Yang Qingmei, Ma Ping, Dong Yangyang, Cai Rongrong, Ding Wenqing
School of Public Health and Management, Ningxia Medical University, Yinchuan 750004, China.
Wei Sheng Yan Jiu. 2021 May;50(3):454-459. doi: 10.19813/j.cnki.weishengyanjiu.2021.03.018.
To understand the prevalence of cardiovascular metabolic risk factors among 12-18 years old children and adolescents in Yinchuan City.
A survey was conducted among 12-18 years old middle school students in Yinchuan from September 2017 to September 2019. A total of 1956 subjects were collected by using convenient sampling method, with an average age of(14. 4±1. 4) years. Boys and girls accounted for 52. 1% and 47. 9%, respectively, The Han and Hui nationalities accounted for 77. 7% and 16. 4%, respectively. Basic data such as age and gender were collected through questionnaire survey, and physical examination was used to measure height, weight, waist circumference and blood pressure. Fasting blood glucose, triglyceride(TG), total cholesterol(TC), high density lipoprotein cholesterol(HDL-C) and low density lipoprotein cholesterol(LDL-C) were measured by laboratory blood pressure biochemistry.
The detection rates of obesity, abdominal obesity, hypertension, hyperglycemia, high TG, high LDL-C, low HDL-C, high LDL-C and dyslipidemia among 12-and 18-year-olds in Yinchuan City were 8. 3%, 17. 9%, 12. 4%, 1. 9%, 13. 2%, 2. 4%, 18. 6%, 1. 9% and 30. 1%, respectively. The detection rates of obesity, hyperglycemia, low HDL-C, high TG and dyslipidemia in boys were significantly higher than those in girls. Obesity, abdominal obesity and hypertension in 12-15-year-old group were higher than those in 16-18-year-old group, and the detection rates of high TC, low HDL-C, high LDL-C and dyslipidemia were lower than those in 16-18-year-old group(P& lt; 0. 05). The prevalence of cardiovascular risk factors in different age groups of boys and girls were compared. The detection rates of obesity, abdominal obesity and hypertension in the 12-15 age group were higher than those in the 16-18 age group, while the rates of high TG, low HDL-C, high LDL-C and dyslipidemia were higher in the 12-15 age group, but these differences were only significant in boys. Among girls, the detection rate of high TC and high LDL-C was higher in the age group of 12 to 15 years old(P& lt; 0. 05). The detection rate of metabolic syndrome in 12-18-year-old adolescents was 7. 9%. The detection rate of metabolic syndrome in boys(10. 1%) was higher than that in girls(5. 5%). The detection rates of metabolic syndrome in 12-15 years old and 16-18 years old were 9. 1% and 4. 9% respectively, and the differences were statistically significant(P& lt; 0. 05).
The prevalence of cardiovascular metabolic risk factors in 12-18 years old adolescents in Yinchuan City is at a high level, boys are higher than girls, and the prevalence of obesity, abdominal obesity and hypertension are higher in 12-15 years old group. Dyslipidemia varies greatly in different gender and age groups.
了解银川市12 - 18岁儿童青少年心血管代谢危险因素的流行情况。
于2017年9月至2019年9月对银川市12 - 18岁中学生进行调查。采用方便抽样法共收集1956名研究对象,平均年龄为(14.4±1.4)岁。男生和女生分别占52.1%和47.9%,汉族和回族分别占77.7%和16.4%。通过问卷调查收集年龄、性别等基础数据,并通过体格检查测量身高、体重、腰围和血压。采用实验室生化检测法测定空腹血糖、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL - C)和低密度脂蛋白胆固醇(LDL - C)。
银川市12 - 18岁人群中肥胖、腹型肥胖、高血压、高血糖、高TG、高LDL - C、低HDL - C、高低密度脂蛋白血症和血脂异常的检出率分别为8.3%、17.9%、12.4%、1.9%、13.2%、2.4%、18.6%、1.9%和30.1%。男生肥胖、高血糖、低HDL - C、高TG和血脂异常的检出率显著高于女生。12 - 15岁组肥胖、腹型肥胖和高血压的检出率高于16 - 18岁组,而高TC、低HDL - C、高LDL - C和血脂异常的检出率低于16 - 18岁组(P<0.05)。比较不同年龄组男女生心血管危险因素的流行情况。12 - 15岁组肥胖、腹型肥胖和高血压的检出率高于16 - 18岁组,而高TG、低HDL - C、高LDL - C和血脂异常的发生率在12 - 15岁组较高,但这些差异仅在男生中具有统计学意义。在女生中,12至15岁年龄组高TC和高LDL - C的检出率较高(P<0.05)。12 - 18岁青少年代谢综合征的检出率为7.9%。男生代谢综合征的检出率(10.1%)高于女生(5.5%)。12 - 15岁和16 - 18岁代谢综合征的检出率分别为9.1%和4.9%,差异具有统计学意义(P<0.05)。
银川市12 - 18岁青少年心血管代谢危险因素的流行处于较高水平,男生高于女生,12 - 15岁组肥胖、腹型肥胖和高血压的患病率较高。血脂异常在不同性别和年龄组中差异较大。