人体测量指标与儿童血压的相关性研究  

Anthropometric indicators correlated with blood pressure in children

作　　者：张耀东[1] 谭利娜[1] 罗淑颖[1] 陈永兴[1] 卫海燕[1] 

机构地区：[1]郑州市儿童医院,河南郑州450052

出　　处：《临床儿科杂志》2014年第7期620-624,共5页Journal of Clinical Pediatrics

基　　金：世界健康基金会上海儿童医学中心-雅培/世界健康基金会临床营养发展中心(AFINS)项目(No.AFINS-HOPE-2013-07);河南省医学科技攻关计划项目(No.201303034)

摘　　要：目的：调查分析人体测量指标对儿童血压的影响。方法随机抽样检查郑州地区6790名6~13岁儿童，测量体质指数（BMI）、腰围（WC）、臀围（HC）、血压，计算腰围/臀围比（WHR）及腰围/身高比（WHtR），采用SPSS16.0软件进行统计分析。结果儿童高血压检出率为5.57%。控制年龄因素后采用偏相关分析发现，男、女童的BMI、WC、HC、WHtR与收缩压和舒张压均呈显著正相关（P均〈0.05）。无论男女，高血压组的BMI、WC、HC、WHR和WHtR的水平均高于正常血压组，差异均有统计学意义（P均〈0.05）。共检出肥胖儿童280名（4.12%），超重622名（9.16%）。肥胖、超重及正常体质量组的高血压比例的差异有统计学意义（P〈0.01），肥胖组高血压比例高于超重及正常体质量组。肥胖、超重组的收缩压、舒张压水平均高于正常体质量组，差异均有统计学意义（P〈0.05）。结论郑州地区6~13岁儿童高血压患病率处于同年龄段儿童的中低等水平。BMI、WC、HC、WHtR与男、女童血压具有显著相关性，尤以HC较为显著。Objective To investigate the correlation of anthropometric indicators and blood pressure in children. Methods A total of 6 790 children aged 6 to 13 years were inspected by random sampling. The body mass index （BMI）, waist circumference （WC）, hip circumference （HC）, and blood pressure were measured. The waist/hip ratio （WHR） and waist/height ratio （WHtR） were calculated. The data wrer analyzed by SPSS16.0 statistical software. Results The detection rate of hypertension in children was 5.57%. After controlling for age, both in male and female children, the BMI, WC, HC, WHR, WHtR and systolic blood pressure showed a significant positive correlation by partial correlation analysis （all P〈0.05）. Both in male and female children, the BMI, WC, HC, WHR, and WHtR were significantly higher in children with hypertension than those in children with normal blood pressure （all P〈0.05）. Among all subjects, 280 children （4.12%） were obese, 622 children （9.16%） were overweight. The detection rates of hy-pertension were significantly different among obese, overweight and normal weight children （P〈0.01）. The detection rate of hypertension was significantly higher in obese children than that in overweight and normal weight children. The systolic and diastolic blood pressure were all significantly higher in obese and overweight children than that in normal weight children （P〈0.05）. Conclusion The hypertension prevalence of children aged 6 to 13 years in Zhengzhou is in the low to median level in the same age groups. The BMI, WC, HC, WHR, WHtR are signiifcantly correlated with blood pressure in both gender, and the correlation is the most obvious in HC.

关 键 词：人体测量指标 肥胖 血压 儿童 

分 类 号：R725.4[医药卫生—儿科]