摘要
目的探讨不同性别青少年的静息心率与血压偏高的关联性,为青少年高血压防控提供科学依据。方法纳入2018年1月1日—12月31日在昭通市第二人民医院健康体检的11~18岁儿童青少年共2688人,采集每个调查对象的年龄、性别、身高、体重、心率、收缩压、舒张压等资料。运用单因素分析和二元Logistic回归模型进行心率与血压偏高的关联性分析。结果2688名调查对象中,男性1375人(51.15%),女性1313人(48.85%),男女性别比为1.04∶1。调查对象血压偏高的检出率为26.0%,其中男性为26.6%,女性为25.4%。Logistic回归结果显示,心率上升和BMI增加是青少年血压偏高的危险因素。调整BMI的影响后,静息心率每增加10 bpm,该人群血压偏高的危险性增加36.2%(OR=1.362,95%CI=1.267~1.464),其中男性血压偏高风险上升30.2%(OR=1.302,95%CI=1.179~1.437),女性血压偏高风险上升43.3%(OR=1.433,95%CI=1.289~1.593)。结论静息心率升高、BMI上升是该地区11~18岁青少年血压偏高的危险因素,静息心率与血压偏高的危险性呈正相关;相同心率下,BMI上升使该地区青少年血压偏高的风险增加。应针对该地区儿童青少年积极开展健康教育和高血压早期筛查,缓解青少年心血管疾病给经济社会带来的负担。
Objective This study explored the relationship between resting heart rate and elevated blood pressure in adolescents of different genders,providing a scientific basis for the prevention and control of hypertension in adolescents.Methods From January 1 to December 31,2018,we collected the information on physical examinations of 2688 adolescents aged 11 to 18 years from The Second People’s Hospital of Zhaotong.The information included age,gender,height,weight,resting heart rate,systolic blood pressure,and diastolic blood pressure.In this study,Univariate analysis and binary logistic regression model were performed to analyze the correlation between resting heart rate and elevated blood pressure.Results Among 2688 subjects,1375(51.15%)were males and 1313(48.85%)were females,the gender ratio was 1.04∶1(male:female).The prevalence of high blood pressure was 26.0%,including 26.6%in boys and 25.4%in girls.Logistic regression showed that increased resting heart rate and BMI are the risk factors for higher blood pressure in investigated population.After adjusting for the effects of BMI,each 10bpm aggrandize in resting heart rate was associated with an increased risk of hypertension of 33.8%(OR=1.338,95%CI=1.247~1.437),30.2%(OR=1.302,95%CI=1.179~1.437)in male and 43.3%(OR=1.433,95%CI=1.289~1.593)in female.Conclusion Elevated resting heart rate and increased BMI are hazards for high blood pressure of 11-18-year-old teenagers in this region.The resting heart rate is positively correlated with the possibility of high blood pressure.As the BMI rises,the risk of high blood pressure increases.Health promotion and early screening of hypertension were supposed to implement to alleviate the economic and social burden due to cardiovascular diseases among adolescents in this region.
作者
赵心海
刘敏
曾远荣
李淑娜
罗泽延
李文豪
黄慧萍
ZHAO Xinhai;LIU min;ZENG Yuanrong;LI Shuna;LUO Zeyan;LI Wenhao;HUANG Huiping(Division of Nosocomial Infection and Public Health Managment,The Seventh Affiliated Hospital,Sun Yat-sen University,Shenzhen 518107,Guangdong,China;Institute of Basic Medicine and Public Health,Jinan University,Guangzhou 510630,China;The Second People's Hospital of Zhaotong,Zhaotong 657000,Yunnan,China)
出处
《西部医学》
2023年第3期362-365,371,共5页
Medical Journal of West China
基金
中央高校教育教学改革专项资助(82617543)。
关键词
静息心率
血压偏高
青少年儿童
体质量指数
Resting heart rate
Elevated blood pressure
Adolescents
Body mass index
