Chirita-Emandi Adela, Puiu Maria, Gafencu Mihai, Pienar Corina
Department of Pediatrics, University of Medicine and Pharmacy Victor Babes, Timisoara, Romania.
Cardiol Young. 2013 Apr;23(2):189-96. doi: 10.1017/S104795111200087X. Epub 2012 Jul 13.
To describe the current prevalence of paediatric hypertension and the relationships between body mass index, gender, place of residence, and blood pressure in a population of school-aged children from western Romania.
A total of 3626 children from Timisoara and the surrounding regions were examined by medical students from February, 2010 to June, 2011. Children's body mass index was interpreted on the basis of reference guidelines from Centers for Disease Control and Prevention. Blood pressure measurements were taken by the auscultation method. For defining elevated blood pressure, we used the standards published in the Fourth Report.
Overall, the prevalence of overweight was 14% and 11.8% for obesity. Boys had a higher prevalence of both overweight and obesity compared with girls. The prevalence of hypertension on our screening was 9.1% higher in boys and urban residence. The prevalence of pre-hypertension was 6.5%. With regard to body mass index, 21.1% of obese, 12.8% of overweight, and 7.1% of normal weight children presented hypertension. The strongest determinant of hypertension was body mass index percentile. Significant odds ratio was found for obesity (3.93; confidence interval: 3.11–4.95), urban residence (1.68; confidence interval: 1.35–2.1), and male gender (1.34; confidence interval: 1.12–1.6).
The results confirm a worrisome prevalence of overweight and obesity among children in Romania, accompanied by an alarming prevalence of hypertension. Overweight and obesity, male gender, and urban residence were the major contributing factors for the overall high prevalence of hypertension found. Our results point to the urgent need to adopt strategies aimed at preventing hypertension and obesity in children in Romania.
描述罗马尼亚西部学龄儿童人群中儿童高血压的当前患病率以及体重指数、性别、居住地点与血压之间的关系。
2010年2月至2011年6月，蒂米什瓦拉及周边地区的3626名儿童由医学生进行检查。儿童的体重指数根据疾病控制与预防中心的参考指南进行解读。血压测量采用听诊法。为定义血压升高，我们使用了第四次报告中公布的标准。
总体而言，超重患病率为14%，肥胖患病率为11.8%。男孩超重和肥胖的患病率均高于女孩。在我们的筛查中，男孩和城市居民的高血压患病率高出9.1%。高血压前期患病率为6.5%。就体重指数而言，21.1%的肥胖儿童、12.8%的超重儿童和7.1%的正常体重儿童患有高血压。高血压的最强决定因素是体重指数百分位数。发现肥胖（优势比：3.93；置信区间：3.11 - 4.95）、城市居住（优势比：1.68；置信区间：1.35 - 2.1）和男性性别（优势比：1.34；置信区间：1.12 - 1.6）的优势比显著。
结果证实罗马尼亚儿童中超重和肥胖的患病率令人担忧，同时高血压患病率令人震惊。超重和肥胖、男性性别以及城市居住是所发现的高血压总体高患病率的主要促成因素。我们的结果表明迫切需要采取旨在预防罗马尼亚儿童高血压和肥胖的策略。
