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1991 - 2004年中国儿童与青少年的血压及高血压趋势:中国健康与营养调查

Trends in blood pressure and hypertension among Chinese children and adolescents: China Health and Nutrition Surveys 1991-2004.

作者信息

Liang Ya-Jun, Xi Bo, Hu Yue-Hua, Wang Chunyu, Liu Jun-Ting, Yan Yin-Kun, Xu Tan, Wang Ruo-Qi

机构信息

Graduate School, Peking Union Medical College, Beijing, China.

出版信息

Blood Press. 2011 Feb;20(1):45-53. doi: 10.3109/08037051.2010.524085. Epub 2010 Nov 3.

DOI:10.3109/08037051.2010.524085
PMID:21047169
Abstract

OBJECTIVE

To observe the trends in blood pressure (BP) and prevalence of hypertension among Chinese children and adolescents.

METHODS

Data were extracted from the China Health and Nutrition Survey conducted from 1991 to 2004; 8247 children and adolescents aged 6-17 years were selected for this study. Multivariate linear regression analysis and multivariate logistic regression analysis were performed to evaluate the secular trends in BP levels and prevalence of hypertension, respectively.

RESULTS

During the study period, there was an upward trend in BP in Chinese children and adolescents. After adjustment for gender, age and weight status, the prevalence of pre-hypertension and hypertension increased dramatically from 1991 to 2004, with average relative increases of 6.38% and 8.13% in children and adolescents, respectively. Overweight was strongly associated with pre-hypertension and hypertension in comparison with normal weight, with odds ratios (95% confidence intervals) of 2.21 (1.58-3.11) and 4.13 (3.32-5.13), respectively.

CONCLUSION

BP levels and prevalence of hypertension increased dramatically among Chinese children and adolescents from 1991 to 2004.

摘要

目的

观察中国儿童和青少年的血压(BP)趋势及高血压患病率。

方法

数据取自1991年至2004年进行的中国健康与营养调查;本研究选取了8247名6至17岁的儿童和青少年。分别进行多元线性回归分析和多元逻辑回归分析,以评估血压水平和高血压患病率的长期趋势。

结果

在研究期间,中国儿童和青少年的血压呈上升趋势。在对性别、年龄和体重状况进行调整后,1991年至2004年期间,高血压前期和高血压的患病率急剧上升,儿童和青少年的平均相对增长率分别为6.38%和8.13%。与正常体重相比,超重与高血压前期和高血压密切相关,比值比(95%置信区间)分别为2.21(1.58 - 3.11)和4.13(3.32 - 5.13)。

结论

1991年至2004年期间,中国儿童和青少年的血压水平和高血压患病率急剧上升。

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