摘要
目的 了解上海市宝山区11~18岁青少年血压偏高现状及其与超重肥胖的关系,为预防青少年高血压提供参考依据。方法 利用2013—2019年上海市宝山区185 980名11~18岁青少年的体检数据,计算不同性别、年龄青少年的血压偏高率、超重率和肥胖率,采用Logistic回归分析血压偏高与超重肥胖的关系。结果 上海市宝山区11~18岁青少年收缩压(systolic blood pressure,SBP)和舒张压(diastolic blood pressure,DBP)均值分别为(112.77±13.86)mmHg与(67.72±9.51)mmHg,血压水平随年龄呈上升趋势;血压偏高检出率为18.49%,随年龄的增长而增长(χ^(2)=150.99,P <0.001)。男、女生血压偏高检出率分别为18.79%与18.16%(χ^(2)=12.05,P <0.01)。体重正常、超重、肥胖青少年血压偏高检出率分别为15.20%、23.45%、37.72%,不同体重指数(body mass index,BMI)组间差异有统计学意义(χ^(2)=5 809.51,P <0.001)。多元线性回归与Logistic回归分析显示,BMI与年龄是血压偏高的危险因素,15~18岁青少年血压偏高的风险是11~14岁青少年的1.13倍;超重和肥胖青少年血压偏高的风险分别为正常体重青少年的1.71倍和3.40倍(P <0.001)。结论 上海市宝山区11~18岁青少年血压偏高检出情况处于较高水平,超重肥胖和年龄是主要危险因素,控制青少年超重和肥胖能有效预防青少年血压偏高,应加强青少年血压监测与诊断。
Objective To understand the prevalence of high blood pressure among adolescents aged 11 to 18 in Baoshan district of Shanghai,explore the association of high blood pressure with overweight and obesity,and provide a reference for the prevention of adolescent hypertension.Methods Based on the physical examination data of 185,980 adolescents aged 11 to 18 in Baoshan district of Shanghai from 2013 to 2019,the high blood pressure,overweight,and obesity rates of different genders and age groups were calculated.Logistic regression was used to analyse the relationship between high blood pressure and overweight and obesity.Results The mean values of systolic blood pressure(SBP)and diastolic blood pressure(DBP)of adolescents aged 11 to 18 in Baoshan district of Shanghai were(112.77±13.86)mmHg and(67.72±9.51)mmHg,respectively.The blood pressure level increased with age.The prevalence of high blood pressure was 18.49%,which increased with age(χ^(2)=150.99,P<0.001).The prevalence of high blood pressure in boys and girls were 18.79%and 18.16%,respectively(χ^(2)=12.05,P<0.01).The prevalence of high blood pressure in normal weight,overweight,and obese adolescents were 15.20%,23.45%,and 37.72%,respectively,and there was a statistically significant difference between different body mass index(BMI)groups(χ^(2)=5809.51,P<0.001).Multiple linear regression and Logistic regression analysis showed that BMI and age were risk factors for high blood pressure.The risk of high blood pressure in adolescents aged 15 to 18 was 1.12 times that of adolescents aged 11 to 14;the risks of high blood pressure in overweight and obese adolescents were 1.71 times and 3.40 times those of normal weight adolescents,respectively(P<0.001).Conclusion The detection of high blood pressure in adolescents aged 11 to 18 in Baoshan District,Shanghai is at a high level,overweight,obesity and age are the main risk factors,and controlling adolescents overweight and obesity can effectively prevent high blood pressure in adolescents.Blood pressure monitoring and diagnosis in adolescents should be strengthened.
作者
叶卓俊
赵海磊
李光萍
吉伟
罗颖
刘国萍
戎芬
Zhuo-Jun YE;Hai-Lei ZHAO;Guang-Ping LI;Wei JI;Ying LUO;Guo-Ping LIU;Fen RONG(School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Health Management Center,Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 201999,China;School of Basic Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《数理医药学杂志》
CAS
2023年第7期486-496,共11页
Journal of Mathematical Medicine
基金
国家自然科学基金项目(81873236)
上海中医药大学预算内科研项目(2021LK004)。
关键词
青少年
血压偏高
超重
肥胖
横断面研究
Adolescent
High blood pressure
Overweight
Obesity
Cross-sectional study
