不同指标测量中小学生肥胖与高血压患病风险的meta分析

Prevalence of obesity and hypertension in primary and middle school students measured by different indicators:A meta-analysis

目的 了解不同指标测量中小学生肥胖与高血压患病风险的关系。方法 计算机检索PubMed、Web of Science、知网、万方和维普数据库,检索时限为建库至2021年8月,采用Stata 15.1进行meta分析。结果 共纳入文献23篇,中小学生肥胖体质量指数(body mass index,BMI)(OR=3.85,95%CI:3.32~4.47)与高血压患病的相关性较腰围(waist circumference,WC)(OR=3.10,95%CI:2.49~3.85)、腰臀比(waist-to-hip ratio,WHR)(OR=1.90,95%CI:1.23~2.95)更为显著。城市地区中小学生高血压患病风险是农村地区的4.93倍(OR=4.93,95%CI:3.27~7.43)。结论 中小学生肥胖与高血压患病风险存在相关性,尤其是BMI肥胖的中小学生。应加强对中小学生肥胖的筛查及开展健康宣教,预防中小学生肥胖与高血压的发生。

Objective To explore the relationship between obesity and hypertension risk in primary and middle school students measured by different indicators.Methods The computer retrieval on PubMed,Web of Science,CNKI,Wanfang,and VIP databases was performed,with a search deadline of August 2021.The meta-analysis was conducted by using Stata15.1 software.Results A total of 23 studies were included.The correlation between obesity body mass index(BMI)(OR=3.85,95%CI:3.32-4.47)and hypertension in primary and middle school students was more significant than that in waist circumference(WC)(OR=3.10,95%CI:2.49-3.85),waist-to-hip ratio(WHR)(OR=1.90,95%CI:1.23-2.95).The risk of hypertension among primary and middle school students in urban areas was 4.93 times higher than that in rural areas(OR=4.93,95%CI:3.27-7.43).Conclusions The obesity in primary and middle school students is associated with hypertension risk,mainly in primary and middle school students with BMI obesity.It is necessary to strengthen the screening of obesity in primary and middle school students and carry out health education to prevent the occurrence of obesity and hypertension in primary and middle school students.