE To understand the prevalence of cardiovascular metabolic risk factors among 12-18 years old children and adolescents in Yinchuan City. METHODS A survey was conducted among 12-18 years old middle school students in Yinchuan from September 2017 to September 2019. A total of 1956 subjects were collected by using convenient sampling method, with an average age of(14.4±1.4) years. Boys and girls accounted for 52.1% and 47.9%, respectively, The Han and Hui nationalities accounted for 77.7% and 16.4%, respectively. Basic data such as age and gender were collected through questionnaire survey, and physical examination was used to measure height, weight, waist circumference and blood pressure. Fasting blood glucose, triglyceride(TG), total cholesterol(TC), high density lipoprotein cholesterol(HDL-C) and low density lipoprotein cholesterol(LDL-C) were measured by laboratory blood pressure biochemistry. RESULTS The detection rates of obesity, abdominal obesity, hypertension, hyperglycemia, high TG, high LDL-C, low HDL-C, high LDL-C and dyslipidemia among 12-and 18-year-olds in Yinchuan City were 8.3%, 17.9%, 12.4%, 1.9%, 13.2%, 2.4%, 18.6%, 1.9% and 30.1%, respectively. The detection rates of obesity, hyperglycemia, low HDL-C, high TG and dyslipidemia in boys were significantly higher than those in girls. Obesity, abdominal obesity and hypertension in 12-15-year-old group were higher than those in 16-18-year-old group, and the detection rates of high TC, low HDL-C, high LDL-C and dyslipidemia were lower than those in 16-18-year-old group(P<0.05). The prevalence of cardiovascular risk factors in different age groups of boys and girls were compared. The detection rates of obesity, abdominal obesity and hypertension in the 12-15 age group were higher than those in the 16-18 age group, while the rates of high TG, low HDL-C, high LDL-C and dyslipidemia were higher in the 12-15 age group, but these differences were only significant in boys. Among girls, the detection rate of high TC and high LDL-C was higher in the age
作者
杨清梅
马萍
董洋洋
蔡蓉蓉
丁文清
Yang Qingmei;Ma Ping;Dong Yangyang;Cai Rongrong;Ding Wenqing(School of Public Health and Management,Ningxia Medical University,Yinchuan 750004,China)
出处
《卫生研究》
CAS
CSCD
北大核心
2021年第3期454-459,共6页
Journal of Hygiene Research
基金
国家自然科学基金(No.81660565)。
关键词
青少年
心血管代谢危险因素
肥胖
adolescents
cardiovascular metabolic risk factors
obesity
