北京地区468名少儿肥胖及血压改变的八年随访观察

目的调查北京地区少年儿童肥胖发生、发展状况，以及对血压的影响，为预防少儿肥胖和高血压病的措施提供依据。方法连续８年现场观察４６８名６～１３岁少儿的身高、体重、皮脂厚度及血压等项目，并逐年分析不同性别、年龄的肥胖及超重儿的检出率和肥胖度及与血压的关系。结果肥胖少儿检出率由６岁的４．９％上升到１３岁的１６．２％，肥胖发病高峰年龄段是９～１１岁，男生发病多于女生，１３岁男、女生肥胖检出率分别为２１．５％和１１．９％。１３岁肥胖少儿高血压发生率为１４．３％；为同龄非肥少儿的３倍半。结论北京地区少儿肥胖随年龄增长而逐渐增多，肥胖少儿中高血压者明显增多。抓住肥胖发生的高峰年龄段和肥胖前的超重期是预防肥胖的两个关键。

Follow up study on children with obesity and hypertension

Obiective To study obesity development and its relationship between obesity and hyperetension of children in China.Method A 8-year follow-up study was conducted in 468 children aged 6 years by the criteria of hight,weight,thickness of skin fat and blood pressure.Results Obesity morbidity rose from 6 years((4.9%) to 13 years(16.2%),with the peak at9to11years.Both sexes developed obesity,which dominated in males.Children with obesity developed hypertension at age of13,the morbidity increased3.5times than that of those without obesity.Conclusion Prevention of malnutrition is important in China but interventions to children with obesity in China are in urgent need.