南昌市儿童青少年高血压现状与肥胖关系的分析

Prevalence of Hypertension and Relationship between Youth Hypertension and Obesity in Nanchang

目的:探讨南昌地区11-18周岁儿童青少年高血压流行现状及其与肥胖的关系。方法:采用分层整群抽样方法,对南昌市352名年龄在11-18周岁儿童青少年进行了流行病学抽样调查分析和生化指标检测。结果:1)不同性别比较,男生的身高、体重、BMI、舒张压(DBP)、收缩压(SBP)、血尿酸(UA)、空腹血糖(FPG)高于女生;女生的低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、总甘油三酯(TG)、总胆固醇(TC)高于男生,男生的糖尿病患病率、高血压患病率明显高于女生,血脂异常等患病率差异不具有显著性。2)不同年龄比较,伴随着年龄的增加,男女生收缩压和舒张压都呈现出递增的趋势。其中男生高血压的检出率较女生高。3)与正常体重组比,肥胖组高血压发生的相对危险度高。结论:南昌地区儿童青少年肥胖人群高血压患病率与性别、体重和体重指数之间相关性高,儿童青少年高血压发病率与体重增加密切相关。

Objective: To investigate the prevalence of hypertension and its relationship with obesity in children and adolescents aged 11-18 years old in Nanchang. Methods: A stratified cluster sampling method is used to investigate the epidemiological sampling and biochemical indexes of 352 children and adolescents aged 11-18 years old in Nanchang. Results: 1) Male students’ height,weight,BMI,diastolic pressure( DBP),systolic blood pressure( SBP),blood uric acid( UA),and fasting blood glucose( FPG) were higher than those of girls and girls’ low density lipoprotein( LDL),high-density lipoprotein( HDL),total triglyceride( TG) and total cholesterol( TC) were higher than boys. The prevalence of hypertension and the prevalence of hypertension among boys were significantly higher than those of girls. The prevalence of dyslipidemia was not significant. 2) At different ages,with the increase of age,the systolic blood pressure and diastolic blood pressure of males and females showed an increasing trend. The rate of high blood pressure in boys is higher than that of girls. 3)Compared with the normal weight group,the relative risk of hypertension in obesity group is high. Conclusion:The incidence of hypertension in children and adolescents in Nanchang is highly correlated with sex,weight and body mass index. The incidence of hypertension in children and adolescents is closely related to the weight gain.