贵阳市区少年儿童肥胖性高血压的研究

目的调查贵阳市区少年儿童肥胖和高血压发病率，探讨肥胖与高血压关系及肥胖儿童高血压特点。方法对贵阳市7963名中、小学生进行抽样调查和规范化血压、身高、体重测量。按我国标准由体重指数(BMI)判定超重、肥胖。参照性别、年龄和身高百分住数，确定有无高血压。结果7963例中小学生肥胖发病率6．72％，高血压发病率5．16％。肥胖儿童高血压发病率显著高于非肥胖儿童(P＜O．05)。BMl百分住数高的儿童血压升高的危险显著高于百分位数较低的儿童。肥胖性高血压的特点表现为收缩期高血压。结论肥胖是少年儿童高血压发病的重要相关因素。防治超重、肥胖将有助于少年儿童高血压的防治。

A Study of obesity hypertension in children of guiyang city

Objective To study the prevalence of obesity hypertension, the association between obesity and hypertension, the characters of obesity hypertension in children. Methods 7963 school-aged children were surveried. The body mass indexes(BMIs) was calculated using heights and weights. The overweight and obesity were defined with the use of the Chinese standard and classification of hypertension followed the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in Children and Adolescents. Results The prevalence of overweight, obesity, and hypertension were 12.83%, 6.72%, 5.16%, respectively. The prevalence of hypertension and obesity was relative closely. BMI was strongly associated with hypertension. The early clinical course of obesity hypertension appears to be characterized by a preponderance of isolated systolic hypertension. An increased prevalence of systolic hypertension as BMI percentile increased. Conclusion Obesity is the most important induced factor with hypertension. Therefore, the prevention and treatment of obesity should be stressed for the reducing the prevalence of hypertension in children.