Rodriguez Ruben, Mowrer Jana, Romo Jessica, Aleman April, Weffer Simón E, Ortiz Rudy M
School of Natural Sciences, University of California-Merced, 5200 N. Lake Road, Merced, CA 95343, USA.
Clin Pediatr (Phila). 2010 Sep;49(9):876-84. doi: 10.1177/0009922810368135. Epub 2010 Jun 3.
A cross-sectional study was conducted to assess the prevalence of overweight, obesity, and elevated systolic blood pressure (SBP) in ethnically diverse adolescents (1064 males; 974 females; 13-17 years) in a rural community. Prevalence of overweight was 20.4% in females and 17.5% in males. In contrast, the prevalence of obesity was 29.4% in males and 14.5% in females. African American males had the highest prevalence of obesity (33.3%) compared with non-Hispanic whites (26.3%). Prevalence of elevated SBP was higher than pre-elevated SBP in males regardless of race/ethnicity, but not in females. Obese females had 4-fold and 9-fold greater odds of developing pre-elevated SBP and elevated SBP, respectively, than their normal weight cohorts. Prevalence of obesity is almost twice that of overweight in males in our rural population suggesting that adolescent males from disadvantaged, rural populations are potentially at a greater risk for metabolic disorders than those in major metropolitan areas.
开展了一项横断面研究，以评估一个农村社区中不同种族青少年（1064名男性；974名女性；13 - 17岁）超重、肥胖和收缩压（SBP）升高的患病率。女性超重患病率为20.4%，男性为17.5%。相比之下，男性肥胖患病率为29.4%，女性为14.5%。与非西班牙裔白人（26.3%）相比，非裔美国男性肥胖患病率最高（33.3%）。无论种族/族裔如何，男性SBP升高的患病率均高于血压预升高者，但女性并非如此。肥胖女性发生血压预升高和SBP升高的几率分别是正常体重同龄人4倍和9倍。在我们的农村人口中，男性肥胖患病率几乎是超重患病率的两倍，这表明来自弱势农村人口的青少年男性可能比大城市地区的青少年男性面临更大的代谢紊乱风险。
