突尼斯苏塞学龄儿童人群中的高血压流行病学

Epidemiology of hypertension among a population of school children in Sousse, Tunisia.

作者信息

Harrabi Imed, Belarbia Anis, Gaha Rafika, Essoussi Ahmed S, Ghannem Hassen

机构信息

Service of Epidemiology, University Hospital Farhat Hached, Sousse, Tunisia.

出版信息

Can J Cardiol. 2006 Mar 1;22(3):212-6. doi: 10.1016/s0828-282x(06)70898-4.

DOI:10.1016/s0828-282x(06)70898-4

PMID:16520851

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2528915/

Abstract

BACKGROUND

Pediatric hypertension is a field of increasing interest and importance. Early identification of children at risk for hypertension is important to prevent the serious, long-term complications associated with the condition. In Tunisia, there are no data available on the cardiovascular disease risk profile, such as hypertension, in the population of children.

OBJECTIVE

To establish the prevalence of hypertension, the percentile distribution of blood pressure and the inter-relationships between hypertension and other cardiovascular disease risk factors among school children.

METHODS

An epidemiological survey was conducted based on a representative sample of 1569 urban school children in Sousse, Tunisia.

RESULTS

The prevalence of arterial hypertension was 9.6%, with no significant difference between boys (9.2%) and girls (9.9%). The prevalence of systolic and diastolic hypertension was 6.4% and 4.5%, respectively. In both boys and girls, systolic pressure had a highly significant positive correlation with height (boys: r=0.33, P<0.001; girls: r=0.08, P=0.02), weight (boys: r=0.47, P < or = 0.001; girls: r=0.35, P<0.001) and triglyceride concentrations (boys: r=0.13, P<0.001; girls: r=0.10, P=0.006). Among boys, a positive correlation was found between systolic blood pressure and age (r=0.12, P=0.001) and, among girls, a negative correlation was found (r=-0.12, P=0.001).

CONCLUSION

This information will be used to help launch a regional program of heart health promotion in schools.

摘要

背景

儿童高血压是一个越来越受关注且愈发重要的领域。早期识别有高血压风险的儿童对于预防与该病症相关的严重长期并发症至关重要。在突尼斯，尚无关于儿童群体心血管疾病风险状况（如高血压）的数据。

目的

确定学龄儿童中高血压的患病率、血压百分位数分布以及高血压与其他心血管疾病风险因素之间的相互关系。

方法

基于突尼斯苏塞市1569名城市学龄儿童的代表性样本进行了一项流行病学调查。

结果

动脉高血压的患病率为9.6%，男孩（9.2%）和女孩（9.9%）之间无显著差异。收缩期和舒张期高血压的患病率分别为6.4%和4.5%。在男孩和女孩中，收缩压与身高（男孩：r = 0.33，P < 0.001；女孩：r = 0.08，P = 0.02）、体重（男孩：r = 0.47，P ≤ 0.001；女孩：r = 0.35，P < 0.001）和甘油三酯浓度（男孩：r = 0.13，P < 0.001；女孩：r = 0.10，P = 0.006）均呈高度显著正相关。在男孩中，收缩压与年龄呈正相关（r = 0.12，P = 0.001），而在女孩中则呈负相关（r = -0.12，P = 0.001）。