杭州市区儿童青少年血压分布情况及影响因素  

Blood pressure and related factors among children and adolescents in Hangzhou city

作　　者：王旭初[1] 戚建江[1] 刘辉[1] 朱晓霞[1] 施文英[1] 罗军[1] 

机构地区：[1]杭州市疾病预防控制中心,310021

出　　处：《中国公共卫生》2010年第10期1222-1224,共3页Chinese Journal of Public Health

基　　金：浙江省医药卫生科学研究基金计划(2009A175)

摘　　要：目的了解浙江省杭州市区儿童青少年血压分布情况及相关影响因素。方法采用分层整群随机抽样方法抽取杭州市52所中小学校共56 803名6-19岁儿童青少年,对2008-2009年的体格检查资料进行统计分析。结果共筛查出血压偏高7 744人,血压偏高率为13.63%,其中以仅收缩压偏高者为主,占58.9%,其次为仅舒张压偏高者,占22.0%,而收缩压舒张压均偏高者占19.1%;在低年龄段（〈12岁）收缩压和舒张压均高于全国城市同年龄、性别组平均水平（P〈0.01）,除18,19岁高年龄组外,其他年龄组均低于全国平均水平（P〈0.05）;多元Logistic回归结果表明,体质指数收是缩压和舒张压偏高的主要影响因素,其OR值分别为1.15（95%CI=1.14-1.16）和1.21（95%CI=1.20-1.22）。结论杭州市区儿童血压偏高发生情况较青少年严重,而超重和肥胖是引起血压高的主要危险因素。Objective To study blood pressure distribution and related factors among the children and adolescents in Hangzhou city.Methods A cross-sectional study was conducted among 52 primary and middle schools to collect physical examination information of 56 803 students aged from 6 to 19 years.Results Both the systolic blood pressure（SBP） and diastolic blood pressure（DBP） in the low-age groups of children and adolescents in Hangzhou ctiy were significantly higher than that of the national levels（P0.01）.The SBP elevation rates of different gender-age groups were higher than that of the national levels of the same gender-age group as well（P0.01）.Both the SBP and DBP levels were significantly higher in either overweight or obesity groups compared to that of the normal groups（P0.01）.The results of binary logistic regression showed that body mass index was an important risk factor for both SBP（odds ration=1.21,95% confidence interval：1.20-1.22） and DBP（OR=1.15,95%CI：1.14-1.16）.Conclusion The hypertension prevalence in childen is higher than that of in adolescents in Hangzhou city and closely associated with overweight and obesity.

关 键 词：血压 肥胖 体质指数 儿童 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健]