重庆市中小学生维生素D缺乏和血压偏高现况及相关性  

Prevalence and correlation of vitamin D deficiency and high blood pressure in primary and middle school students in Chongqing

作　　者：陈京蓉[1] 熊鹰[1] 张洁[2] 田渝[3] 龙诚[1] CHEN Jingrong;XIONG Ying;ZHANG Jie;TIAN Yu;LONG Cheng(Institute of Public Health and Safety Monnitoring,Chongqing Center for Disease Control and Prevention,Chongqing(400042),China)

机构地区：[1]重庆市疾病预防控制中心公共卫生安全与监测所,400042 [2]重庆市疾病预防控制中心理化与卫生毒理检测所 [3]重庆市南岸区疾病预防控制中心公卫科

出　　处：《中国学校卫生》2021年第8期1233-1236,1241,共5页Chinese Journal of School Health

基　　金：重庆市卫生和计划生育委员会资助项目;重庆市科卫联合医学科研项目(2018MSXM083)。

摘　　要：目的了解重庆市中小学生维生素D缺乏和血压偏高现况及其相关性,为有针对性防治儿童高血压的发生发展提供参考依据。方法2016年10月至2017年1月,通过多阶段分层随机抽样在重庆市选择3个农村点和3个城市点共1360名7~17岁中小学生,开展问卷调查、体格测量、血压测量和血清维生素D检测。结果中小学生维生素D缺乏率为9.71%,不足率为62.57%;血压偏高率为25.88%。多因素Logistic回归分析结果显示,调整了年龄、经济状况、腰围和体质量指数(BMI)分类、高血压家族史等因素后,维生素D缺乏和不足组发生高血压的风险是正常组的1.42倍,收缩压偏高的风险是正常组的1.59倍(P值均<0.05)。结论重庆市中小学生维生素D缺乏和不足、血压偏高现象较突出,需引起关注。维生素D不足和缺乏者较容易出现血压偏高。Objective To understand the status of vitamin D deficiency and high blood pressure in primary and middle school students aged 7 to 17 years old in Chongqing,and to explore the correlation between vitamin D deficiency and high blood pressure in children and adolescents.Methods From 2016 to 2017,a total of 1360 primary and middle school students,aged 7 to 17 years old,were selected from three rural and three urban sites in Chongqing using multi-stage stratified random sampling.This study carried out a questionnaire survey,and participants underwent a physical examination which included blood pressure and serum vitamin D assessments.Results The deficiency and insufficiency rates of vitamin D were 9.71%,and 62.57%,respectively.The high blood pressure rate was 25.88%.Multivariate Logistic regression analysis showed that after adjusting for age,economic status,waist circumference,BMI classification,and family history of hypertension,the risk of hypertension was 1.42 times that of the normal group(P<0.05),and the risk of high systolic blood pressure was 1.59 times that of the normal group(P<0.05).Conclusion The deficiency and insufficiency rate of vitamin D among children and adolescents aged 7 to 17 years old in Chongqing was high,and the phenomenon of high blood pressure was prominent.Students with vitamin D deficiency and insufficiency were more likely to have high blood pressure.

关 键 词：维生素D缺乏 血压 患病率 回归分析 学生 

分 类 号：R151[医药卫生—营养与食品卫生学] R153.2[医药卫生—公共卫生与预防医学]