学龄儿童高血压：患病率及危险因素
High blood pressure in school children: prevalence and risk factors.
作者信息
Urrutia-Rojas Ximena, Egbuchunam Christie U, Bae Sejong, Menchaca John, Bayona Manuel, Rivers Patrick A, Singh Karan P
机构信息
Department of Biostatistics, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA.
出版信息
BMC Pediatr. 2006 Nov 16;6:32. doi: 10.1186/1471-2431-6-32.
BACKGROUND
The purpose of this study was to determine the prevalence of high blood pressure (HBP) and associated risk factors in school children 8 to 13 years of age.
METHODS
Elementary school children (n = 1,066) were examined. Associations between HBP, body mass index (BMI), gender, ethnicity, and acanthosis nigricans (AN) were investigated using a school based cross-sectional study. Blood pressure was measured and the 95th percentile was used to determine HBP. Comparisons between children with and without HBP were utilized. The crude and multiple logistic regression adjusted odds ratios were used as measures of association.
RESULTS
Females, Hispanics, overweight children, and children with AN had an increased likelihood of HBP. Overweight children (BMI > or = 85th percentile) and those with AN were at least twice as likely to present with HBP after controlling for confounding factors.
CONCLUSION
Twenty one percent of school children had HBP, especially the prevalence was higher among the overweight and Hispanic group. The association identified here can be used as independent markers for increased likelihood of HBP in children.
背景
本研究旨在确定8至13岁学童中高血压（HBP）的患病率及相关危险因素。
方法
对小学儿童（n = 1066）进行检查。采用基于学校的横断面研究，调查HBP、体重指数（BMI）、性别、种族和黑棘皮病（AN）之间的关联。测量血压，并使用第95百分位数来确定HBP。对有和没有HBP的儿童进行比较。使用粗和多因素逻辑回归调整后的优势比作为关联度量。
结果
女性、西班牙裔、超重儿童和患有AN的儿童患HBP的可能性增加。在控制混杂因素后，超重儿童（BMI≥第85百分位数）和患有AN的儿童患HBP的可能性至少是前者的两倍。
结论
21%的学童患有HBP，尤其是超重和西班牙裔群体中的患病率更高。此处确定的关联可作为儿童患HBP可能性增加的独立标志物。
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