Dinç Gönül, Saatli Gül, Baydur Hakan, Ozcan Cemil
Department of Public Health, Medical Faculty, Celal Bayar University, Manisa, Turkey.
Anadolu Kardiyol Derg. 2009 Dec;9(6):450-6.
A school-based survey was performed in 1346 adolescents aged 15-18 years to determine the relationship between "overweight" and hypertension among adolescents in a western city in Turkey with a low prevalence of "overweight".
The data were collected by a self administered questionnaire. Weight and height of adolescents were measured. US CDC pediatric anthropometric reference data were used to establish the body mass index (BMI) percentile. "At risk of overweight" (BMI-for-age and sex >or=85th, and <95th percentile) and "overweight" (BMI-for-age and sex >or=95th percentile) were defined. Hypertension (systolic and/or diastolic blood pressure that is >or=95th percentile for sex, age and height percentile) was defined according to the 4th Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents (2004). The Chi-square test, Chi-square test for trend and logistic regression models were used for analysis.
Overall, prevalence of "at risk of overweight" and "overweight" were found to be 10.7% and 3.2%, respectively. About 3.5% of the adolescents were hypertensive. After adjustment for sex and age, income, family history of hypertension, the factors positively associated with hypertension were "at risk for overweight" (Odds Ratio [OR] =5.09, 95% CI: 2.57-10.07) and "overweight" (OR=7.60, 95% CI: 2.90-19.89).
The results of this study confirm low hypertension risk among adolescents in Manisa, which may be attributed to the low prevalence of "overweight". The relatively low cardiovascular disease risk factor profile of these adolescents needs to be encouraged through adulthood. Thus, a school program of health promotion should be established to prevent the epidemics of cardiovascular diseases in our region.
对1346名15 - 18岁青少年进行了一项基于学校的调查，以确定土耳其西部一个“超重”患病率较低的城市中青少年“超重”与高血压之间的关系。
通过自行填写问卷收集数据。测量青少年的体重和身高。使用美国疾病控制与预防中心（US CDC）的儿科人体测量参考数据来确定体重指数（BMI）百分位数。定义了“超重风险”（年龄和性别特异性BMI≥第85百分位数且＜第95百分位数）和“超重”（年龄和性别特异性BMI≥第95百分位数）。根据《儿童和青少年高血压的诊断、评估和治疗第四次报告》（2004年）定义高血压（收缩压和/或舒张压≥性别、年龄和身高百分位数的第95百分位数）。采用卡方检验、趋势卡方检验和逻辑回归模型进行分析。
总体而言，“超重风险”和“超重”的患病率分别为10.7%和3.2%。约3.5%的青少年患有高血压。在对性别、年龄、收入、高血压家族史进行调整后，与高血压呈正相关的因素为“超重风险”（比值比[OR]=5.09，95%置信区间：2.57 - 10.07）和“超重”（OR = 7.60，95%置信区间：2.90 - 19.89）。
本研究结果证实马尼萨青少年的高血压风险较低，这可能归因于“超重”患病率较低。这些青少年相对较低的心血管疾病风险因素状况需要在成年期得到延续。因此，应制定一项学校健康促进计划，以预防我们地区心血管疾病的流行。
