發(fā)布時(shí)間：2018-05-17 08:11

  本文選題：肥胖癥 + 血壓　； 參考：《中國(guó)學(xué)校衛(wèi)生》2017年08期

【摘要】：目的分析2014年廣州市中小學(xué)生超重肥胖、單純腹型肥胖、復(fù)合型肥胖與血壓之間的關(guān)聯(lián)性,旨在為高血壓的預(yù)防和干預(yù)提供依據(jù)。方法選擇廣州市11個(gè)區(qū)的15所小學(xué)和15所中學(xué)的13 004名7~18歲在校學(xué)生為研究對(duì)象,采用協(xié)方差分析以及多因素Logistic回歸模型,分析兒童青少年肥胖類型與血壓水平[收縮壓(systolic blood pressure,SBP)、舒張壓(diastolic blood pressure,DBP)]及血壓偏高率之間的關(guān)系。結(jié)果協(xié)方差分析顯示,男生和女生中不同肥胖類型學(xué)生間SBP和DBP平均水平差異均有統(tǒng)計(jì)學(xué)意義(P值均0.01)。在男生中,超重肥胖、復(fù)合型肥胖的SBP、DBP水平均高于正常體重學(xué)生(P值均0.01);女生中,血壓水平在不同類型肥胖的變化趨勢(shì)大體為復(fù)合型肥胖腹型肥胖超重肥胖正常體重。Logistic回歸分析顯示,男生和女生的復(fù)合型肥胖與血壓偏高風(fēng)險(xiǎn)的關(guān)聯(lián)性最強(qiáng)(男生:OR=4.40,95%CI=3.61~5.36;女生:OR=5.25,95%CI=4.16~6.64)。在男生中,超重肥胖者的血壓偏高風(fēng)險(xiǎn)亦高于正常體重者(OR=2.68,95%CI=1.31~5.49),但腹型肥胖者與血壓偏高之間未見統(tǒng)計(jì)學(xué)關(guān)聯(lián)。女生中,腹型肥胖和超重肥胖與血壓偏高的關(guān)聯(lián)均無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論肥胖是引起兒童青少年血壓升高的重要危險(xiǎn)因素。其中復(fù)合型肥胖學(xué)生中引起血壓升高的風(fēng)險(xiǎn)最高,其次是超重肥胖或腹型肥胖。
[Abstract]:Objective to analyze the correlation between overweight obesity, simple abdominal obesity, complex obesity and blood pressure among primary and middle school students in Guangzhou in 2014, in order to provide evidence for prevention and intervention of hypertension. Methods 13 004 students aged 718 years from 15 primary schools and 15 middle schools in 11 districts of Guangzhou were selected as subjects. Covariance analysis and multivariate Logistic regression model were used. To analyze the relationship between obesity type and blood pressure (SBP), systolic blood pressure (SBP), diastolic blood pressure (DBP) and high blood pressure (BP) in children and adolescents. Results the results of covariance analysis showed that there were significant differences in the average levels of SBP and DBP between boys and girls with different obesity types (P = 0.01). In male students, the levels of SBP and DBP in overweight and complex obesity students were higher than those in normal weight students (P < 0.01), while in female students, the levels of SBP were higher than those of normal weight students (P < 0.01). The trend of blood pressure level in different types of obesity was: compound obesity, abdominal obesity, normal body weight. Logistic regression analysis showed that there was the strongest correlation between compound obesity and high risk of blood pressure in boys and girls (male students: 4. 40 + 95 CI 3.61 / 5.36; female students: 1 / 5. 25 + 95% CI 4.166.64). The risk of high blood pressure in overweight and obese men was also higher than that in normal weight subjects, but there was no statistical correlation between abdominal obesity and high blood pressure. There was no significant correlation between abdominal obesity and overweight and high blood pressure in female students. Conclusion Obesity is an important risk factor for high blood pressure in children and adolescents. The risk of elevated blood pressure was highest among the obese students, followed by overweight or abdominal obesity.
【作者單位】： 廣東省廣州市中小學(xué)衛(wèi)生健康促進(jìn)中心;廣東藥科大學(xué)公共衛(wèi)生學(xué)院;
【分類號(hào)】：R725.4

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