中国山东正常体重但腰围较大的儿童和青少年的血压。

Blood pressure among children and adolescents with normal weight but large waist circumference in Shandong, China.

机构信息

Shandong Center for Disease Control and Prevention, 16992 Jingshi Road, Jinan, China, 250014,

出版信息

Eur J Pediatr. 2014 Mar;173(3):285-9. doi: 10.1007/s00431-013-2213-2. Epub 2013 Nov 19.

DOI:10.1007/s00431-013-2213-2

PMID:24248521

Abstract

UNLABELLED

The present study examined the blood pressure (BP) characteristics of normal weight children and adolescents with a large waist circumference (WC) in a large population in Shandong, China. A total of 38,826 students (19,460 boys and 19,366 girls) aged 7-17 years participated in this study. Height, weight, WC, and BP of all subjects were measured. Normal weight was defined by the international cutoffs of body mass index; central obesity was defined as WC ≥ 90th percentile; relatively high BP status was defined as systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) ≥ 95th percentile for age and gender. And 5.06 and 8.19 % of the normal weight boys and girls had central obesity. The Z-scores of SBP, DBP and the prevalence of relatively high BP for both boys and girls were all significantly higher in the normal weight with central obesity groups than in the normal weight with normal WC groups.

CONCLUSION

These observations highlight that normal weight children and adolescents with central obesity might have an increased risk of elevated BP.

摘要

目的

本研究旨在探讨中国山东一个大人群中正常体重且腰围较大（WC）的儿童和青少年的血压（BP）特征。

方法

共有 38826 名 7-17 岁的学生（男生 19460 名，女生 19366 名）参加了这项研究。所有受试者均测量了身高、体重、WC 和 BP。正常体重定义为国际体重指数切点；中心性肥胖定义为 WC≥第 90 百分位数；相对较高的 BP 状态定义为收缩压（SBP）和/或舒张压（DBP）≥年龄和性别对应的第 95 百分位数。正常体重的男生和女生中，分别有 5.06%和 8.19%存在中心性肥胖。与正常体重且 WC 正常组相比，正常体重且中心性肥胖组的男生和女生的 SBP、DBP 的 Z 评分和相对较高 BP 的患病率均显著更高。