摘要
目的了解徐州地区11~17岁青少年中学生高血压、超重、肥胖患病状况。探讨青少年超重、肥胖、腹型肥胖、年龄、性别及不同年级段与高血压发生的关系,为青少年高血压的预防、诊断、干预提供流行病学依据。方法采用整群随机抽样方法抽取徐州地区10所初级及高级中学的初一至高三的中学生作为研究对象,对每位参加初筛的调查对象进行血压、体质量、身高、腰围等的测量。对血压进行非同日3次的测量,按照2017年中国3~17岁儿童性别、年龄别和身高别血压参照标准对高血压进行判别;超重和肥胖的定义采用中国肥胖工作组的标准。腹型肥胖的标准为腰围身高比(WHtR)>0.46。结果参加调查的学生10047人,共采纳样本10004人(女性4774人,男性5230人),年龄为11~17岁。经非同日3次测量得出高血压的总患病率为9.8%,其中女生患病率为7.2%,男生患病率为12.2%。肥胖青少年共1495名,占总人数的14.9%,超重人数为1698名,占总调查人数的17.0%。正常体质量青少年高血压患病率为5.6%,超重青少年高血压患病率为12.8%,肥胖青少年高血压患病率为25.4%。多因素分析显示:男生(OR=1.450,95%CI 1.256~1.674)、年龄(OR=1.770,95%CI 1.537~2.037)、超重(OR=1.858,95%CI 1.465~2.357)、肥胖(OR=4.010,95%CI 3.084~5.214)、腹型肥胖(OR=1.497,95%CI 1.184~1.892)、初中和高中三年级(OR=1.488,95%CI 1.250~1.772)是青少年高血压的危险因素。男生中,年龄>14岁青少年高血压患病风险是年龄≤14岁的2.456倍(OR=2.456,95%CI 2.050~2.943),而女生中,年龄>14岁与年龄≤14岁青少年高血压的患病风险差异无统计学意义(P>0.05)。在正常体质量类型中,腹型肥胖患高血压风险是非腹型肥胖的1.848倍(OR=1.848,95%CI 1.334~2.559)。结论徐州地区青少年高血压患病率较高。性别、年龄、体质量指数、腹型肥胖、不同年级为青少年中学生高血压患病的影响因素。超重、肥胖为�
Objective To investigate the regional prevalence of hypertension,overweight and obesity among adolescents aged 11 to 17 years in Xuzhou.And to explore the relationship between overweight,obesity,abdominal obesity,age,gender,grades and hypertension,so as to provide epidemiological basis for the prevention,diagnosis and intervention of hypertension in adolescents.Methods The stratified cluster random sampling method was used and the middle school students from the first to the third grade of 10 junior and senior middle schools in Xuzhou were involved.Blood pressure,weight,height,waist circumference,etc.were measured for each participant in the preliminary screening.The blood pressure was measured three times on different days,and high blood pressure was determined according to the standards of high blood pressure by gender,age and height of children aged 3 to 17 in China in 2017.Overweight and obesity was defined based on the standards of the Chinese Obesity Working Group.Abdominal obesity was defined as waist-to-height ratio(WHtR)>0.46.Results A total of 10047 students participated in the survey,and 10004 cases aged 11 to 17 years were finally involved,including 4774 females and 5230 males.According to three measurements of blood pressure on different days,the prevalence of hypertension was 9.8% in all participants,7.2% in females and 12.2% in males.There were 1495 cases with obesity,accounting for 14.9% of total,and 1698 cases with overweight,accounting for 17.0%.The prevalence of hypertension was 5.6%,12.8% and 25.4% in normal-weight,overweight and obese adolescents,respectively.Multivariate analysis showed that males(odd ratio,95%confidence interval:1.450,1.256-1.674),age(1.770,1.537-2.037),overweight(1.858,1.465-2.357),obesity(4.010,3.084-5.214),abdominal obesity(1.497,1.184-1.892),third grade(1.488,1.250-1.772)were risk factors for adolescent hypertension.The risk of hypertension in male adolescents over 14 years old was 2.456 times(2.456,2.050-2.943)than that of adolescents under 14 years old,while there was
作者
张莹
王培安
刘兆琴
戚尧
李春梅
王雷
肖俊英
宫海滨
ZHANG Ying;WANG Pei-an;LIU Zhao-qin;QI Yao;LI Chun-mei;WANG Lei;XIAO Jun-ying;GONG Hai-bin(Graduate School of Xuzhou Medical University;Department of Cardiology,Xuzhou Central Hospital;Institute of Cardiovascular Disease of Xuzhou,Xuzhou,Jiangsu 221000,China)
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2021年第7期661-667,共7页
Chinese Journal of Hypertension
基金
徐州地区中学生高血压流行病学特征的研究(KC19181)
新医改背景下区域医疗中心医联体模式的探索研究(KC17191)。
关键词
高血压
青少年
患病率
危险因素
hypertension
adolescents
prevalence
risk factors
