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

徐永杰; 李敏; 徐佩茹; 郑应升; 张蕾; 叶明刚; 刘玉

Abstract

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].Chinese journal of Epidemiology,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

Received:February 28, 2012

DOI：

KeyWord: 臀围体重指数血压儿童哈萨克族

English Key Word: Hip circumference Body mass index Blood pressure Children Kazakh

FundProject:

Author Name	Affiliation	E-mail
Xu Yongjie	First Affiliated C1inical Medical College, Xinjiang Medicaf University, Urumqi 830054, China Song Qing-ling Women and Children Hospital	xupeiml26@126.com
Li Ming	First Affiliated C1inical Medical College, Xinjiang Medicaf University, Urumqi 830054, China
Xu Peiru	First Affiliated C1inical Medical College, Xinjiang Medicaf University, Urumqi 830054, China Institute for Evidence-Based Medicine in Xinjiang Uygur Autonomous Region
Zheng Yingsheng	First Affiliated C1inical Medical College, Xinjiang Medicaf University, Urumqi 830054, China
Zhang Lei	First Affiliated C1inical Medical College, Xinjiang Medicaf University, Urumqi 830054, China
Ye Minggang	Song Qing-ling Women and Children Hospital
Liu Yu	Institute for Evidence-Based Medicine in Xinjiang Uygur Autonomous Region

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Abstract:

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。

English Abstract:

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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