Sánchez-Zamorano Luisa María, Burguete-García Ana Isabel, Flores-Sánchez Guillermo, Salmerón-Castro Jorge, Lazcano-Ponce Eduardo C, Diaz-Benitez Cinthya E
Instituto Nacional de Salud Pública, Cuernavaca, México.
Universidad Autónoma del Estado de Morelos, Cuernavaca, México.
Cad Saude Publica. 2017 Apr 3;33(3):e00017616. doi: 10.1590/0102-311X00017616.
This article aims to evaluate the association between unhealthy behavior pattern and prevalence and incidence of high blood pressure in adolescents. Based on data from a cohort study with a baseline population of 2,813 adolescents enrolled in a public school system, the study measured the baseline prevalence and incidence of high blood pressure as a function of smoking, alcohol and illegal drug use, and physical activity. These variables were used to build a model called "unhealthy behavior pattern", and its relationship was evaluated in relation to high blood pressure in adolescents, using multiple logistic regression models. Prevalence of high blood pressure was 8.67%. Accumulated incidence of high blood pressure was 7.58%. In the multivariate analysis of high blood pressure adjusted by degree of adiposity, there was an association with the unhealthy behavior pattern in males (OR = 3.13; 95%CI: 1.67-5.84). The association between incidence of high blood pressure and unhealthy behavior pattern was observed in females (OR = 2.34; 95%CI: 1.11-4.95). In conclusion, high blood pressure is present in the adolescent population, associated with unhealthy behaviors like smoking, alcohol and illegal drug use, and physical inactivity, independently of the degree of adiposity.
本文旨在评估青少年不健康行为模式与高血压患病率及发病率之间的关联。基于一项队列研究的数据，该研究以公立学校系统中2813名青少年为基线人群，将吸烟、饮酒、使用非法药物及身体活动作为变量，测量了高血压的基线患病率和发病率，并以此构建了一个名为“不健康行为模式”的模型，使用多元逻辑回归模型评估其与青少年高血压的关系。高血压患病率为8.67%，高血压累积发病率为7.58%。在按肥胖程度调整的高血压多因素分析中，男性的不健康行为模式与之存在关联（比值比=3.13；95%置信区间：1.67 - 5.84）。在女性中观察到高血压发病率与不健康行为模式之间存在关联（比值比=2.34；95%置信区间：1.11 - 4.95）。总之，青少年人群中存在高血压，其与吸烟、饮酒、使用非法药物及身体不活动等不健康行为有关，且独立于肥胖程度。
