Shandong Center for Disease Control and Prevention, No. 16992 Jingshi Road, Jinan, 250014 Shandong, China.
Eur J Pediatr. 2013 Sep;172(9):1167-71. doi: 10.1007/s00431-013-2014-7. Epub 2013 May 1.
The present study examined the association between body mass index (BMI) and skinfold thickness (SFT) with blood pressure (BP) in 12-year-old children in Shandong, China. A total of 920 (464 boys and 456 girls) 12-year-old students participated in this study. All subjects were divided into four groups (BMI < 25th, 25th ≤ BMI < 50th, 50th ≤ BMI < 75th, and BMI ≥ 75th) according to the percentile of BMI and into four groups (SFT < 25th, 25th ≤ SFT < 50th, 50th ≤ SFT < 75th, and SFT ≥ 75th) according to the percentile of SFT, respectively. Comparisons of BP among different groups were made by one-way ANOVA. High BP status was defined as systolic blood pressure (SBP) ≥ 95th and/or diastolic blood pressure (DBP) ≥ 95th percentile for age and gender. BMI and SFT were all significantly (P < 0.001) and positively related to SBP and DBP in both boys and girls. The prevalence of high BP in each group is rising with the percentiles of BMI and SFT in both boys and girls.
There is a strong positive relationship between BMI, SFT, and BP in 12-year-old children; the present findings emphasize the importance of preventing excess BMI and SFT in order to prevent future-related problems such as hypertension in children and adolescents.
本研究在中国山东的 12 岁儿童中考察了体重指数（BMI）和皮褶厚度（SFT）与血压（BP）之间的关系。共有 920 名（464 名男孩和 456 名女孩）12 岁学生参与了这项研究。所有受试者均根据 BMI 的百分位数分为四组（BMI < 25 岁、25 岁≤BMI < 50 岁、50 岁≤BMI < 75 岁和 BMI ≥ 75 岁），并根据 SFT 的百分位数分为四组（SFT < 25 岁、25 岁≤SFT < 50 岁、50 岁≤SFT < 75 岁和 SFT ≥ 75 岁）。采用单因素方差分析比较不同组之间的 BP。高血压状态定义为收缩压（SBP）≥ 95 百分位数和/或舒张压（DBP）≥ 95 百分位数的年龄和性别。在男孩和女孩中，BMI 和 SFT 均与 SBP 和 DBP 呈显著（P < 0.001）和正相关。在男孩和女孩中，每组的高血压患病率随着 BMI 和 SFT 的百分位数的升高而升高。
12 岁儿童的 BMI、SFT 和 BP 之间存在很强的正相关；本研究结果强调了预防超重 BMI 和 SFT 的重要性，以预防儿童和青少年未来出现高血压等相关问题。
