智力残疾儿童和青少年中肥胖指标与高血压之间的关联——一项病例对照研究。

Associations between adiposity indicators and hypertension among children and adolescents with intellectual disability-A case-control study.

作者信息

Wyszyńska Justyna, Podgórska-Bednarz Justyna, Dereń Katarzyna, Baran Joanna, Czenczek-Lewandowska Ewelina, Leszczak Justyna, Mazur Artur

机构信息

Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland.

Institute of Medical Sciences, Medical College of Rzeszów University, Rzeszów, Poland.

出版信息

J Appl Res Intellect Disabil. 2020 Sep;33(5):1133-1140. doi: 10.1111/jar.12735. Epub 2020 Apr 6.

DOI:10.1111/jar.12735

PMID:32249533

Abstract

BACKGROUND

Adiposity is closely related to hypertension (HTN) in paediatric population. However, which adiposity indicator is most associated with HTN among children and adolescents with intellectual disability remains unknown. The aim of this study was to evaluate the associations between HTN prevalence and different adiposity indicators: body mass index (BMI) percentile, body fat percentage (BFP), waist circumference (WC), hip circumference (HC), waist-hip ratio (WHR) and waist-to-height ratio (WHtR) in students with intellectual disability.

METHODS

Cross-sectional study included a sample of 568 schoolchildren with intellectual disability, aged 7-18 years. Blood pressure, BMI, body composition, WC and HC were determined using standardized equipment.

RESULTS

Multivariate logistic regression showed that male gender, adolescence, high HC and excessive BFP were significant independent factors that increased risk of HTN occurrence in population with intellectual disability.

CONCLUSIONS

Findings indicated that HC and BFP, in particular, may be helpful tools to detect HTN in population with intellectual disability.

摘要

背景

在儿童群体中，肥胖与高血压（HTN）密切相关。然而，在智障儿童和青少年中，哪种肥胖指标与高血压的关联最为密切仍不清楚。本研究的目的是评估智障学生中高血压患病率与不同肥胖指标之间的关联，这些指标包括体重指数（BMI）百分位数、体脂百分比（BFP）、腰围（WC）、臀围（HC）、腰臀比（WHR）和腰高比（WHtR）。