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[广西南宁儿童青少年高血压患病率及高血压与肥胖的关系]

[Prevalence of hypertension and relationship between hypertension and obesity in children and adolescents in Nanning of Guangxi Province].

作者信息

Luo Jing-Si, Chen Shao-Ke, Fan Xin, Tang Qing, Feng Ying

机构信息

Department of Endocrinology and Genetic Metabolism, Guangxi Maternal and Child Health Hospital, Nanning 530023, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2014 Oct;16(10):1040-4.

Abstract

OBJECTIVE

To investigate the prevalence of hypertension and the relationship between hypertension and obesity in children and adolescents aged 6-18 years in Nanning, Guangxi Province, China.

METHODS

A stratified cluster random sampling method was adopted in Nanning to select 7 893 children and adolescents aged 6-18 years as research subjects. Questionnaire surveys were conducted, and blood pressure, height, weight, and other indicators of growth and development were measured.

RESULTS

An increasing trend with age for both systolic blood pressure (SBP) and diastolic blood pressure (DBP) was observed. Detection rates of hypertension, high SBP (HSBP) and high DBP (HDBP) were 6.58%, 4.02% and 3.81%, respectively. The detection rates of hypertension and HSBP in boys were significantly higher than in girls (P<0.05). The detection rates of hypertension in normal, overweight and obesity groups were 3.87%, 9.84% and 19.23%, respectively. The obesity group showed the highest detection rates for hypertension, HSBP and HDBP, followed by the overweight group and normal group. Compared with that in the normal group, the odds ratios (95% CI) for hypertension in the overweight and obesity groups were 2.71 (1.69-5.96) and 5.91 (3.46-7.63), respectively. Blood pressure showed a positive correlation with age, height, weight and BMI (P<0.01).

CONCLUSIONS

The present study provides with the current information and characteristics of blood pressure of children and adolescents aged 6-18 years in Nanning, Guangxi. Blood pressure is correlated with gender, age, height, weight and BMI. Obesity is positively correlated with the prevalence of hypertension and the risk of hypertension increases with body weight.

摘要

目的

调查中国广西南宁市6 - 18岁儿童青少年高血压患病率及其与肥胖的关系。

方法

在南宁市采用分层整群随机抽样方法,选取7893名6 - 18岁儿童青少年作为研究对象。进行问卷调查,并测量血压、身高、体重等生长发育指标。

结果

观察到收缩压(SBP)和舒张压(DBP)均随年龄呈上升趋势。高血压、高SBP(HSBP)和高DBP(HDBP)的检出率分别为6.58%、4.02%和3.81%。男孩高血压和HSBP的检出率显著高于女孩(P<0.05)。正常、超重和肥胖组高血压的检出率分别为3.87%、9.84%和19.23%。肥胖组高血压、HSBP和HDBP的检出率最高,其次是超重组和正常组。与正常组相比,超重和肥胖组高血压的比值比(95%CI)分别为2.71(1.69 - 5.96)和5.91(3.46 - 7.63)。血压与年龄、身高、体重和BMI呈正相关(P<0.01)。

结论

本研究提供了广西南宁市6 - 18岁儿童青少年血压的现状信息和特征。血压与性别、年龄、身高、体重和BMI相关。肥胖与高血压患病率呈正相关,且高血压风险随体重增加而增加。

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