| 闫晓晋,马宁,董彦会,刘云飞,张京舒,罗冬梅,胡佩瑾,宋逸,马军.2014年中国13~18岁汉族学生耐力素质与血压状况的关联研究[J].Chinese journal of Epidemiology,2020,41(9):1433-1439 |
| 2014年中国13~18岁汉族学生耐力素质与血压状况的关联研究 |
| Association between endurance quality and blood pressure levels in Han students aged 13-18 years in China, 2014 |
| Received:February 25, 2020 |
| DOI：10.3760/cma.j.cn112338-20200225-00176 |
| KeyWord: 血压偏高 耐力素质 汉族学生 分位数回归 营养状况 |
| English Key Word: Elevated blood pressure Endurance quality Han students Quantile regression Nutritional status |
| FundProject:教育部人文社会科学研究规划基金（19YJA890022） |
| Author Name | Affiliation | E-mail | | Yan Xiaojin | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Ma Ning | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Dong Yanhui | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Liu Yunfei | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Zhang Jingshu | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Luo Dongmei | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Hu Peijin | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | | | Song Yi | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | songyi@bjmu.edu.cn | | Ma Jun | School of Public Health, Peking University
Institute of Child and Adolescent Health, Peking University, Beijing 100191, China | |
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| Abstract: |
| 目的 分析中国13~18岁汉族学生耐力素质与血压状况的关联。方法 利用2014年中国学生体质与健康调研报告中13~18岁汉族学生数据，依据《7岁~18岁儿童青少年血压偏高筛查界值》判定血压偏高及其各组分（单纯性SBP偏高、单纯性DBP偏高与混合性血压偏高），依据《国家学生体质健康标准（2014年修订）》对学生耐力素质进行评分，并按百分位划分为P0~、P25~、P50~、P75~P100 4组。采用趋势χ2检验分析随着耐力素质的提高学生血压偏高及其组分检出率的变化趋势；采用logistic回归模型分析血压偏高在不同耐力素质水平的患病风险；采用分位数回归模型，分析不同血压水平与耐力素质水平的关系。结果 2014年中国13~18岁汉族学生血压偏高的检出率为9.2%。血压偏高及其各组分检出率随着耐力素质的提升而降低（P<0.001）。以耐力素质P0~组学生为参照，P25~、P50~和P75~P100 3组学生发生血压偏高的OR值分别为0.89（95% CI：0.84~0.95）、0.81（0.76~0.86）和0.79（0.74~0.84）。在超重/肥胖和营养正常的学生中耐力素质与血压偏高呈负相关，而在营养不良的学生中无相关性。分位数回归结果显示，在超重/肥胖的学生中，P10、P25、P50、P75、P90、P95水平的SBP均与耐力素质呈负相关；P25及以上水平的DBP均与耐力素质呈负相关。在营养不良及营养正常的学生中，仅有部分水平的DBP与耐力素质呈负相关。结论 中国13~18岁汉族学生耐力素质与血压偏高呈负相关。在超重/肥胖的学生中，耐力素质与血压状况的关联性更强。提高学生耐力素质，可能有助于预防或改善血压偏高的发生。 |
| English Abstract: |
| Objective To analyze the association between the endurance quality and blood pressure levels in Han students aged 13-18 years in China. Methods We used the data of Han students aged 13-18 years from 2014 Chinese National Survey on Students' Constitution and Health. Elevated blood pressure and its components, including isolated elevated SBP, isolated elevated DBP, and mix elevated blood pressure, were evaluated according to the reference of screening for elevated blood pressure among children and adolescents aged 7-18 years. The students' endurance quality was scored according to the National Standards for Students' Physical Health (2014 revision) and categorized based on their percentiles into four groups as follows: P0-, P25-, P50-, and P75-P100. Trend χ2 test was used to analyze the trend of the detection rates of elevated blood pressure and its components in different groups of endurance quality. Logistic regression model was used to estimate the odds ratio (OR) for elevated blood pressure and its components in different endurance quality groups and P0- group was set as reference group. Quantile regression model was used to analyze the association between different blood pressure levels and endurance quality. Results The detection rate of elevated blood pressure in the students aged 13-18 years in China in 2014 was 9.2%. The detection rate of elevated blood pressure and its components decreased with the improvement of endurance quality (P<0.001). With the P0- endurance quality group as reference, the OR(95% CI) were 0.89(0.84-0.95), 0.81(0.76-0.86) and 0.79(0.74-0.84) respectively in P25-, P50- and P75-P100 endurance quality groups respectively. The negative association existed between endurance quality and elevated blood pressure in overweight, obese and normal students, but not in malnourished students. The quantile regression analysis results showed that in overweight and obese students, the SBP levels at the P10, P25, P50, P75, P90 and P95 groups were negatively associated with the endurance quality, and the DBP levels at the P25 and above group were negatively associated with the endurance quality. In malnourished and normal students, only some levels of DBP were negatively associated with the endurance quality. Conclusions The negative association existed between endurance quality and elevated blood pressure in Han students aged 13-18 years in China. In overweight and obese students, the association between endurance quality and blood pressure level was stronger. Improving students' endurance quality may facilitate the prevention of elevated blood pressure. |
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