本文選題：人體測(cè)量學(xué)　切入點(diǎn)：血壓　出處：《華中科技大學(xué)》2013年碩士論文

【摘要】：目的 探討湖北省中小學(xué)生人體測(cè)量學(xué)指標(biāo)的發(fā)育狀況及其與血壓水平的關(guān)系，為制定必要的高血壓篩查標(biāo)準(zhǔn)提供依據(jù)。 方法 以2010年湖北省學(xué)生體質(zhì)健康調(diào)查研究為基礎(chǔ)，采用分層整群抽樣方法抽取湖北省7~17歲兒童青少年12883人。測(cè)量研究對(duì)象的身高、體重、腰圍、皮褶厚度等指標(biāo)，計(jì)算體質(zhì)指數(shù)、腰圍身高比及體脂百分比。利用t-test分析各人體測(cè)量指標(biāo)之間的性別差異，利用單因素方差分析、χ2-test、相關(guān)分析、ROC法、多元線(xiàn)性回歸法等分析人體測(cè)量學(xué)指標(biāo)與血壓水平之間的關(guān)系。 結(jié)果 1.湖北省城鄉(xiāng)男、女生BMI、腰圍、瘦體重指標(biāo)隨年齡呈現(xiàn)增長(zhǎng)趨勢(shì)，各年齡組的性別差異明顯，男生BMI、腰圍、瘦體重顯著高于女生。皮褶厚度指標(biāo)，12歲以前男、女之間的差異較小，12歲以后女生顯著高于男生(P0.05)。體脂百分比指標(biāo)，，女生顯著高于男生(P0.05)。 2.湖北省城鄉(xiāng)男、女生血壓隨年齡呈現(xiàn)增長(zhǎng)趨勢(shì)。高舒張壓患病率為4.34%，其中(男生為4.46%、女生為4.22%)，高收縮壓患病率為3.60%，其中(男生為4.33%、女生為2.89%)。 3.①正常組、超重組和肥胖組高舒張壓的患病率分別為3.85%、7.56%和11.78%，高收縮壓患病率分別為2.78%、8.26%和15.27%。②WC＜P25、P25≤WC＜P75和WC≥P75高舒張壓患病率分別為1.89%、4.18%和7.67%，高收縮壓患病分別為1.53%、2.48%和8.32%。③WHtR＜0.5和WHtR≥0.5高舒張壓患病率為4.18%和9.50%，高收縮壓患病率為3.09%和13.03%。④以體脂百分比評(píng)價(jià)肥胖，正常組、輕度肥胖、中度肥胖和重度肥胖高舒張壓患病率分別為3.46%、7.42%、8.68%和14.05%，高收縮壓患病率分別為2.59%、5.90%、7.99%和16.99%。 4.各人體測(cè)量學(xué)指標(biāo)與血壓相關(guān)性分析表明，腰圍的相關(guān)系數(shù)最大，與舒張壓和收縮壓的相關(guān)系數(shù)分別為0.166和0.278。腰圍指標(biāo)預(yù)測(cè)男生高舒張壓和高收縮壓AUCs分別為0.669和0.723，預(yù)測(cè)女生高舒張壓和高收縮壓AUCs分別為0.630和0.643。多元線(xiàn)性回歸模型顯示，腰圍的標(biāo)準(zhǔn)化回歸系數(shù)絕對(duì)值最大。 結(jié)論 1.湖北省城、鄉(xiāng)中小學(xué)生人體測(cè)量學(xué)指標(biāo)性別差異明顯，其中BMI、腰圍、瘦體重男生顯著高于女生，皮褶厚度和體脂百分比女生高于男生。 2.湖北省中小學(xué)生高舒張壓患病率為4.34%，高收縮壓患病率為3.60%。 3.各人體測(cè)量學(xué)指標(biāo)與兒童青少年高血壓均有一定的關(guān)系，其中腰圍與血壓關(guān)系最密切。
[Abstract]:Purpose. To explore the developmental status of anthropometry and its relationship with blood pressure in primary and middle school students in Hubei Province, and to provide the basis for the establishment of essential screening criteria for hypertension. Method. Based on the investigation of students' physique and health in Hubei province in 2010, a stratified cluster sampling method was used to select 12883 children and adolescents aged 7 to 17 in Hubei province. The body mass index was calculated by measuring the height, weight, waist circumference and skinfold thickness of the subjects. The relationship between anthropometry and blood pressure was analyzed by t-test, single factor variance analysis, 蠂 2-test, correlation analysis, multiple linear regression and so on. Results. 1. The indexes of BMI, waist circumference and lean weight of male and female in Hubei Province showed an increasing trend with age. The sex difference of each age group was obvious. BMI, waist circumference and lean weight of boys were significantly higher than those of girls. The index of skin fold thickness was higher than that of boys before 12 years of age. The difference between girls was significantly higher than that of boys after 12 years of age, and the percentage of body fat in girls was significantly higher than that in boys (P 0.05). The prevalence of high diastolic blood pressure was 4.34 in male students, 4.46 in girls, 4.22 in girls, and 3.60 in high systolic blood pressure (4.3333 for males and 2.89g for females). 2. In Hubei Province, the blood pressure of boys and girls showed an increasing trend with age, and the prevalence rate of high diastolic blood pressure was 4.34, among which the prevalence of high systolic blood pressure was 4.46 for boys, 4.22 for girls, 3.60 for boys and girls. 3.1 normal group, The prevalence rates of hyperdiastolic blood pressure and hyperdiastolic blood pressure were 3.857.56% and 11.78%, respectively. The prevalence rates of high systolic blood pressure were 2.78% and 8.26%, respectively, and the prevalence rates of 15.27%.2WC < P25 鈮

本文編號(hào)：1691256