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高中生高血压及其与人体测量指标的关联。

Hypertension and its association with anthropometric indexes among pre-university students.

作者信息

Cheah Whye Lian, Hazmi Helmy, Chia Hui Qi, Tindin Empiang, Ahmad Zafri Nur Adilah, Mohd Shah Syarul Haziq

出版信息

Int J Adolesc Med Health. 2016 Nov 1;28(4):373-379. doi: 10.1515/ijamh-2015-0020.

Abstract

Hypertension has become increasingly common among adolescents. This study aimed to investigate the prevalence of hypertension and its association with anthropometric indexes among pre-university students. This was a cross-sectional study carried out among pre-university students of a public university. Anthropometric measurements were conducted using mobile stadiometers, digital body fat scales and measuring tapes. Body fat percentage was measured with a body composition analyzer, and blood pressure was determined using digital blood pressure monitors. Statistical analyses were done using Statistical Package for Social Sciences (SPSS) Statistics 20. A total of 218 respondents participated in the study. The prevalence of hypertension at risk was 7.3%, which was higher among males (16.7%). About 22% of the respondents were overweight and obese. The majority of males had a normal waist circumference (WC) (75.9%), but almost half of females had a WC value in the unhealthy category (47.0%). Females had higher conicity indexes and body fat compared to males. Respondents who were found to have hypertension at risk had a higher prevalence of being overweight and having unhealthy WC and waist-to-height ratio and had high conicity indexes and a high percentage of fat. Risk factors independently associated with hypertension at risk included male gender (odds ratio=4.213, 95% CI, 1.238-14.342) and body mass index (odds ratio=7.865, 95% CI, 1.165-53.099). Regular screening of hypertension at risk among adolescents and initiation of early treatment for those affected should be conducted to avoid further complication in later life.

摘要

高血压在青少年中越来越普遍。本研究旨在调查大学生预科生中高血压的患病率及其与人体测量指标的关联。这是一项在一所公立大学的预科生中开展的横断面研究。使用便携式身高计、数字体脂秤和卷尺进行人体测量。用身体成分分析仪测量体脂百分比,并用数字血压监测仪测定血压。使用社会科学统计软件包(SPSS)Statistics 20进行统计分析。共有218名受访者参与了该研究。高血压风险患病率为7.3%,男性中的患病率更高(16.7%)。约22%的受访者超重和肥胖。大多数男性腰围(WC)正常(75.9%),但几乎一半女性的WC值处于不健康类别(47.0%)。与男性相比,女性的锥度指数和体脂更高。被发现有高血压风险的受访者超重、WC和腰高比不健康、锥度指数高以及体脂百分比高的患病率更高。与高血压风险独立相关的危险因素包括男性性别(比值比=4.213,95%置信区间,1.238 - 14.342)和体重指数(比值比=7.865,95%置信区间,1.165 - 53.099)。应定期对青少年中的高血压风险进行筛查,并对受影响者尽早开始治疗,以避免日后生活中出现进一步并发症。

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