父母受教育水平与儿童左心室肥厚的关联  

Association between parental education level and left ventricular hypertrophy in childhood

作　　者：耿月 张茜[2] 张艳青[2] 杨丽丽 赵敏 席波 Geng Yue;Zhang Qian;Zhang Yanqing;Yang Lili;Zhao Min;Xi Bo(Department of Epidemiology,School of Public Health,Cheeloo College of Medecine,Shandong University/Children Cardiovascular Research Center of Shandong University,Ji'nan 250012,China;Department of Food Nutrition and Child Health Care,Zibo Center for Diseases Prevention and Control,Zibo 255026,China;Department of Toxicology and Nutrition,School of Public Health,Cheeloo College of Medicine,Shandong University,Ji′nan 250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院流行病学系山东大学儿童心血管研究中心,济南250012 [2]淄博市疾病预防控制中心食品营养与学生保健所,255026 [3]山东大学齐鲁医学院公共卫生学院毒理与营养学系,济南250012

出　　处：《中华预防医学杂志》2021年第5期667-671,共5页Chinese Journal of Preventive Medicine

基　　金：国家自然科学基金(81673195)。

摘　　要：目的分析父母受教育水平与儿童左心室肥厚(LVH)的关联。方法数据来源于在山东省淄博市桓台县开展的“桓台儿童心血管健康随访队列”的基线调查,采用方便整群抽样的方法,以山东省淄博市桓台县某所小学作为调查点,于2017年11月至2018年1月,对该校1~5年级的学生进行了基线调查,共纳入数据完整的1316名6~11岁儿童为研究对象。通过问卷调查、体格检验和超声检查收集一般人口学特征、血压、左心室结构指标等信息。将研究对象的父母受教育水平分为3组(初中及以下、高中、大学及以上),采用多因素logistic回归模型分析父亲、母亲以及父/母双方中最高受教育水平与儿童LVH的关系。结果1316名研究对象的年龄为(8.9±1.5)岁,其中男童703名(53.4%)。调整性别、年龄、蔬菜水果摄入、碳酸饮料摄入、体力活动、睡眠时间、视屏时间、超重肥胖和偶测高血压等混杂因素后,多因素logistic回归模型分析结果显示,与父母亲受教育水平为初中及以下相比,父母亲受教育水平为大学及以上儿童的LVH检出率较低(父亲:OR=0.53,95%CI:0.33~0.87;母亲:OR=0.52,95%CI:0.32~0.87;父/母亲:OR=0.54,95%CI:0.32~0.91)。结论父母受教育水平与儿童LVH呈负相关;父母受教育水平越高,儿童罹患LVH的风险越低。Objective To examine the relationship between parental education level and left ventricular hypertrophy(LVH)in children.Methods The data comes from the baseline survey of the Huantai Childhood Cardiovascular Health Cohort Study(HCCH)conducted in Huantai County,Zibo City,Shandong Province.A convenient cluster sampling method was used to select a primary school in Huantai County,Zibo City,Shandong Province as a survey point.A cross-sectional survey was conducted from November 2017 to January 2018.A total of 1316 children aged 6-11 years with complete data were included.LVH was defined as left ventricular mass index≥sex-and age-specific 90th percentile values of this population.Education levels of both parents were divided into junior high school or lower,high school,university or higher,respectively.Logistic regression models were used to analyze the association between parental education level and LVH in children.Results The age of 1316 participants was(8.9±1.5)years old.Among them,there were 703 boys(53.4%).After adjusting for gender,age,intake of vegetables and fruits,intake of carbonated drinks,physical activity,sleep time,screen time,overweight or obesity,and occasional hypertension,the logistic regression model results show that compared with those children whose parents′education level is junior high school or below,paternal or maternal education level of college or higher was associated with odds of LVH(father:OR=0.53,95%CI:0.33-0.87;mother:OR=0.52,95%CI:0.32-0.87;father/mother:OR=0.54,95%CI:0.32-0.91).Conclusion Parental education level is inversely associated with LVH in childhood.The probability of LVH in childhood decreases with the increase of parental education levels.

关 键 词：教育 横断面研究 左心室肥厚 

分 类 号：R725.4[医药卫生—儿科]