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目的了解6~12岁儿童高血压检出率,探讨体质指数(BMI)对高血压的影响。方法测量成都市2462名6~12岁小学生的血压、身高和体重,按BMI将受检对象分为正常、超重和肥胖组,分析比较各组血压的差异及血压与BMI的关系。结果在校学生中高血压总检出率7.27%(179/2462),其中男生95名,检出率为7.84%,女生84名,检出率为6.70%;高血压检出率在肥胖、超重和正常组学分别为24.37%(40/165)、14.11%(42/298)和,4.85%(97/1999),肥胖组>超重组>体重正常组(P<0.01,P<0.05);SBP和DBP值都是肥胖组>超重组>体重正常组(P<0.001);偏相关分析:BMI与SBP和DBP呈正相关(r分别为0.3145、0.2932,P<0.01)。结论儿童血压与年龄、BMI呈正相关,超重和肥胖者高血压危险性明显增加,提示防治儿童超重和肥胖是预防高血压的重要措施。
Objective To investigate the prevalence of hypertension in children aged 6 ~ 12 and to explore the impact of body mass index (BMI) on hypertension. Methods The blood pressure, height and weight of 2462 pupils aged 6-12 years in Chengdu were measured. According to BMI, subjects were divided into normal, overweight and obesity groups. The differences of blood pressure and the relationship between blood pressure and BMI were analyzed. Results The total detection rate of hypertension was 7.27% (179/2462) in school students, of which 95 were male, the detection rate was 7.84%, 84 girls, the detection rate was 6.70%; the detection rate of high blood pressure in obesity, overweight And normal group were 24.37% (40/165), 14.11% (42/298) and 4.85% (97/1999) respectively, while obesity group> overweight group> normal weight group (P <0.01, P <0.05). SBP and DBP values were obese> overweight> normal weight (P <0.001). Partial correlation analysis showed that BMI was positively correlated with SBP and DBP (r = 0.3145,0.2932, P <0.01). Conclusions Children’s blood pressure is positively correlated with age and BMI. The risk of hypertension in overweight and obesity patients is significantly increased, suggesting that prevention and treatment of overweight and obesity in children is an important measure to prevent hypertension.