儿童期心血管病危险因素现状研究

为了解城市儿童心血管病危险因素现状，作者在北京８～１１岁儿童中，进行了血压、血脂谱、肥胖、膳食状况及心血管病家族史等主要心血管病危险因素目前水平的小样本调查。主要结果为：以收缩压＞１６．０ｋＰａ（１２０ｍｍＨｇ）和／或舒张压＞１０．７ｋＰａ（８０ｍｍＨｇ）为诊断标准，血压偏高检出率为７．２％；２１．９％的儿童血脂水平超过膳食干预推荐值；单纯性肥胖患病率为１１．７％。膳食状况中最突出的问题是摄入高胆固醇，平均日胆固醇摄入量为４８３．４ｍｇ，有７２％的儿童超过３００ｍｇ。与以往资料相比，这一儿童人群有较高的心血管病危险因素暴露水平。本结果提示，加强儿童期心血管病危险因素的监测与干预是十分必要的。

A Prevalence Study on Risk Factors of Cardiovascular Disease during Childhood

A small size of sample for risk factors of cardiovascular disease, such as blood pressure, plasma lipids profile, obesity, dietary status, and family history of cardiovascular disease, etc. were studied in children aged eight to eleven years. Results showed that prevalence of hypertension, systolic blood pressure>16.0 kPa (120 mmHg) or/and diastolic blood pressure>10.7 kPa (80 mmHg), in them was 7.2 percent, blood lipid level in 21.9 percent of the children exceeded the recommended criteria of dietary intervention, and prevalence of simple obesity was 11.7 percent. The most prominent problem in dietary status was high cholesterol intake, with a daily intake of 483.4 mg in average, and 72 percent of the children exceeded 300 mg daily, as compared with previous data, and they exposure to higher level of risk factors for cardiovascular disease. It suggests that it is necessary to strengthen surveillance for risk factors of cardiovascular disease and intervention.