Yan X J, Ma N, Dong Y H, Liu Y F, Zhang J S, Luo D M, Hu P J, Song Y, Ma J
School of Public Health, Peking University; Institute of Child and Adolescent Health, Peking University, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Sep 10;41(9):1433-1439. doi: 10.3760/cma.j.cn112338-20200225-00176.
To analyze the association between the endurance quality and blood pressure levels in Han students aged 13-18 years in China. We used the data of Han students aged 13-18 years from 2014 Chinese National Survey on Students' Constitution and Health. Elevated blood pressure and its components, including isolated elevated SBP, isolated elevated DBP, and mix elevated blood pressure, were evaluated according to the reference of screening for elevated blood pressure among children and adolescents aged 7-18 years. The students' endurance quality was scored according to the National Standards for Students' Physical Health (2014 revision) and categorized based on their percentiles into four groups as follows: -, -, -, and -. Trend (2) test was used to analyze the trend of the detection rates of elevated blood pressure and its components in different groups of endurance quality. Logistic regression model was used to estimate the odds ratio () for elevated blood pressure and its components in different endurance quality groups and -group was set as reference group. Quantile regression model was used to analyze the association between different blood pressure levels and endurance quality. The detection rate of elevated blood pressure in the students aged 13-18 years in China in 2014 was 9.2%. The detection rate of elevated blood pressure and its components decreased with the improvement of endurance quality (<0.001). With the -endurance quality group as reference, the (95) were 0.89(0.84-0.95), 0.81(0.76-0.86) and 0.79(0.74-0.84) respectively in -, - and - endurance quality groups respectively. The negative association existed between endurance quality and elevated blood pressure in overweight, obese and normal students, but not in malnourished students. The quantile regression analysis results showed that in overweight and obese students, the SBP levels at the , , , , and groups were negatively associated with the endurance quality, and the DBP levels at the and above group were negatively associated with the endurance quality. In malnourished and normal students, only some levels of DBP were negatively associated with the endurance quality. The negative association existed between endurance quality and elevated blood pressure in Han students aged 13-18 years in China. In overweight and obese students, the association between endurance quality and blood pressure level was stronger. Improving students' endurance quality may facilitate the prevention of elevated blood pressure.
分析中国13 - 18岁汉族学生耐力素质与血压水平之间的关联。我们使用了2014年中国国家学生体质与健康调研中13 - 18岁汉族学生的数据。根据7 - 18岁儿童青少年高血压筛查参考标准，评估高血压及其组成部分，包括单纯收缩压升高、单纯舒张压升高和混合性高血压。学生的耐力素质按照《国家学生体质健康标准（2014年修订）》进行评分，并根据百分位数分为以下四组： - 、 - 、 - 和 - 。采用趋势（2）检验分析不同耐力素质组高血压及其组成部分检出率的趋势。使用逻辑回归模型估计不同耐力素质组高血压及其组成部分的比值比（），并将 - 组设为参照组。采用分位数回归模型分析不同血压水平与耐力素质之间的关联。2014年中国13 - 18岁学生高血压检出率为9.2%。高血压及其组成部分的检出率随着耐力素质的提高而降低（<0.001）。以 - 耐力素质组为参照， - 、 - 和 - 耐力素质组的（95）分别为0.89（0.84 - 0.95）、0.81（0.76 - 0.86）和0.79（0.74 - 0.84）。超重、肥胖和正常学生的耐力素质与高血压之间存在负相关，但营养不良学生不存在这种相关性。分位数回归分析结果显示，在超重和肥胖学生中，、、、、和组的收缩压水平与耐力素质呈负相关，且及以上组的舒张压水平与耐力素质呈负相关。在营养不良和正常学生中，只有部分舒张压水平与耐力素质呈负相关。中国13 - 18岁汉族学生的耐力素质与高血压之间存在负相关。在超重和肥胖学生中，耐力素质与血压水平之间的关联更强。提高学生的耐力素质可能有助于预防高血压。
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