长沙市青春期儿童肥胖与血压的关系

目的:了解长沙市青春期儿童肥胖与血压的关系,为预防青春期儿童高血压提供依据。方法:采用随机整群抽样方法,随机抽取长沙市18所中学生,对其初一至高二的全部学生进行血压和体格测量,并进行血压和营养状况的评价。结果:(1)18922名12～17岁儿童青少年中,检出患高血压者1276人,占6.7%,男、女生检出率分别为7.6%和5.8%;(2)肥胖组各个年龄段收缩压和舒张压平均水平均显著高于同性别同龄儿童的收缩压和舒张压平均水平,且差异有显著性。(3)男、女生和所有儿童合计分析,均显示肥胖组儿童的高血压检出率明显高于对于对照组,且差异有显著性。结论:长沙市12～17岁青春期儿童高血压发生率处于中等水平;青春期儿童血压水平与肥胖密切相关,肥胖是青春期儿童高血压的重要危险因素。

Relationship between obesity and blood pressure among teenagers in Changsha City

Objective To study the relationship between obesity and blood pressure among teenagers in Changsha City in order to provide reference data for prevention of teenagers hypertension.Methods According to cluster sample method sampling pricipal,All student from junior 1 to senior 2 in 18 middle schools were measured about their blood pressure,height and weight.at the same time,the level of blood pressure and nutrition status were evaluated.Results(1)Among 18922 teenagers aged 12～17 years old,1276 teenagers were attacked with hypertension and the prevalence ratios was 6.7%,The ratios of male and female were 7.6% and 5.8% respectively.(2)The levels of SBP and DBP in every age group were significantly higher in the obesity group than those in the control group,and the difference was significant.(3)Among male,female and all teenagers,the hypertension ratios were significantly higher in the obesity group than those in the control group,and the difference was significant.Conclusion The hypertension ratio was intermediate level for teenagers aged 12～17 years old in Changsha City;Obesity is positive related with blood pressure in children;Children obesity were the important risk factors of teenagers hypertension.