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土耳其安卡拉7至12岁儿童的体重指数与血压之间的关系。

The relationship between BMI and blood pressure in children aged 7-12 years in Ankara, Turkey.

作者信息

Polat Mustafa, Yıkılkan Hülya, Aypak Cenk, Görpelioğlu Süleyman

机构信息

Department of Family Medicine,Dışkapı Yıldırım Beyazıt Training and Research Hospital,Irfan Basbug cad Diskapi,Ankara,Turkey.

出版信息

Public Health Nutr. 2014 Nov;17(11):2419-24. doi: 10.1017/S1368980014000846. Epub 2014 May 22.

Abstract

OBJECTIVE

Recent studies have reported an increasing prevalence of childhood hypertension. Obesity is probably the most important risk factor. The relationship between hypertension and BMI in children has not been studied in Ankara, which is the second largest city in Turkey.

DESIGN

Cross-sectional study analysing direct data on height, weight and blood pressure of students.

SETTING

Population-based study in Ankara, the capital city of Turkey.

SUBJECTS

In three schools, 2826 students aged 7-12 years.

RESULTS

The overall prevalence of hypertension was 7·9 %. Among the 222 hypertensive children, 124 (56 %) were boys and ninety-eight (44 %) were girls (P=0·40). In the whole group, 3·6 % had only systolic hypertension, 0·7 % had only diastolic hypertension and 3·5 % had both systolic and diastolic hypertension. The prevalences of overweight and obesity were both 13·9 %. BMI was significantly correlated with blood pressure (P<0·001). Overweight and obesity were more common in boys (P<0·001).

CONCLUSIONS

Hypertension was more common than has been reported in other studies. Blood pressure measurement should be routine and frequent in children, especially obese children.

摘要

目的

近期研究报告称儿童高血压患病率呈上升趋势。肥胖可能是最重要的危险因素。在土耳其第二大城市安卡拉,尚未对儿童高血压与体重指数(BMI)之间的关系进行研究。

设计

横断面研究,分析学生身高、体重和血压的直接数据。

地点

在土耳其首都安卡拉进行的基于人群的研究。

研究对象

在三所学校中选取的2826名7至12岁的学生。

结果

高血压的总体患病率为7.9%。在222名高血压儿童中,124名(56%)为男孩,98名(44%)为女孩(P = 0.40)。在整个研究组中,3.6%仅有收缩期高血压,0.7%仅有舒张期高血压,3.5%既有收缩期高血压又有舒张期高血压。超重和肥胖的患病率均为13.9%。BMI与血压显著相关(P < 0.001)。超重和肥胖在男孩中更为常见(P < 0.001)。

结论

高血压比其他研究报告的更为常见。儿童尤其是肥胖儿童应定期且频繁地测量血压。

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