Department of Kinesiology, Pennsylvania State University, University Park, PA, USA.
Department of Kinesiology, New England College, Henniker, NH, USA.
J Hum Hypertens. 2021 Jun;35(6):517-523. doi: 10.1038/s41371-020-0369-6. Epub 2020 Jul 16.
The purpose of this study was to examine the impact that the revised American College of Cardiology/American Heart Association (ACC/AHA) hypertension diagnostic criteria would have on the prevalence of metabolic syndrome (MBS) among college students. Students completed an objective health assessment between September 2015 and April 2018 that involved the assessment of abdominal girth, blood glucose, lipids, and blood pressure (BP). Data of 5681 students (60.1% Men; 21 ± 1 years) who had all MBS risk factors assessed were analyzed to compare differences between old and new diagnostic criteria and identify which component of BP best predicts metabolic risk factors. The prevalence of MBS increased by 40.6% and 104.5% with the change to ACC/AHA criteria from the AHA/National Heart Lung and Blood Institute and the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High BP criteria, respectively. The greatest relative increase in the prevalence of MBS was observed among women. Systolic BP and diastolic BP were significant predictors of abdominal obesity, and diastolic BP was a significant predictor of elevated triglycerides. Changes in hypertension diagnostic criteria had a significant impact on MBS prevalence. This is positive as it will allow earlier identification of young adults at risk of developing various noncommunicable diseases, but the ability of colleges to identify and then intervene to improve the health of at-risk students remains unclear. Furthermore, findings indicate that BP may hold utility as a cost-effective predictor of certain metabolic risk factors in the absence of efficient, accurate, and affordable alternatives.
本研究旨在探讨修订后的美国心脏病学会/美国心脏协会（ACC/AHA）高血压诊断标准对大学生代谢综合征（MBS）患病率的影响。学生在 2015 年 9 月至 2018 年 4 月期间完成了一项客观健康评估，其中包括评估腹围、血糖、血脂和血压（BP）。对 5681 名学生（60.1%为男性；21±1 岁）的数据进行了分析，这些学生均评估了所有 MBS 风险因素，以比较新旧诊断标准之间的差异，并确定 BP 的哪个成分最能预测代谢风险因素。与 AHA/National Heart Lung and Blood Institute 和第七版《联合国家预防、检测、评估和治疗高血压报告》相比，采用 ACC/AHA 标准后，MBS 的患病率分别增加了 40.6%和 104.5%。在女性中，MBS 患病率的相对增加最大。收缩压和舒张压是腹型肥胖的显著预测因素，舒张压是甘油三酯升高的显著预测因素。高血压诊断标准的改变对 MBS 患病率有重大影响。这是积极的，因为它将允许更早地识别有发展各种非传染性疾病风险的年轻人，但学院识别和干预有风险的学生以改善其健康的能力尚不清楚。此外，研究结果表明，在缺乏高效、准确和负担得起的替代方法的情况下，BP 可能作为某些代谢风险因素的具有成本效益的预测指标。
