北京顺义区中小学生血压和体质量指数轨迹与视力结局关联  

Association of blood pressure and body mass index trajectory with visual outcomes among primary and secondary school students in Shunyi District of Beijing

作　　者：刘斌 史杰 潘德静 赵瑞兰[2] LIU Bin;SHI Jie;PAN Dejing;ZHAO Ruilan(Division of School Health,Primary and Secondary School Healthcare Center of Shunyi District,Beijing(101300),China)

机构地区：[1]北京市顺义区中小学卫生保健所卫生科,北京101300 [2]北京市顺义区疾病预防控制中心学校卫生科

出　　处：《中国学校卫生》2025年第2期255-259,265,共6页Chinese Journal of School Health

基　　金：首都卫生发展科研专项项目(2024-2G-7107)。

摘　　要：目的 分析北京市顺义区7~17岁中小学生血压和体质量指数(BMI)轨迹,探讨不同类型生长轨迹与视力结局的关联,为儿童青少年常见病防控工作提供科学依据。方法 对2019—2023年北京市顺义区中小学生健康体检数据(视力、血压、BMI)进行整理,运用群组轨迹模型拟合7~17岁学生BMI和血压轨迹分组,采用二分类Logistic回归分析模型分析生长轨迹与视力结局的关联。结果 顺义区中小学生筛查性近视率为57.2%,中重度视力不良率为55.8%。根据潜变量增长模型,可将中小学生收缩压轨迹、舒张压轨迹和BMI轨迹均分为低增长轨迹组、中增长轨迹组和高维持轨迹组3组。Logistic回归分析显示,与低增长轨迹组相比,收缩压、舒张压、BMI中增长轨迹组和高维持轨迹组的筛查性近视发生风险均增加(OR值分别为1.14,1.11;1.07,1.19;1.06,1.08,P值均<0.05);收缩压、舒张压、BMI中增长轨迹组和高维持轨迹组的中重度视力不良发生风险均增加(OR值分别为1.12,1.12;1.09,1.17;1.08,1.11,P值均<0.05)。结论 血压和BMI中增长轨迹、高维持轨迹增加中小学生筛查性近视和中重度视力不良风险。应密切关注中小学生血压和超重肥胖轨迹变化,开展定期监测,积极预防学生多病共患的发生发展。Objective To analyze the trajectories of blood pressure and body mass index(BMI)among primary and secondary school students aged 7-17 in Shunyi District of Beijing,and to explore the association between different growth trajectories and visual outcomes,so as to provide a scientific basis for the prevention and control of common diseases in children and adolescents.Methods Health examination data(including vision,blood pressure and BMI)of primary and secondary school students in Shunyi District of Beijing from 2019 to 2023 were collected and analyzed.Group-based trajectory modeling was used to classify the trajectories of BMI and blood pressure(systolic and diastolic)into distinct groups among students aged 7-17 years.The relationship between these trajectories and visual outcomes was examined using binary Logistic regression analysis.Results The prevalence of screening myopia among students in Shunyi District was 57.2%,while the rate of moderate to severe visual impairment was 55.8%.Based on the latent growth model,the trajectories of systolic blood pressure,diastolic blood pressure,and BMI were divided into three groups:low-growth trajectory,moderate-growth trajectory and high-maintenance trajectory.Logistic regression analysis revealed that,compared to the low-growth trajectory group,the moderate-growth and high-maintenance trajectory groups for systolic blood pressure,diastolic blood pressure,and BMI were associated with an increased risk of screening myopia(OR=1.14,1.11;1.07,1.19;1.06,1.08,P<0.05).Similarly,the moderate-growth and high-maintenance trajectory groups for systolic blood pressure,diastolic blood pressure,and BMI were similarly associated with an increased risk of moderate to severe visual impairment(OR=1.12,1.12;1.09,1.17;1.08,1.11,P<0.05).Conclusions Moderate-growth and high-maintenance trajectories of blood pressure and BMI are associated with an increased risk of screening myopia and moderate to severe visual impairment among students.It is recommended to closely monitor changes in blood press

关 键 词：血压 人体质量指数 近视 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R544[医药卫生—公共卫生与预防医学] R770.421