文章摘要
徐永杰,李敏,徐佩茹,郑应升,张蕾,叶明刚,刘玉.新疆伊犁地区哈萨克族7~14岁儿童肥胖指标与血压相关性分析[J].中华流行病学杂志,2012,33(8):774-778
新疆伊犁地区哈萨克族7~14岁儿童肥胖指标与血压相关性分析
Correlation between obesity index and blood pressure in Kazak childhood from Yili, Xinjiang
收稿日期:2012-02-28  出版日期:2014-09-03
DOI:
中文关键词: 臀围  体重指数  血压  儿童  哈萨克族
英文关键词: Hip circumference  Body mass index  Blood pressure  Children  Kazakh
基金项目:
作者单位E-mail
徐永杰 830054 乌鲁木齐,新疆医科大学第一临床医学院儿科
宋庆龄基金会新疆妇女儿童医院 
xupeiml26@126.com 
李敏 830054 乌鲁木齐,新疆医科大学第一临床医学院儿科  
徐佩茹 830054 乌鲁木齐,新疆医科大学第一临床医学院儿科
新疆维吾尔自治区循证医学研究所 
 
郑应升 830054 乌鲁木齐,新疆医科大学第一临床医学院儿科  
张蕾 830054 乌鲁木齐,新疆医科大学第一临床医学院儿科  
叶明刚 宋庆龄基金会新疆妇女儿童医院  
刘玉 新疆维吾尔自治区循证医学研究所  
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中文摘要:
      目的 调查新疆伊犁地区哈萨克族学龄儿童肥胖指标与血压的相关性。方法 2009年5-6月以伊犁地区所有小学哈萨克族7~14岁儿童为调查对象,共调查2438名,测量腰围、臀围、皮脂厚度、收缩压和舒张压,计算体重指数、腰臀比、腰围身高比。以年龄、性别分组,血压按中国儿童血压标准分为高血压组和正常组。采用SPSS 17.0软件进行相关性统计分析。结果 伊犁地区哈萨克族学龄儿童高血压总患病率为5.7%,其中男童为4.4%,女童为7。0%。腰围、臀围、腰身比、腰臀比、收缩压和舒张压均存在性别、年龄别差异(P=0.000)。平均收缩压与腰围、臀围、皮脂厚度、体重指数、腰臀比均有相关性(P=0.000),其中臀围相关强度最强(男r=0.618,女r=0.655)。平均舒张压与腰围、臀围、皮脂厚度、体重指数、腰臀比均存在相关性(P=0.000),其中臀围相关强度最强(男r=0.489,女r=0.548)。高血压组腰围、臀围、皮脂厚度、体重指数及腰臀比与血压正常组比较差异有统计学意义(P<0.05)。结论 新疆伊犁地区哈萨克族学龄儿童高血压患病率处于国内外同年龄段儿童的中低等水平。肥胖指标中腰围、臀围、体重指数和腰臀比均与血压存在不同程度相关性,其中以臀围呈正相关尤为显著。
英文摘要:
      Objective To investigate the correlations between obesity index such as waist circumference,hip circumference,skin-fold thickness,body mass index,waist to hip ratio,waist to height ratio etc,and blood pressure among Kazak children living in Yili of Xinjiang.Methods In May-June 2009,2438 Kazak children aged 7 to 14 at primary schools in Yili of Xinjiang,were investigated.Waist circumference,hip circumference,skin-fold thickness,systolic and diastolic blood pressure were measured to calculate the body mass index,waist to hip ratio and waist to height ratio.Analysis on the differences in age and gender,blood pressure(BP) between hypertensive or normal BP group under the standard set for children.SPSS 17.0 software was used for statistical analysis on its correlation.Results The total prevalence of hypertension was 5.7% in Kazak ethnic school-age children in Yili,with 4.4% in the boys and 7.0% in girls.Data from waist circumference,hip circumference,waist-height-ratio,waist-hip ratio,systolic and diastolic blood pressure showed gender and age differences(P=0.000).Average systolic blood pressure was correlated to waist circumference,hip circumference,skin-fold thickness,body mass index and waist to hip ratio(P=0.000),with hip circumference the most(man:r=0.618,female:r=0.655).The average diastolic blood pressure was correlated to waist circumference,hip circumference,skin-fold thickness,body mass index and waist to hip ratio(P=0.000),with hip having the strongest relation(r=0.489 for male and r=0.548 for females).Significant differences were seen between Hypertension groupand normal blood pressure group on waist circumference,hip circumference,skin-fold thickness,body mass index and waist-hip ratio(P<0.05).Conclusion In Yili of Xinjiang,the prevalence of hypertension was at the low level in Kazak ethnic school-aged children when comparing to data from national and foreign standards.Indicators related to obesity as waist circumference,hip circumference,body mass index and waist to hip ratio were positively correlated with blood pressure,with hip in particular.
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