乌鲁木齐市儿童青少年血压状况分析
|
摘要
目的了解乌鲁木齐市儿童青少年血压与体重指数(BMI)的相关性,为该地区儿童青少年血压偏高的预防提供依据。方法 2016年9-10月本着方便抽样的原则在乌鲁木齐市分别选取15所高中、初中和小学的41 028名儿童青少年,进行身高、体重和血压的测试,并对结果进行分析。结果乌鲁木齐市儿童青少年血压偏高检出率为12.75%,男生(13.77%)高于女生(10.92%),差异有统计学意义(χ~2=75.31,P<0.01)。儿童青少年肥胖和超重的学生高收缩压、高舒张压、血压偏高的检出率均高于正常组学生,差异有统计学意义(χ~2=758.8、114.2、623.0,P<0.01)。结论乌鲁木齐市儿童青少年的血压状况不容乐观,超重肥胖是导致儿童青少年血压偏高的主要原因,今后应对超重肥胖儿童青少年的血压引起足够重视和关注。
Objective To understand the correlation between blood pressure(BP) and body mass index(BMI) of children and adolescents in Urumqi,so as to provide support for the prevention of hypertension in children and adolescents in this area. Methods A total of 41 028 children and adolescents from 15 high school,junior high school and primary school were selected based on the principle of convenient sampling in Urumqi City from September to October in 2016.The height,weight and blood pressure were tested and analyzed. Results The detection rate of hypertension among children and adolescents in Urumqi City was 12.75%,and boys had significantly higher hypertension rate than girls(13.77% vs.10.92%,χ~2=75.31,P<0.01).Moreover,the detection rates of high systolic blood pressure,high diastolic blood pressure and hypertension in children and adolescents with obesity and overweight were higher than those in normal students,and the differences were significant(χ~2=758.8,114.2,623.0,P<0.01). Conclusions The blood pressure of children and adolescents in Urumqi is not optimistic.Overweight and obesity are the main causes of hypertension in children and adolescents.In the future,the blood pressure of overweight and obese children should be given more concerns.
Objective To understand the correlation between blood pressure(BP) and body mass index(BMI) of children and adolescents in Urumqi,so as to provide support for the prevention of hypertension in children and adolescents in this area. Methods A total of 41 028 children and adolescents from 15 high school,junior high school and primary school were selected based on the principle of convenient sampling in Urumqi City from September to October in 2016.The height,weight and blood pressure were tested and analyzed. Results The detection rate of hypertension among children and adolescents in Urumqi City was 12.75%,and boys had significantly higher hypertension rate than girls(13.77% vs.10.92%,χ~2=75.31,P<0.01).Moreover,the detection rates of high systolic blood pressure,high diastolic blood pressure and hypertension in children and adolescents with obesity and overweight were higher than those in normal students,and the differences were significant(χ~2=758.8,114.2,623.0,P<0.01). Conclusions The blood pressure of children and adolescents in Urumqi is not optimistic.Overweight and obesity are the main causes of hypertension in children and adolescents.In the future,the blood pressure of overweight and obese children should be given more concerns.
引文
[1] 周应秋,陈丽星,黄橙.青少年儿童高血压危险因素及流行现状[J].当代医学,2018,24(7):182-184.
[2] 母昌垒,张艳,刘晓强,等.我国儿童青少年高血压流行病学及影响因素研究进展[J].中华高血压杂志,2018,26(1):20-24.
[3] WHO.World Health Day 2013:control your blood pressure[EB/OL].[2017-07-14].http://wwwwhoint/campaigns/world-health-day/2013/en/.
[4] 田朝霞,李红梅,敖炼.青少年高血压病人治疗依从性现状及影响因素[J].全科护理,2017,15(25):3170-3171.
[5] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2016》概要[J].中国循环杂志,2017,32(6):521-530.
[6] Xi B,liang Y,Mi J.Hypertension trends in Chinese children in the national surveys,1993 to 2009[J].Int J Cardiol,2013,165(3):577-579.
