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[青少年动脉血压与其他心血管危险因素之间的关联]

[Association between arterial pressure and other cardiovascular risk factors in adolescence].

作者信息

Radice M, Alberti D, Alli C, Avanzini F, Decarli A, Di Tullio M, Mariotti G, Taioli E, Zussino A

出版信息

G Ital Cardiol. 1985 Jan;15(1):45-53.

PMID:4007352
Abstract

A screening for hypertension and other cardiovascular risk factors was carried out during 1981 in a population of 1142 subjects (675 males and 467 females) aged 14-18 years. Aim of the study was to analyze the distribution of blood pressure values and of variables possibly associated with hypertension in a population of adolescents. The mean value of systolic blood pressure was higher in males than in females, slightly increasing with age in males and decreasing in females. The diastolic blood pressure was similar, and increased with age in both sexes. The prevalence of individuals with systolic blood pressure greater than or equal to 140 mmHg resulted of 16.1% in males and of 5.6% in females; the prevalence of adolescents with diastolic blood pressure greater than or equal to 90 mmHg was much lower, being of 2.5% and 1.5% respectively. The average value of heart rate was higher in females and decreased with age in both sexes. Males showed significantly greater height and weight, but the body mass index was nearly equal in the two sexes; females had thicker skinfolds. All these variables only in males were clearly associated with age. Among anamnestic variables, only smoking habits, alcohol consumption and physical activity were significantly different in the two sexes. A positive family history for hypertension was present in 31.4% of the adolescents in whom an objective assessment was possible. In both sexes the systolic blood pressure appeared significantly related to heart rate, body weight, body mass index and skinfold thickness.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1981年,对1142名年龄在14至18岁之间的受试者(675名男性和467名女性)进行了高血压及其他心血管危险因素筛查。该研究旨在分析青少年人群中血压值及可能与高血压相关的变量的分布情况。男性收缩压的平均值高于女性,男性随年龄略有上升,女性则下降。舒张压情况类似,且两性均随年龄增加。收缩压大于或等于140 mmHg的个体患病率男性为16.1%,女性为5.6%;舒张压大于或等于90 mmHg的青少年患病率则低得多,分别为2.5%和1.5%。女性心率平均值较高,且两性均随年龄下降。男性身高和体重明显更高,但两性的体重指数几乎相等;女性皮褶更厚。所有这些变量仅在男性中与年龄有明显关联。在既往史变量中,只有吸烟习惯、饮酒量和体育活动在两性中有显著差异。在可以进行客观评估的青少年中,31.4%有高血压家族史阳性。在两性中,收缩压均与心率、体重、体重指数和皮褶厚度显著相关。(摘要截选至250词)

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