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[基于匈牙利青年人群流行病学测量结果的肥胖与高血压诊断临界值]

[Cut-off values for the diagnosis of obesity and hypertension based on epidemiologic measurements in Hungarian youth].

作者信息

Antal Magda, Regöly-Mérei Andrea, Nagy Katalin, Greiner Erika, Biró Lajos, Domonkos Andrea, Balajti Anikó, Szabó Csaba, Mozsáry Erzsébet

机构信息

Fodor József Országos Közegészségügyi Központ, Budapest. h13111selella.hu

出版信息

Orv Hetil. 2003 Jan 5;144(1):13-9.

PMID:12635348
Abstract

INTRODUCTION

A representative nutritional hygienic survey was performed in a population of secondary school students (ageing from 15 to 18 years) between the years of 1997 and 2000. Herewith, the authors give an account on the anthropometric and blood pressure studies.

SAMPLING

the representative sampling sites were selected randomly. In the capital three-stage, in the counties four-stage stratified groups were assigned for the studies. The data for 3071 girls and 3274 boys were evaluated. Anthropometric parameters determined were as follows, body mass, body height, waist and hip circumference. The body mass index (BMI) and the waist/hip ratio was calculated. Blood pressure values were recorded using OMRON M4 automatic device. Repeated blood pressure measurements were performed twice at least > or = two weeks apart if the systolic blood pressure was 135 and/or the diastolic pressure was > or = 85 mmHg. Statistical analysis was performed using SPSS for Windows 9.0.

RESULTS

Out of the anthropometric parameters the gender and age-specific percentile distribution is given in regard to body mass, body height, body mass index (BMI), waist circumference, and waist/hip ratio. There was a strong relationship between the waist circumference and BMI. Elevated blood pressure values were found at the first recording in 14.1% of boys and in 2.5% of girls. In students who presented three times, the incidence of high blood pressure was 7.5% in boys and 1.1% in girls. Only 1% of students was aware of his or her hypertension.

CONCLUSIONS

The representative survey provides reference values concerning body mass, body height, BMI, waist circumference, waist/hip ratio and blood pressure values in the age group of 15 to 18 years. It also provides data for the prevalence of hypertension and gives cut off values for the diagnosis of leanness, overweight and obesity.

摘要

引言

1997年至2000年间,对一群15至18岁的中学生进行了一次具有代表性的营养卫生调查。在此,作者介绍人体测量和血压研究情况。

抽样

随机选择具有代表性的抽样地点。在首都采用三阶段抽样,在各县采用四阶段分层分组进行研究。对3071名女生和3274名男生的数据进行了评估。测定的人体测量参数如下:体重、身高、腰围和臀围。计算了体重指数(BMI)和腰臀比。使用欧姆龙M4自动设备记录血压值。如果收缩压≥135mmHg和/或舒张压≥85mmHg,则至少相隔两周重复测量血压两次。使用SPSS for Windows 9.0进行统计分析。

结果

给出了按性别和年龄划分的体重、身高、体重指数(BMI)、腰围和腰臀比的百分位数分布情况。腰围与BMI之间存在密切关系。首次记录时,14.1%的男生和2.5%的女生血压值升高。在测量三次的学生中,男生高血压发病率为7.5%,女生为1.1%。只有1%的学生意识到自己患有高血压。

结论

该代表性调查提供了15至18岁年龄组体重、身高、BMI、腰围、腰臀比和血压值的参考值。还提供了高血压患病率的数据,并给出了消瘦、超重和肥胖诊断的临界值。

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