Yang Yide, Lau Patrick Wc, Wang Jingjing, Dong Bin, Wu Lijing, Quach Binh, Wong Del P, Fu Lianguo, Ma Jun, Wang Haijun
Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing, China.
Department of Physical Education, Hong Kong Baptist University, Hong Kong, China.
Hypertens Res. 2016 Nov;39(11):799-804. doi: 10.1038/hr.2016.63. Epub 2016 Jun 23.
The associations among cardiorespiratory endurance (CRE), body mass index (BMI) and blood pressure (BP) in children are still unclear. This study aimed to examine the relationships among CRE, BMI and BP in Chinese children. Data were derived from the 2010 Chinese National Survey on Students' Constitution and Health. An endurance run test was used to determine CRE and children were stratified into low and high/moderate CRE groups. BMI was dichotomized into non-overweight and overweight. Among overweight children aged 7-12 years, the risk of high BP (HBP) was significantly higher in the low CRE group than in the high/moderate CRE group (in boys, odds ratio=1.13, 95% confidence interval: 1.03-1.24, P=0.010; in girls, odds ratio=1.18, 95% confidence interval: 1.04-1.33, P=0.010) after adjusting for age, BMI, socioeconomic status and area of residence. However, among all children aged 13-18 years and non-overweight children aged 7-12 years, we did not observe similar results. Higher CRE is associated with lower BP. Overweight children have a significantly higher risk of HBP and low CRE may increase the risk of HBP, independently of BMI, among 7- to 12-year-old overweight children.
儿童的心肺耐力(CRE)、体重指数(BMI)和血压(BP)之间的关联仍不明确。本研究旨在探讨中国儿童的CRE、BMI和BP之间的关系。数据来源于2010年中国学生体质与健康调研。采用耐力跑测试来确定CRE,并将儿童分为低CRE组和高/中度CRE组。BMI分为非超重和超重。在7至12岁的超重儿童中,调整年龄、BMI、社会经济状况和居住地区后,低CRE组的高血压(HBP)风险显著高于高/中度CRE组(男孩的比值比=1.13,95%置信区间:1.03-1.24,P=0.010;女孩的比值比=1.18,95%置信区间:1.04-1.33,P=0.010)。然而,在所有13至18岁的儿童以及7至12岁的非超重儿童中,我们未观察到类似结果。较高的CRE与较低的BP相关。超重儿童患HBP的风险显著更高,并且在7至12岁的超重儿童中,低CRE可能会增加患HBP的风险,且独立于BMI。