Zheng Lijuan, Xiang Weiwei, Zheng Rui, Min Xinwen, Dai Li, Chen Jun, Lu Juanjuan, Wang Yujue, Liu Xiang, Wu Wenwen, Xu Hao
Sinopharm Dongfeng General Hospital (Hubei Clinical Research Center of Hypertension), School of Public Health, Hubei University of Medicine, Shiyan, Hubei, China.
Shiyan Aier Eye Hospital, Aier Eye Hospital Group, Shiyan, Hubei, China.
BMJ Open. 2025 Sep 22;15(9):e099250. doi: 10.1136/bmjopen-2025-099250.
This study aims to examine the prevalence of elevated blood pressure (BP) among adolescents aged 13-17 years in Shiyan city, Hubei province, China. Additionally, it analyses the distribution characteristics and potential factors influencing elevated BP, providing a scientific foundation for the prevention and management of hypertension in adolescents.
Cross-sectional study.
A total of 11 schools in central China.
From October 2023 to January 2024, a cross-sectional study involving 8534 students aged 13-17 years from 11 schools in central China was conducted. Convenience sampling was used to select participants, and data were collected through questionnaires and medical physical examinations.
This study used physiological measurement to assess BP levels, while questionnaire surveys and anthropometric measurements were employed to identify associated factors.
The overall detection rate of elevated BP was 22.7% (20.2% for boys and 25.6% for girls). Increased body mass index (BMI) (OR: 1.026, 95% CI: 1.003 to 1.048), neck circumference (OR: 1.099, 95% CI: 1.073 to 1.126) and chest circumference (OR: 1.015, 95% CI: 1.007 to 1.023) were associated with an increased risk of elevated BP. Conversely, longer screen time was linked to a lower risk of elevated BP (OR: 0.961, 95% CI: 0.942 to 0.98). Girls (OR: 1.592, 95% CI: 1.419 to 1.787) were at higher risk than boys. Additionally, not consuming meat or poultry (OR: 2.029, 95% CI: 1.171 to 3.514) was identified as a risk factor for elevated BP.
The distribution of elevated BP among adolescents exhibited population heterogeneity. Elevated BP was found to be associated with higher BMI, neck circumference and chest circumference, as well as the absence of meat consumption. Additionally, targeted attention to girls is essential for preventing elevated BP.
本研究旨在调查中国湖北省十堰市13 - 17岁青少年高血压的患病率。此外，分析高血压的分布特征及影响因素，为青少年高血压的预防和管理提供科学依据。
横断面研究。
中国中部共11所学校。
2023年10月至2024年1月，对中国中部11所学校的8534名13 - 17岁学生进行了横断面研究。采用便利抽样选择参与者，并通过问卷调查和医学体格检查收集数据。
本研究采用生理测量评估血压水平，同时通过问卷调查和人体测量确定相关因素。
高血压的总体检出率为22.7%（男孩为20.2%，女孩为25.6%）。体重指数（BMI）升高（比值比：1.026，95%置信区间：1.003至1.048）、颈围（比值比：1.099，95%置信区间：1.073至1.126）和胸围（比值比：1.015，95%置信区间：1.007至1.023）与高血压风险增加相关。相反，屏幕使用时间较长与高血压风险较低相关（比值比：0.961，95%置信区间：0.942至0.98）。女孩（比值比：1.592，95%置信区间：1.419至1.787）比男孩风险更高。此外，不吃肉或家禽（比值比：2.029，95%置信区间：1.171至3.514）被确定为高血压的一个风险因素。
青少年高血压的分布存在人群异质性。高血压与较高的BMI、颈围和胸围以及不吃肉有关。此外，针对性地关注女孩对预防高血压至关重要。
