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印度尼西亚8至11岁学童的血压升高及其与体重和人体测量学指标的关系。

Elevated blood pressure and its relationship with bodyweight and anthropometric measurements among 8-11-year-old Indonesian school children.

作者信息

Prastowo Nawanto Agung, Haryono Ignatio Rika

机构信息

Department of Physiology, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.

出版信息

J Public Health Res. 2020 Jun 5;9(1):1723. doi: 10.4081/jphr.2020.1723. eCollection 2020 Jun 4.

Abstract

Increased prevalence of elevated blood pressure in children and adolescents was associated with increased body weight and measures. Also, prevalence of elevated blood pressure varies between countries. This study is to investigate the prevalence of elevated blood pressure in Indonesian children and its relationship with bodyweight and anthropometric measures. This cross-sectional study involved 1010 elementary students aged 8 - 12 years (479 girls, 531 boys). The anthropometric measures and blood pressure were assessed. Elevated blood pressure (EBP) was determined if at the 90 percentile or above for gender, age, and height. Independent t-test, Chi-square, Pearson correlation, and multivariate logistic regression were applied. Significance was determined at p<0.05. Overall prevalence of EBP was 28.8% (35.9% in girls, 22.4% in boys). BMI, waist circumference (WC), waist to height ratio (WHtR), and abdominal skinfold had significant correlation with EBP. Elevated BP was higher in overweight and obesity than in normoweight (60.5% 39.5%, p=0.00). In girls, the OR of EBP for overweight and obesity were 2.33 (95% CI 1.40-3.87, p=0.03) and 3.44 (95% CI 1.98-5.99, p=0.00) whereas in boys were 4.26 (95% CI 2.20-8.28, p=0.00) and 8.82 (95% CI 5.10-15.38, p=0.00). Prevalence of EBP in Indonesian school children aged 8 - 11 years was higher and more prevalent in overweight/ obesity and in girls. Anthropometric measures were correlated with EBP.

摘要

儿童和青少年高血压患病率的增加与体重增加及相关测量指标有关。此外,不同国家的高血压患病率也有所不同。本研究旨在调查印度尼西亚儿童高血压的患病率及其与体重和人体测量指标的关系。这项横断面研究涉及1010名8至12岁的小学生(479名女生,531名男生)。对其进行了人体测量指标和血压评估。如果血压处于按性别、年龄和身高划分的第90百分位数及以上,则判定为高血压。采用独立t检验、卡方检验、皮尔逊相关性分析和多因素逻辑回归分析。以p<0.05为差异有统计学意义。高血压的总体患病率为28.8%(女生为35.9%,男生为22.4%)。体重指数(BMI)、腰围(WC)、腰高比(WHtR)和腹部皮褶厚度与高血压有显著相关性。超重和肥胖儿童的高血压患病率高于正常体重儿童(60.5%对39.5%,p=0.00)。在女生中,超重和肥胖的高血压比值比(OR)分别为2.33(95%置信区间1.40 - 3.87,p=0.03)和3.44(95%置信区间1.98 - 5.99,p=0.00);而在男生中分别为4.26(95%置信区间2.20 - 8.28,p=0.00)和8.82(95%置信区间5.10 - 15.38,p=0.00)。8至11岁的印度尼西亚学龄儿童中,高血压患病率较高,在超重/肥胖儿童及女生中更为普遍。人体测量指标与高血压相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8ea/7282313/abec77fa155a/jphr-9-1-1723-g001.jpg

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