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宁夏银川市区儿童青少年超重和肥胖及其对血压的影响
引用本文:田彦军,赵芮,吴婉君,吴文军,赵海萍.宁夏银川市区儿童青少年超重和肥胖及其对血压的影响[J].现代预防医学,2016,0(3):434-437.
作者姓名:田彦军  赵芮  吴婉君  吴文军  赵海萍
作者单位:宁夏医科大学公共卫生学院,宁夏 银川 750004
摘    要:摘要:目的 了解宁夏银川市区儿童青少年超重和肥胖情况及其对血压的影响。方法 采用分层整群抽样方法,在银川市区随机抽取小学、初中、高中学校共计12所,抽取的学校按年级分层,在各年级中随机抽取班级,共计抽取7291人。采用EpiData3.02录入数据,使用SPSS17.0进行统计分析。结果 7291名研究对象中,男女性别比分别为50.1%和49.9%,超重检出率为12.1%,肥胖检出率为7.2%,不同年龄、不同性别超重检出率、肥胖检出率差异均有统计学意义(χ2年龄=129.09,χ2性别=70.125,P<0.001)。腹型肥胖检出率6.7%,不同年龄、不同性别差异有统计学意义(χ2年龄=72.768,χ2性别=51.031,P<0.001)。高血压检出率为16.8%,不同年龄、不同性别高血压检出率差异有统计学意义(χ2年龄=189.67,χ2性别=8.074,P<0.001)。正常组、超重组、肥胖组的高血压检出率分别为13.0%、27.2%、43.2%,腹型肥胖者中高血压检出率为43.5%。经多因素Logistics回归分析,在儿童青少年中BMI、腰围身高比是高血压的危险因素。结论 超重、肥胖的儿童青少年较体重正常者血压升高,尤其是腹型肥胖者。

关 键 词:关键词:儿童  青少年  超重  肥胖症  血压

Overweight,obesity and their effects on blood pressure of children and adolescents of Yinchuan,Ningxia
TIAN Yan-jun,ZHAO Rui,WU Wan-jun,WU Wen-jun,ZHAO Hai-ping..Overweight,obesity and their effects on blood pressure of children and adolescents of Yinchuan,Ningxia[J].Modern Preventive Medicine,2016,0(3):434-437.
Authors:TIAN Yan-jun  ZHAO Rui  WU Wan-jun  WU Wen-jun  ZHAO Hai-ping
Affiliation:Ningxia Medical University, Yinchuan, Ningxia 750004, China
Abstract:Abstract: Objective To investigate the situation of overweight and obesity and their effects on blood pressure of children and adolescents in Ningxia Yinchuan. Methods 12 schools in Yinchuan were randomly selected by adopted stratified cluster sampling survey method, and they were classified in each grade. Classes were randomly selected in each grade, and 7291 students were taken as samples in total. Data was inputted in Epidata3.02, and SPSS17.0 was used for statistical analysis. Results Among 7291 subjects, men and women accounting for 50.1%, 49.9%, the rate of overweight was 12.1%, and the obesity rate was 7.2%. The difference of the normal, overweight, obesity group among different age group using χ2 test was statistically significant (χ2age=129.09, P<0.001); the difference among different gender group using χ2 test was statistically significant (χ2gender=70.125, P<0.001). Abdominal obesity rate was 6.7%, and the difference abdominal obesity among different age groups using χ2 test was statistically significant (χ2age=72.768, P<0.001). Between different gender of abdominal obesity using χ2 test, the difference was statistically significant (χ2gender=51.031, P<0.001). The difference of hypertension accounted for 16.8%, and hypertension among different gender group using χ2 test was statistically significant (χ2age=189.67, P<0.001). The difference of hypertension among different gender group using χ2 test was statistically significant (χ2gender=8.074, P<0.001). Hypertension rates of normal, overweight, obesity group were 13.0%, 27.2%, 43.2%, and hypertension rate of abdominal obesity was 43.5%. By Logistics regression test, BMI and WHtR (waist height ratio) were risk factors for hypertension in the children and adolescents. Conclusion The children and adolescents with overweight and obesity compared with normal weight show elevated blood pressure, especially abdominal obesity.
Keywords:Keywords: Child  Adolescent  Overweight  Obesity  Blood pressure
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