河南省7~18岁学生血压现状及影响因素分析  

Analysis on the status and influencing factors of blood pressure among school students aged 7 to 18 years in Henan Province

作　　者：杨梦利[1] 徐学琴[1] 赵倩倩[1] 娄晓民[2] YANG Meng-li;XU Xue-qin;ZHAO Qian-qian;LOU Xiao-ming(Henan University of Chinese Medicine,Zhengzhou,Henan 450046,China;不详)

机构地区：[1]河南中医药大学医学院,河南郑州450046 [2]郑州大学公共卫生学院

出　　处：《现代预防医学》2023年第7期1240-1244,共5页Modern Preventive Medicine

基　　金：2022年度河南中医药大学科研苗圃工程(MP2022-9)。

摘　　要：目的 分析河南省中小学生血压偏高现状,探讨其影响因素,为血压偏高的防控提供参考。方法 以参加2019年全国学生体质健康调研的河南省7~18岁学生共39 675人为研究对象,于2019年 9—10月收集其血压、身体发育相关指标,描述并比较男女、城乡各年龄组血压偏高检出率,利用多因素logistic回归分析血压偏高的影响因素。结果 血压偏高总检出率男生为20.8%,大于女生的12.4%(χ^(2)=504.706,P<0.001),城市学生为16.2%,略小于乡村学生的17.0%(χ^(2)=5.294,P=0.022);超重肥胖学生血压偏高检出率为25.4%,大于体重正常或消瘦学生的13.7%(χ^(2)=734.088,P<0.001),所有学段均为超重肥胖学生检出率大于体重正常或消瘦学生;血压与腰围、体重、BMI均呈现正相关,收缩压与三者的相关系数分别为0.326、0.555、0.461,舒张压与三者的相关系数分别为0.230、0.390、0.326,P均<0.001;多因素logistic回归结果显示,与7~9岁年龄组相比,10~12岁OR=1.771(95%CI:1.633~1.919),13~15岁OR=1.533(95%CI:1.406~1.671),16~18岁OR=1.458(95%CI:1.333~1.594);乡村OR=1.148(95%CI:1.087~1.212);腰围OR=1.003(95%CI:1.001~1.005);超重OR=1.569(95%CI:1.455~1.692);肥胖OR=2.672(95%CI:2.444~2.923);女生OR=0.579(95%CI:0.547~0.612)。结论 河南省中小学生血压偏高检出率较高,应重点关注男生、乡村学生和超重肥胖、腹型肥胖学生。Objective To analyze the current situation of hypertension among students in Henan Province and explore its influencing factors,to provide reference for the prevention and control of hypertension.Methods Students aged 7 to 18 years in Henan Province who participated in the 2019 National Survey on Students’Physical Health were selected as the research objects.Data were collected from September to October,with a total of 39675 students.The detection rates of hypertension in male and female as well as urban and rural groups were described and compared.Multivariate logistic regression was used to analyze the influencing factors of hypertension.Results The total detection rate of hypertension in boys(20.8%)was higher than that in girls(12.4%)(χ^(2)=504.706,P<0.001),and the hypertension rate in urban students(16.2%)was lower than that in rural students(17.0%)(χ^(2)=5.294,P=0.022).The detection rate of hypertension in overweight and obese students(25.4%)was higher than that in normal weight or thin students(13.7%)(χ^(2)=734.088,P<0.001),which remained the same in all school phases.Blood pressure was positively correlated with waist circumference,body weight,and BMI.The correlation coefficients between systolic blood pressure and the three were 0.326,0.555,and 0.461,respectively,and the correlation coefficients between diastolic blood pressure and the three were 0.230,0.390,and 0.326,respectively(all P<0.001).Multivariate logistic regression results showed that compared with the age group of 7 to 9 years,10 to 12 years(OR=1.771,95%CI:1.633-1.919),13 to 15 years old(OR=1.533,95%CI:1.406-1.671),16 to 18 years(OR=1.458,95%CI:1.333-1.594),rural(OR=1.148,95%CI:1.087-1.212),waist circumference(OR=1.003,95%CI:1.001-1.005),overweight(OR=1.569,95%CI:1.455-1.692),obesity(OR=2.672,95%CI:2.444-2.923),and girls(OR=0.579,95%CI:0.547-0.612)were influencing factors.Conclusion The detection rate of high blood pressure in primary and middle school students in Henan Province is relatively high.Attention should be paid to male,rural st

关 键 词：血压偏高 中小学生 影响因素 河南省 

分 类 号：R179[医药卫生—妇幼卫生保健] R544.1[医药卫生—公共卫生与预防医学]