Zhang Ying-Xiu, Wang Shu-Rong
Shandong Center for Disease Control and Prevention, Shandong, 250014, PR China.
Ann Hum Biol. 2011 Sep;38(5):603-7. doi: 10.3109/03014460.2011.582884. Epub 2011 May 24.
Obesity and hypertension are common health problems in children and adolescents. Several studies have reported that obesity is associated with elevated blood pressure (BP) in both adults and children. However, there are few data of population-wide blood pressure monitoring in overweight and obese children and adolescents.
The present study examined the prevalence of overweight, obesity and relative high BP among children and adolescents and compared the level of blood pressure among children and adolescents with different weight status in Shandong, China.
A total of 8,555 students (4,325 boys and 4,230 girls) aged 7-18 years participated in this study. Height, weight and BP of all subjects were measured, body mass index (BMI) of adolescents was calculated from their height and weight and prevalence of overweight and obesity were obtained according to the screening criteria for overweight and obesity in Chinese students using BMI.
The overall prevalence of overweight, obesity and relatively high BP were 14.31%, 10.64% and 24.14% in boys and 8.75%, 5.70% and 22.39% in girls, respectively. An increasing trend was observed in systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse pressure (PP) from the normal weight group, to the overweight and obese groups.
There is a high prevalence of overweight, obesity and relatively high BP among children and adolescents in Shandong, China. The present findings emphasize the importance of prevention of overweight and obesity in order to prevent future related problems such as hypertension in children and adolescents.
肥胖和高血压是儿童及青少年常见的健康问题。多项研究报告称,肥胖在成人和儿童中均与血压升高有关。然而,关于超重和肥胖儿童及青少年全人群血压监测的数据较少。
本研究调查了中国山东儿童及青少年中超重、肥胖和相对高血压的患病率,并比较了不同体重状况儿童及青少年的血压水平。
共有8555名7至18岁的学生(4325名男生和4230名女生)参与了本研究。测量了所有受试者的身高、体重和血压,根据青少年的身高和体重计算其体重指数(BMI),并按照中国学生超重和肥胖筛查标准使用BMI得出超重和肥胖的患病率。
男生中超重、肥胖和相对高血压的总体患病率分别为14.31%、10.64%和24.14%,女生分别为8.75%、5.70%和22.39%。从正常体重组到超重和肥胖组,收缩压(SBP)、舒张压(DBP)和脉压(PP)均呈现上升趋势。
中国山东儿童及青少年中超重、肥胖和相对高血压的患病率较高。目前的研究结果强调了预防超重和肥胖对于预防儿童及青少年未来相关问题(如高血压)的重要性。