小学生握力与血压、肺活量的相关性分析  

Correlation analysis of handgrip strength with blood pressure and vital capacity of primary school students

作　　者：程梦晗 方雯 张苗[1] 潘悦 陈胜依 逯雨 CHENG Meng-han;FANG Wen;ZHANG Miao;PAN Yue;CHEN Sheng-yi;LU Yu(Department of Preventive Medicine,School of Public Health,Hubei University of Medicine,Shiyan,Hubei 442000,China)

机构地区：[1]湖北医药学院公共卫生与健康学院,湖北十堰442000

出　　处：《现代预防医学》2025年第4期648-653,共6页Modern Preventive Medicine

基　　金：湖北省教育厅科学研究计划项目(B2022497)。

摘　　要：目的了解十堰市小学生握力与血压、肺活量的相关性,为小学生预防心肺疾病提供科学依据。方法2023年11月采取整群随机抽样的方法,对湖北省十堰市1263名6~12岁小学生进行身高、体重、握力、血压、肺活量等指标测量。采用Spearman相关性分析握力与血压、肺活量的相关关系,分位数回归模型分析不同分位点握力与血压、肺活量相关性影响程度。结果本研究共调查十堰市1263名6~12岁小学生,男生658人,女生605人。男生收缩压(Z=-3.280)、肺活量(Z=-7.015)及握力(Z=-5.675)均高于女生(均P<0.05),男女生间舒张压差异不明显(P>0.05);不同年龄、不同居住地的小学生收缩压、舒张压、肺活量及握力差异均有统计学意义(均P<0.05)。Spearman相关性分析结果显示,小学生握力与收缩压(r=0.390)、舒张压(r=0.271)、肺活量(r=0.636)均呈正向相关(均P<0.01)。分位数回归分析发现,随着握力增加收缩压增大,且有统计学意义(P<0.05);舒张压在95分位点握力回归系数最低(β=0.222,95%CI:-0.139~0.583),除了在95分位点外,其他各分位点握力与舒张压均有统计学意义(P<0.05);肺活量在50分位点握力回归系数最高(β=59.881,95%CI:51.456~68.306),各分位点握力与肺活量均有统计学意义(P<0.05)。结论握力与血压、肺活量均呈正相关,在小学生中不同水平握力对血压、肺活量的影响不同,握力可作为反映血压、肺活量的指标进一步推广。Objective To comprehend the correlation between handgrip strength and blood pressure as well as vital capacity among pupils in Shiyan City,and furnish a scientific basis for pupils to prevent heart and lung diseases.Methods In November 2023,a cluster random sampling method was used to measure the height,weight,handgrip strength,blood pressure,vital capacity and other indicators of 1263 primary school students aged 6-12 years in Shiyan City,Hubei Province.Spearman correlation analysis was used to analyze the correlation between handgrip strength and blood pressure and vital capacity.Quantile regression model was used to analyze the correlation degree of handgrip strength with blood pressure and vital capacity at different quantiles.Results A total of 1263 students aged 6-12 years old were investigated in Shiyan city,including 658 boys and 605 girls.The systolic blood pressure(Z=-3.280),vital capacity(Z=-7.015)and handgrip strength(Z=-5.675)of boys were higher than those of girls(all P<0.05).There was no significant difference in diastolic blood pressure between boys and girls(P>0.05).There were significant differences in systolic blood pressure,diastolic blood pressure,vital capacity and handgrip strength between pupils of different ages and places of residence(all P<0.05).Spearman correlation analysis showed that handgrip strength was positively correlated with systolic blood pressure(r=0.390),diastolic blood pressure(r=0.271)and vital capacity(r=0.636)(all P<0.01).Quantile regression analysis showed that systolic blood pressure increased with the increase of handgrip strength,and the difference was statistically significant(P<0.05).The regression coefficient of handgrip strength was the lowest at the 95th percentile of diastolic blood pressure(β=0.222,95%CI:-0.139-0.583).Except for the 95th percentile,the regression coefficient of handgrip strength and diastolic blood pressure was statistically significant at the other percentiles(P<0.05).The regression coefficient of handgrip strength was the highest at the 50

关 键 词：握力 血压 肺活量 小学生 分位数回归 

分 类 号：R165[医药卫生—公共卫生与预防医学]