肥胖、血压和眼内压：意大利儿童的横断面研究。
Obesity, Blood Pressure, and Intraocular Pressure: A Cross-Sectional Study in Italian Children.
机构信息
Department of Health Sciences, University "Magna Græcia" of Catanzaro, Catanzaro, Italy.
Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza, Italy.
出版信息
Obes Facts. 2021;14(2):169-177. doi: 10.1159/000514096. Epub 2021 Apr 1.
INTRODUCTION
Several studies in the adult population have shown that obesity is an independent risk factor for elevated intraocular pressure (IOP), whereas data in the paediatric population are sparse and controversial. The purpose of the present study is to investigate the relationship between body mass index (BMI), blood pressure (BP), and IOP in healthy school children.
METHODS
The survey was conducted among a random sample of 8-year-old Italian students. Data were collected on their health status and behaviours related to obesity (physical activity, food and drinking habits, etc.). Physical examinations, conducted at school, included measurements of height, weight, BP, and IOP.
RESULTS
Five hundred and seventy-six subjects were recruited (92.8% response rate); 42.4% were overweight or obese, 58.9% consumed inadequate daily servings of fruit and vegetables, and 87.5% were involved in sedentary activities. Elevated BP/hypertension (HTN) affected 3.6% and high IOP was revealed in 12.5% of the children. In the multivariate analysis, elevated BP/HTN was the only significant determinant of ocular HTN (OR 5.36, 95% CI 1.95-14.73, p = 0.001).
CONCLUSIONS
Our results show that high IOP affects 12.5% of 8-year-old school children and appears to be associated with high BP related to a high BMI.
引言
多项针对成年人的研究表明，肥胖是导致眼内压（IOP）升高的独立危险因素，而儿童人群的数据则较为匮乏且存在争议。本研究旨在探讨健康学龄儿童的体重指数（BMI）、血压（BP）和 IOP 之间的关系。
方法
该调查在意大利随机抽取 8 岁学生作为研究对象。收集了与肥胖相关的健康状况和行为数据（如体育活动、饮食和饮水习惯等）。在学校进行的体格检查包括身高、体重、BP 和 IOP 的测量。
结果
共招募了 576 名受试者（应答率为 92.8%）；42.4%的儿童超重或肥胖，58.9%的儿童每日水果和蔬菜摄入量不足，87.5%的儿童参与静坐活动。3.6%的儿童血压升高/高血压（HTN），12.5%的儿童眼压升高。多变量分析显示，血压升高/HTN 是眼部 HTN 的唯一显著决定因素（OR 5.36，95%CI 1.95-14.73，p = 0.001）。
结论
我们的研究结果表明，12.5%的 8 岁学龄儿童眼压升高，且似乎与 BMI 相关的高 BP 有关。
Zotero 插件