Zhang Ying-xiu, Wang Shu-rong
Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Oct;31(10):1135-8.
To explore the relationship between body composition index and blood pressure of children, and to provide bases for early prevention against adult diseases.
A total of 4326 children aged 7 - 12 participated in this study, with height, weight, skinfold thickness (SFT) and blood pressure (BP) of all subjects measured. Body fat percentage (BF%) were calculated by regression equation, fat mass index (FMI) and fat-free mass index (FFMI) were calculated according to following expressions: FMI (kg/m(2)) = BF% × weight/height(2) and FFMI (kg/m(2)) = (weight - BF% × weight)/height(2).
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were positively correlated with FMI and FFMI in both boys and girls. Correlation coefficients between SBP, DBP and FMI were 0.432 - 0.531, 0.316 - 0.450 for boys, and 0.413 - 0.485, 0.345 - 0.421 for girls respectively and the correlation coefficients between SBP, DBP and FFMI were 0.214 - 0.366, 0.090 - 0.250 for boys, and 0.108 - 0.383, 0.063 - 0.214 for girls respectively. The coefficient between BP and FMI were larger than those between BP and FFMI. The mean values of FMI and FFMI of children with high BP were significantly higher than those normal children, especially showed in FMI.
In order to prevent hypertension among children, priority should be concentrated on controlling body fat and preventing obesity.
探讨儿童身体成分指数与血压之间的关系,为成人疾病的早期预防提供依据。
共有4326名7至12岁的儿童参与本研究,测量了所有受试者的身高、体重、皮褶厚度(SFT)和血压(BP)。通过回归方程计算体脂百分比(BF%),根据以下公式计算脂肪量指数(FMI)和去脂体重指数(FFMI):FMI(kg/m²)=BF%×体重/身高²,FFMI(kg/m²)=(体重 - BF%×体重)/身高²。
收缩压(SBP)和舒张压(DBP)在男孩和女孩中均与FMI和FFMI呈正相关。男孩中SBP、DBP与FMI的相关系数分别为0.432 - 0.531、0.316 - 0.450,女孩中分别为0.413 - 0.485、0.345 - 0.421;男孩中SBP、DBP与FFMI的相关系数分别为0.214 - 0.366、0.090 - 0.250,女孩中分别为0.108 - 0.383、0.063 - 0.214。BP与FMI的系数大于BP与FFMI的系数。高血压儿童的FMI和FFMI平均值显著高于正常儿童,尤其在FMI方面表现明显。
为预防儿童高血压,应优先关注控制体脂和预防肥胖。