School of Medicine, Kunming University, Kunming, China.
Community Nursing Research Team of Kunming University, Kunming, China.
Blood Press. 2023 Dec;32(1):2243337. doi: 10.1080/08037051.2023.2243337.
Previous studies have indicated that the prevalence rate of hypertension in adolescents is high, but it has not received much attention and the influencing factors are unclear, especially in Yunnan Province, China.
A cluster sampling method was used to investigate 4781 freshmen in a college in Kunming, Yunnan Province from November to December. Demographic and lifestyle data were collected using questionnaires, and height, weight and blood pressure were measured. Decision tree model of hypertension in college students was established by Chi-square automatic interactive detection method.
Prevalence of prehypertension of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were detected in 33.9% and 32.1%, respectively. Prevalence of hypertension of SBP and DBP was detected in 1.2% and 7.2%, respectively. The hypertension and prehypertension decision tree of SBP has gender ( = 728.64, .001) at the first level and body mass index (BMI) (boys: = 55.98, .001; girls: = 79.58, .001) at the second level. The hypertension and prehypertension decision tree of DBP has gender ( = 381.83, .001) at the first level, BMI (boys: = 40.54, .001; girls: = 48.79, .001) at the second level, only children ( = 6.43, .04) and red wine consumption ( = 8.17, .017) at the third level.
The present study suggests that gender, BMI, only children and red wine consumption were the main factors affecting hypertension in college students in southwest border areas of China.
先前的研究表明,青少年高血压的患病率较高,但并未得到太多关注,其影响因素也不清楚,特别是在中国云南省。
采用整群抽样的方法,于 2019 年 11 月至 12 月,对云南省昆明市某高校 4781 名大学新生进行问卷调查和体格检查,收集学生的人口学和生活方式资料,测量身高、体质量和血压。采用卡方自动交互检测法构建大学生高血压的决策树模型。
检出收缩压(SBP)和舒张压(DBP)的单纯性高血压前期分别为 33.9%和 32.1%,检出 SBP 和 DBP 的高血压分别为 1.2%和 7.2%。SBP 的高血压和高血压前期决策树在第一级有性别(X2=728.64,P<.001),第二级有体质指数(男生:X2=55.98,P<.001;女生:X2=79.58,P<.001)。DBP 的高血压和高血压前期决策树在第一级有性别(X2=381.83,P<.001),第二级有体质指数(男生:X2=40.54,P<.001;女生:X2=48.79,P<.001),第三级有独生子女(X2=6.43,P=.04)和红酒消费(X2=8.17,P=.017)。
本研究表明,性别、体质指数、是否为独生子女和红酒消费是影响我国西南边境地区大学生高血压的主要因素。