| 陶瑞文,万宇辉,张辉,王雅斐,王博,徐亮,左阿珠,童世庐,陶芳标.安徽省儿童青少年高血压与体脂百分比关联性研究[J].中华流行病学杂志,2016,37(2):178-182 |
| 安徽省儿童青少年高血压与体脂百分比关联性研究 |
| Relationship between hypertension and percentage of body fat, in children of Anhui province |
| 收稿日期:2015-07-12 出版日期:2016-02-18 |
| DOI：10.3760/cma.j.issn.0254-6450.2016.02.005 |
| 中文关键词: 高血压 皮褶厚度 体脂百分比 儿童青少年 |
| 英文关键词: Hypertension Skinfold thickness Body fat percentage Children and adolescent |
| 基金项目:安徽省科技攻关计划项目(1401045017) |
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| 中文摘要: |
| 目的 了解安徽省儿童青少年高血压的检出情况,分析其与体脂百分比的关联性。方法 对安徽省8 890名7~17岁中小学生进行了血压和皮褶厚度的测量,参考《中国高血压防治指南(2010年修订版)》中儿童高血压诊断标准评价儿童高血压情况,通过皮褶厚度计算体脂百分比。采用t检验、χ2检验和logistic回归分析体脂百分比与高血压的关联。结果 安徽省7~17岁中小学生高血压患病总人数(率)为1 210人(13.6%)。城市男生高血压患病率高于乡村男生,城市女生高血压总患病率高于乡村女生,城市男生高血压患病率高于城市女生,乡村男生高血压患病率高于乡村女生,差异均有统计学意义(χ2值分别为36.36、7.79、42.10和13.77,P<0.01)。城市男生体脂百分比高于乡村男生,城市女生显著高于乡村女生,差异均具有统计学意义(P<0.05)。男女生在P40~组和P60~组OR值分别为1.65(95% CI:1.12~2.45)和1.75(1.27~2.42),男女生分别从体脂百分比P40和P60开始患病风险明显增加,且男女生的高血压患病风险总体上随着体脂百分比的增加而上升。结论 高体脂百分比会增加儿童青少年高血压患病风险。 |
| 英文摘要: |
| Objective To study the situation of hypertension among children in Anhui province and to analyze its association with the percentage of body fat.Methods A total of 8 890 aged 7-17 years old children, were tested for blood pressure and thickness of skin fold in Anhui province.Hypertension in children was diagnosed referring to the 2010 Chinese guidelines for the management of hypertension(revised in 2010).The percentage of body fat was calculated according to the thickness of skin fold and specific formulas.Methods used for statistics analysis would include t test, χ2 test while logistic regression was used to analyze the relationship between percentage of body fat in children and adolescents.In total, 8 890 subjects aged 7-17 years were recruited, in Anhui province.Results The prevalence of hypertension in Children aged 7-17 was 13.6%, with the total number of hypertension as 1 210, in Anhui province.There were significant differences in the prevalence of hypertension among urban and rural children.Both prevalence of hypertension among boys and girls in urban area appeared higher than those in the rural area.In the urban areas, the prevalence rates of hypertension in both boys and girls were higher than the ones in rural area(χ2 values were 36.36, 7.79, 42.10 and 13.77, respectively, and P<0.01).Differences of the percentage of body fat between boys and girls from the rural or urban areas were both significant.OR values of the boys and girls of group P40-and P60-were 1.65 and 1.75, respectively.Risks of hypertension in boys and girls showed significantly increase by P40 and P60, respectively.The prevalence of hypertension in both boys and girls increased along with the increase of the percentage on body fat.Conclusion Since higher percentage of body fat could increase the risk of hypertension, reduction of body fat content would be beneficial to the success of prevention and control of hypertension in children. |
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