Department of Nutrition and Food Hygiene, School of Public Health, Shenyang Medical College, Shenyang, China.
Office, Panjin Center for Disease Control and Prevention, Panjin, Liaoning Province, China.
Medicine (Baltimore). 2023 Oct 20;102(42):e35644. doi: 10.1097/MD.0000000000035644.
To understand the prevalence of hypertension among Chinese college students over the past decade (2010-2020) and predict its future trend, we aim to provide a basis for preventing and controlling hypertension among college students.
Databases such as Chinese National Knowledge Infrastructure, Wanfang database, PubMed, and Web of Science were searched, and publications on the prevalence of hypertension among Chinese college students from 2010 to 2020 were collected. Search for publications in both Chinese and English databases using keywords "hypertension," "prevalence," "disease status," "cross-sectional survey," "epidemiology," "China," "adolescents," and "college students." Publication screening, data extraction, and quality assessment were independently conducted by 2 researchers. Meta-analysis was performed using Stata 16, and trends in the prevalence of hypertension among college students were analyzed using R 4.2.0.
A total of 37 publications were included in this analysis, which involved 233,603 Chinese college students. The Meta-analysis results showed significant heterogeneity among the studies (I2 = 98.9%, P < .05). Using a random-effects model, the overall prevalence of hypertension among college students was estimated to be 3.3% (95% CI = 2.9%-3.6%), with a higher prevalence among male students (6.2%, 95% CI = 5.4%-7.1%) than female students (1.1%, 95% CI = 0.9%-1.3%). The prevalence of hypertension is notably higher in northern regions than in southern regions. The prevalence of hypertension among college students showed an increasing trend from 2010 to 2020. Trend analysis predicted that the prevalence of hypertension among college students will reach 10% and 14.6% by 2030 and 2040, respectively. The risk of hypertension in male students was 4.63 times higher than that of female students (95% CI = 2.97-7.23). Compared normal weight students, overweight and obese students had 3.08 times (95% CI = 2.48-3.82) and 6.69 times (95% CI = 2.25-19.90) higher risk of hypertension, respectively.
The prevalence of hypertension in Chinese college students was about 3.3%. The prevalence of hypertension in male college students was higher than that in females, and the prevalence in northern regions was generally higher than that in southern regions. The prevalence of hypertension among Chinese college students will reach 10.0% in the next 10 years and 14.6% in the next 20 years. Male and BMI ≥ 24 were risk factors for hypertension among college students.
为了解过去十年（2010-2020 年）中国大学生高血压的流行情况，并预测其未来趋势，我们旨在为大学生高血压的预防和控制提供依据。
检索中国知网、万方数据库、PubMed 和 Web of Science 等数据库，收集 2010 年至 2020 年期间中国大学生高血压患病率的相关文献。中文和英文数据库均使用“高血压、患病率、疾病状况、横断面调查、流行病学、中国、青少年、大学生”等关键词进行检索。由 2 名研究人员独立进行文献筛选、数据提取和质量评估。使用 Stata 16 进行 Meta 分析，使用 R 4.2.0 分析大学生高血压患病率的变化趋势。
本研究共纳入 37 篇文献，涉及 233603 名中国大学生。Meta 分析结果显示，研究之间存在显著异质性（I2=98.9%，P<.05）。采用随机效应模型，估计大学生高血压的总体患病率为 3.3%（95%CI=2.9%-3.6%），其中男生（6.2%，95%CI=5.4%-7.1%）高于女生（1.1%，95%CI=0.9%-1.3%）。北方地区大学生高血压患病率显著高于南方地区。2010 年至 2020 年，大学生高血压患病率呈上升趋势。趋势分析预测，到 2030 年和 2040 年，大学生高血压患病率将分别达到 10%和 14.6%。与女性学生相比，男生患高血压的风险是女性的 4.63 倍（95%CI=2.97-7.23）。与体重正常的学生相比，超重和肥胖的学生患高血压的风险分别升高 3.08 倍（95%CI=2.48-3.82）和 6.69 倍（95%CI=2.25-19.90）。
中国大学生高血压患病率约为 3.3%。男生大学生高血压患病率高于女生，北方地区普遍高于南方地区。未来 10 年，中国大学生高血压患病率将达到 10.0%，20 年将达到 14.6%。男性和 BMI≥24 是大学生高血压的危险因素。
