四川省7~17岁中小学在校学生血压偏高与超重肥胖的关系分析  

Analysis on the correlation between high blood pressure and overweight andobesity among primary and secondary school students aged 7-17 years old in Sichuan Province

作　　者：刘敏[1] 兰莹[1] 马梦婷 刘蒙蒙[1] 颜玲[1] LIU Min;LAN Ying;MA Meng-ting;LIU Meng-meng;YAN Ling(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《职业卫生与病伤》2022年第6期358-363,共6页Occupational Health and Damage

摘　　要：目的探讨四川省7~17岁中小学在校学生高血压与超重肥胖的关系,为政府部门制定中小学在校学生高血压预防控制策略提供基础信息。方法2016年采用多阶段分层随机抽样方法,在四川省14个县区7~17岁中小学在校学生进行身高、体重、血压等体格检测,血压评定依据《7~18岁儿童青少年血压偏高筛查界值》进行评价,收缩压和舒张压≥相同性别、相同年龄、同身高人群第95百分位数血压判定为血压偏高,数据清理后采用t检验、卡方检验、Logistic多因素回归来分析,以P<0.05为差异有统计学意义。结果四川省14个调查点7~17岁中小学在校学生总体的血压偏高检出率为16.4%,超重率为9.15%,肥胖率为4.13%。超重中患血压偏高的为26.84%,肥胖中患血压偏高的为35.29%。血压偏高的现状:农村高于城市(χ^(2)=8.57,P<0.001),肥胖超重的学生高于正常学生(χ^(2)=32.41,P<0.001),进一步多因素分析发现,年龄、农村、肥胖与超重是四川省中小学在校生血压偏高的影响因素。结论四川地区7~17岁中小学在校学生的高血压与不同体质的青少年学生正相关性,超重和肥胖的学生患血压偏高是正常体质质素2倍以上,儿童青少年超重和肥胖为可控因素,应加大预防和控制超重和肥胖,从而来降低血压偏高发生的状况,最终达到降低成年期患高血压慢性病等风险的发生概率。Objective To explore the relationship between hypertension and overweight and obesity in primary and secondary school students aged 7-17 years old in Sichuan Province,so as to provide basic information for government departments to formulate prevention and control strategies of hypertension for primary and secondary school students.Methods In 2016,multi-stage stratified random sampling method was used to select primary and secondary school students aged 7-17 in14 counties and districts of Sichuan Province to conduct physical examinations such as height,weight and blood pressure measurements.Blood pressure was assessed according to the Screening Cutoff for High Blood Pressure in Children and Adolescents Aged 7-18.The systolic blood pressure and diastolic blood pressure≥P95blood pressure of the percentile population of the same sex,age and height was determined to be high.After data cleaning,t test,chi-square test and logistic multivariate regression were used for analysis.And P<0.05 was considered as statistically significant.Results The overall detection rate of high blood pressure in primary and secondary school students aged 7-17 years old from 14 survey sites in Sichuan Province was 16.4%.The overweight rate was 9.15%,and the obesity rate was 4.13%.The percentage of overweight patients with high blood pressure was 26.84%,while the percentage of obesity patients with high blood pressure was 35.29%.The current situation of high blood pressure in rural areas was higher than that in urban areas(χ^(2)=8.57,P<0.001).The blood pressure of obese and overweight students was higher than that of students with normal weight(χ^(2)=32.41,P<0.001).Further multivariate regression analysis showed that,age,rural areas,obesity and overweight were the influencing factors of high blood pressure among primary and secondary school students in Sichuan Province Conclusions Hypertension among primary and secondary school students aged 7-17 years in Sichuan Province was positively correlated with adolescent students with different p

关 键 词：血压偏高 中小学在校学生 超重肥胖 

分 类 号：R179[医药卫生—妇幼卫生保健]