南宁市中小学学生血压偏高与肥胖的关系  

The relationship between high blood pressure and obesity among primary and secondary school students in Nanning City

作　　者：朱剑妮 王孔前[1] ZHU Jian-ni;WANG Kong-qian(Nanning Center for Disease Control and Prevention,Nanning 530012,Guangxi Province,China)

机构地区：[1]南宁市疾病预防控制中心,南宁530012

出　　处：《预防医学情报杂志》2022年第3期413-417,共5页Journal of Preventive Medicine Information

摘　　要：目的分析南宁市中小学学生血压偏高与肥胖状况之间的关联性,为当地中小学学生制定相应的干预措施提供支持和参考。方法资料来源于2019全国学生常见病和健康影响因素监测项目收集的学生血压、身高、体重数据结果。2019-10/11采用分层整群随机抽样的方法,选取南宁市2个城区和1个县城共19所学校进行调查,依据我国学龄儿童青少年分年龄、性别、身高百分位血压标准来评价血压状况,包括血压偏高、单纯性收缩压偏高、单纯性舒张压偏高、SBP、DBP。按照我国学龄儿童青少年体质指数(body mass in-dex,BMI)标准评价中小学学生肥胖。采用多分类Logistic回归分析肥胖对血压偏高的预测作用。结果 2019年南宁市中小学学生血压偏高检出1 196人,检出率为19.90%,男生血压偏高检出率为20.33%,女生血压偏高检出率为19.41%,血压偏高检出率性别间差异无统计学意义(χ^(2)=0.800,P=0.371)。肥胖人数检出451名,检出率为7.054%,男生肥胖率(8.548%,275/3 217)高于女生(6.301%,176/2 793),差异有统计学意义(χ^(2)=10.987,P=0.004)。按BMI分组,非肥胖组、肥胖组血压偏高检出率分别为17.13%、57.88%。单纯收缩压偏高和单纯舒张压偏高检出率以及SBP和DBP血压水平均表现为肥胖组>非肥胖组,差异均有统计学意义(P均<0.001)。Logistic回归分析显示,肥胖组的单纯收缩压偏高和单纯舒张压偏高、血压偏高发生的相对危险度(95%CI)分别为非肥胖组的6.355(5.193~7.778)倍、1.437(1.236~1.669)倍、5.088(4.166~6.217)倍。结论南宁市中小学学生血压偏高发病率较高,肥胖是发生血压偏高的重要影响因素,控制肥胖是预防血压偏高的重要手段,对中小学学生进行血压监测和肥胖管理十分必要。Objective To analyze the correlation between high blood pressure and obesity in children and adolescents in Nanning,and to provide support and reference for the formulation of appropriate intervention measures for local children and adolescent. Methods Data of blood pressure, height and weight of students were collected from the 2019 National Monitoring Project on Common Diseases and Health Influences of Students. From October to November in 2019, 19 schools were selected from 2 urban districts and 1 county in Nanning by stratified cluster random sampling method. According to the age, gender and the height percentile blood pressure standard of schoolage children and adolescents in China, the blood pressure status was evaluated by including high blood pressure,high simple systolic blood pressure,high simple diastolic blood pressure,high SBP DBP. The obesity of primary and middle school students was evaluated according to the Body Mass Index(BMI) of school-age children and adolescents in China. Regression analysis of the predictive effect of obesity on high blood pressure.Results In 2019,total 1196 students were detected with high blood pressure,and the detection rate was 19.90%. The detection rate of high blood pressure in boys was 20.33%, and that in girls was 19.41%. There was no statistical significance in the detection rate of high blood pressure between the different gender (χ^(2)=0.800, P>0.371). About451 obese patients were detected, the detection rate was 7.054%. The obesity rate of boys(8.548%,275/3 217) was higher than that of girls(6.301%,176/2 793),and the difference was statistically significant (χ^(2)=10.987, P=0.004). According to BMI, the detection rates of high blood pressure in the non-obese group and the obese group were 17.13% and 57.88%,respectively.The detection rates of high simple systolic blood pressure and high diastolic blood pressure as well as the blood pressure levels of SBP and DBP in the obese group were significantly higher than those in the non-obese group(all P<0.001). Logistic

关 键 词：中小学学生 血压偏高 肥胖 

分 类 号：R179[医药卫生—妇幼卫生保健]