| 中小学生颈围与高血压患病风险的Meta分析 |
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| 引用本文： | 赵梦娟,张悦琪,赵春善.中小学生颈围与高血压患病风险的Meta分析[J].中国学校卫生,2021,42(2):294-298. |
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| 作者姓名： | 赵梦娟 张悦琪 赵春善 |
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| 作者单位： | 北华大学护理学院，吉林省吉林市，132013 |
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| 基金项目： | 吉林省科技厅项目20200403114SF |
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| 摘 要： | 目的 系统评估中小学生颈围与高血压患病风险之间的关系，为学校开展高血压预防与健康宣教提供依据。 方法 计算机检索Web of science、PubMed、Scopus、CNKI和Wan Fang数据库，检索时限为建库至2019年12月。2位研究员独立筛选文献，提取资料与质量评价后，应用Stata 14.0软件进行Meta分析。 结果 共纳入8篇文献，包含20 475例研究对象。Meta分析结果显示，高颈围值人群与正常人群相比，高血压患病风险增加35%(OR=1.35，95%CI=1.20~1.51，P < 0.01)。亚组分析结果显示，肥胖中小学生颈围与高血压患病的相关性是正常体重者的1.41倍(OR=1.41，95%CI=1.23~1.61，P < 0.01)；欧美洲地区中小学生颈围与高血压患病风险的相关性较亚洲地区更为显著(OR=1.31，95%CI=1.11~1.53，P=0.01)；颈围平均值>28.5 cm时(OR=1.29，95%CI=1.02~1.64，P=0.03)，与高血压患病有关。 结论 中小学生颈围与高血压患病风险有关，特别是在肥胖人群。应加强对中小学生高颈围值群体血压监测和开展健康教育工作，预防高血压发生。
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| 关 键 词： | 颈 高血压 Meta分析 学生 |
| 收稿时间： | 2020-08-08 |
Relationship between neck circumference and hypertension of primary and middle school students: a Meta-analysis |
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| Affiliation: | School of Nursing, Bei Hua University, Jilin(132000), Jilin Province, China |
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| Abstract: | Objective To systematically evaluate the relationship between neck circumference and hypertension of primary and secondary school students. Methods Web of science, PubMed, Scopus, CNKI and WanFang databases were searched by computer, and the retrieval time was from inception to December 2019. Two researchers independently screened the literature, extracted the data and evaluated the quality, and then performed Meta-analysis using Stata 14.0 software. Results A total of 8 studies were included, including 20 475 subjects. Meta-analysis results showed that the risk of hypertension increased by 35% in people with a high neck circumference compared with the normal population(OR=1.35, 95%CI=1.20-1.51, P < 0.01). The results of subgroup analysis showed that the correlation between neck circumference and hypertension of obese primary and secondary school students was 1.41 times higher than that of normal weight students(OR=1.41, 95%CI=1.23-1.61, P < 0.01). The correlation between the neck circumference and the risk of hypertension of primary and secondary school students in Europe and America was more significant than that in Asia(OR=1.31, 95%CI=1.11-1.53, P=0.01). When the mean value of neck circumference was greater than 28.5 cm(OR=1.29, 95%CI=1.02-1.64, P=0.03), it was associated with the incidence of hypertension. Conclusion The neck circumference of primary and middle school students is related to the risk of hypertension, especially in obese people. Blood pressure monitoring and health education should be strengthened to prevent hypertension. |
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