[7] 糜群.谈超重,肥胖和高血压的关系[J].实用临床护理学杂志:电子版,2017,2(48):177.
[8] 教育部体育卫生与艺术教育司,全国学生体质与健康调研组.2014 年全国学生体质与健康调研工作手册[M].北京:全国学生体质与调研组,2014:17-24,41-48.
[9] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[10] 李辉,季成叶,宗心南,等.中国10～18 岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[11] 中国人民共和国国家卫生和计划生育委员会.学龄儿童青少年营养不良筛查 WS/T 456-2014[S].2014-12-15.
[12] 米杰,王天有,孟玲慧,等.中国儿童青少年血压参照标准的研究制定[J].中国循证儿科杂志,2010,5(1):4-14.
[13] 张积宁,杨传华,杨洁.不良生活方式引发青年高血压的机制及中医防治[J].辽宁中医杂志,2018,45(2):283-284.
[14] 狄红杰,刘超.肥胖相关性高血压的研究进展[J].实用老年医学,2017,31(6):510-512.
[15] 刘洋,旷满华,刘也,等.中国儿童青少年高血压患病率的Meta分析[J].中国儿童保健,2017,25(1):59-63.
[16] 孙云芬,郑志军,王绣娜,等.唐山市中小学生体质量指数与血压关系分析[J].中国学校卫生,2014,35(12):1894-1895.
[17] 汪燕妮.兰州市7～15岁学生高血压流行病学调查[J].中国学校卫生,2014,35(8):1201-1203.
[18] 陈穗,郭晓英,黄瑞文,等.青少年体质量指数与血压的相关性分析[J].中国校医,2016,30(9):713-714.
[2] 母昌垒,张艳,刘晓强,等.我国儿童青少年高血压流行病学及影响因素研究进展[J].中华高血压杂志,2018,26(1):20-24.
[3] WHO.World Health Day 2013:control your blood pressure[EB/OL].[2017-07-14].http://wwwwhoint/campaigns/world-health-day/2013/en/.
[4] 田朝霞,李红梅,敖炼.青少年高血压病人治疗依从性现状及影响因素[J].全科护理,2017,15(25):3170-3171.
[5] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2016》概要[J].中国循环杂志,2017,32(6):521-530.
[6] Xi B,liang Y,Mi J.Hypertension trends in Chinese children in the national surveys,1993 to 2009[J].Int J Cardiol,2013,165(3):577-579.
[7] 糜群.谈超重,肥胖和高血压的关系[J].实用临床护理学杂志:电子版,2017,2(48):177.
[8] 教育部体育卫生与艺术教育司,全国学生体质与健康调研组.2014 年全国学生体质与健康调研工作手册[M].北京:全国学生体质与调研组,2014:17-24,41-48.
[9] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[10] 李辉,季成叶,宗心南,等.中国10～18 岁儿童、青少年体块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[11] 中国人民共和国国家卫生和计划生育委员会.学龄儿童青少年营养不良筛查 WS/T 456-2014[S].2014-12-15.
[12] 米杰,王天有,孟玲慧,等.中国儿童青少年血压参照标准的研究制定[J].中国循证儿科杂志,2010,5(1):4-14.
[13] 张积宁,杨传华,杨洁.不良生活方式引发青年高血压的机制及中医防治[J].辽宁中医杂志,2018,45(2):283-284.
[14] 狄红杰,刘超.肥胖相关性高血压的研究进展[J].实用老年医学,2017,31(6):510-512.
[15] 刘洋,旷满华,刘也,等.中国儿童青少年高血压患病率的Meta分析[J].中国儿童保健,2017,25(1):59-63.
[16] 孙云芬,郑志军,王绣娜,等.唐山市中小学生体质量指数与血压关系分析[J].中国学校卫生,2014,35(12):1894-1895.
[17] 汪燕妮.兰州市7～15岁学生高血压流行病学调查[J].中国学校卫生,2014,35(8):1201-1203.
[18] 陈穗,郭晓英,黄瑞文,等.青少年体质量指数与血压的相关性分析[J].中国校医,2016,30(9):713-714.