Geng Y, Zhang Q, Zhang Y Q, Yang L L, Zhao M, Xi B
Department of Epidemiology, School of Public Health, Cheeloo College of Medecine, Shandong University/Children Cardiovascular Research Center of Shandong University, Ji'nan 250012, China.
Department of Food Nutrition and Child Health Care, Zibo Center for Diseases Prevention and Control, Zibo 255026, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 May 6;55(5):667-671. doi: 10.3760/cma.j.cn112150-20200610-00854.
To examine the relationship between parental education level and left ventricular hypertrophy (LVH) in children. The data comes from the baseline survey of the Huantai Childhood Cardiovascular Health Cohort Study (HCCH) conducted in Huantai County, Zibo City, Shandong Province. A convenient cluster sampling method was used to select a primary school in Huantai County, Zibo City, Shandong Province as a survey point. A cross-sectional survey was conducted from November 2017 to January 2018. A total of 1 316 children aged 6-11 years with complete data were included. LVH was defined as left ventricular mass index ≥ sex-and age-specific 90th percentile values of this population. Education levels of both parents were divided into junior high school or lower, high school, university or higher, respectively. Logistic regression models were used to analyze the association between parental education level and LVH in children. The age of 1 316 participants was (8.9±1.5) years old. Among them, there were 703 boys (53.4%).After adjusting for gender, age, intake of vegetables and fruits, intake of carbonated drinks, physical activity, sleep time, screen time, overweight or obesity, and occasional hypertension, the logistic regression model results show that compared with those children whose parents' education level is junior high school or below, paternal or maternal education level of college or higher was associated with odds of LVH (father: =0.53, 95%: 0.33-0.87; mother: =0.52, 95%: 0.32-0.87; father/mother: =0.54,95%: 0.32-0.91). Parental education level is inversely associated with LVH in childhood. The probability of LVH in childhood decreases with the increase of parental education levels.
探讨儿童父母教育水平与左心室肥厚（LVH）之间的关系。数据来自山东省淄博市桓台县开展的桓台儿童心血管健康队列研究（HCCH）的基线调查。采用方便整群抽样方法，选取山东省淄博市桓台县的一所小学作为调查点。于2017年11月至2018年1月进行横断面调查。共纳入1316名6-11岁数据完整的儿童。LVH定义为左心室质量指数≥该人群按性别和年龄划分的第90百分位数。父母双方的教育水平分别分为初中及以下、高中、大学及以上。采用逻辑回归模型分析儿童父母教育水平与LVH之间的关联。1316名参与者的年龄为（8.9±1.5）岁。其中，男孩703名（53.4%）。在调整了性别、年龄、蔬菜水果摄入量、碳酸饮料摄入量、身体活动、睡眠时间、屏幕时间、超重或肥胖以及偶发性高血压后，逻辑回归模型结果显示，与父母教育水平为初中及以下的儿童相比，父亲或母亲教育水平为大学及以上与LVH的发生几率相关（父亲：=0.53，95%：0.33-0.87；母亲：=0.52，95%：0.32-0.87；父亲/母亲：=0.54，95%：0.32-0.91）。儿童期父母教育水平与LVH呈负相关。儿童期LVH的概率随父母教育水平的提高而降低。
