Krzywinska-Wiewiorowska Małgorzata, Stawińska-Witoszyńska Barbara, Krzyżaniak Alicja, Kaczmarek Maria, Siwinska Aldona
Department of Epidemiology Chair of Social Medicine, Poznan University of Medical Sciences, Poland.
Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University, Poznan, Poland.
Ann Agric Environ Med. 2017 Mar 31;24(1):129-133. doi: 10.5604/12321966.1230678.
Despite considerable progress in diagnostic methods and treatment options, cardiovascular diseases constitute a serious health issue in Poland, and hypertension is considered one of the main risk factors in the incidence of the diseases.
The aim of this study is to assess the values of arterial blood pressure among adolescents in the context of urban and rural environments.
The study was carried out on a representative, randomly selected group of youths aged 10-18 years, participating in the ADOPOLNOR project. Prior to blood pressure measurement, each pupil was assessed according to anthropomorphic principles. The BP measurements strictly followed the guidelines of the Fourth Protocol of the American Working Group of High Blood pressure in Children and Adolescents.
Mean values of systolic blood pressure (SBP) in boys in rural areas were higher in every age group than in the boys in urban areas. Higher values of systolic and diastolic blood pressure were observed also in girls in rural areas. BP values sufficiently high for the diagnosis of hypertension were observed in 12.8% of the rural boy population but only in 6.7% of the boys from the urban environment. The difference is statistically significant. The girls in rural areas (13.3%) had twice the incidence of elevated BP values in comparison with the girls in urban areas (7.2%) and, as in boys, the difference is statistically significant.
The high proportion of pupils with elevated arterial blood pressure observed in the rural areas of Wielkopolska calls for regularly performed BP assessment and monitoring in this populatio.
尽管在诊断方法和治疗选择方面取得了显著进展，但心血管疾病仍是波兰严重的健康问题，高血压被认为是这些疾病发病的主要危险因素之一。
本研究旨在评估城乡环境背景下青少年的动脉血压值。
该研究针对参与ADOPOLNOR项目的10 - 18岁具有代表性的随机抽样青年群体进行。在测量血压之前，根据人体测量学原则对每个学生进行评估。血压测量严格遵循美国儿童和青少年高血压工作组第四版协议的指导方针。
农村地区各年龄组男孩的收缩压（SBP）平均值均高于城市地区男孩。农村地区女孩的收缩压和舒张压值也较高。农村男孩人群中12.8%的血压值高到足以诊断为高血压，而城市环境中的男孩只有6.7%。差异具有统计学意义。农村地区女孩（13.3%）血压值升高的发生率是城市地区女孩（7.2%）的两倍，与男孩情况一样，差异具有统计学意义。
在大波兰省农村地区观察到动脉血压升高的学生比例较高，这就要求对该人群定期进行血压评估和监测。
