山东省7～17岁正常体重中小学生腹型肥胖流行现状及血压特征分析  

Status quo and characteristics of blood pressure among children and adolescents aged 7-17 years at normal weight but with abdominal obesity, in Shandong province

作　　者：张迎修[1] 周景洋[1] 赵金山[1] 褚遵华[1] 吴光健[1] 王克波[1] 肖培瑞[1] 

机构地区：[1]山东省疾病预防控制中心,济南250014

出　　处：《中华流行病学杂志》2013年第11期1068-1070,共3页Chinese Journal of Epidemiology

基　　金：山东省医药卫生科技发展计划（2009-HZ049）

摘　　要：目的 了解正常体重儿童少年腹型肥胖的检出率及血压特征,为控制青少年肥胖和高血压提供参考.方法 以2010年山东省学生体质健康调查研究中38 816名7～17岁中小学生为研究对象,测量身高、体重、腰围和血压,依据BMI和腰围指标判定体重状况和腹型肥胖.结果 7～17岁中小学生消瘦、正常、超重和肥胖的比例分别为5.37％、72.47％、12.92％和9.24％.在正常体重的学生中,腹型肥胖检出率为5.86％（女生7.19％,男生4.33％）,女生高于男生（P＜0.01）.正常体重腹型肥胖组的收缩压和舒张压水平（Z值）高于正常腰围组（P＜0.01）.结论 正常体重腹型肥胖儿童少年的血压水平较高,应列为高风险人群并实施相应的干预措施.Objective To study the prevalence and characteristics of blood pressure （BP） among children and adolescents at normal weight but with abdominal obesity.Methods Using data from the ‘Student physical fitness and health surveillance 2010 project＇ in Shandong province,a total of 38 816 students aged 7-17 years were selected to participate in this study.Stature,body weight,waist circumference （WC）,systolic blood pressure （SBP） and diastolic blood pressure （DBP） of these subjects were measured.Body weight status and abdominal obesity were defined by body mass index （BMI） and WC,respectively.Results In total,the proportions of thinness,normal weight,overweight and obesity defined by BMI were 5.37%,72.47%,12.92% and 9.24% respectively.5.86% of the children and adolescents with normal weight had abdominal obesity,with normal weighted girls （7.19%） having higher prevalence of abdominal obesity than boys （4.33%） （P〈0.01）.The Z-scores of SBP and DBP for both boys and girls were all significantly higher in the normal weight but with abdominal obesity groups than in both normal weight and WC groups （P〈0.01）.Conclusion Children and adolescents under normal weight but with abdominal obesity had higher BP level need to be identified and considered as high-risk individuals.Related intervention programs should also be targeted to this population.

关 键 词：腹型肥胖 正常体重 血压 儿童 

分 类 号：R589.2[医药卫生—内分泌]