熊建菁, 王向东, 徐文燕, 顾峥奕, 张方方. 上海市闸北区小学二年级学生血压水平及相关因素[J]. 环境与职业医学, 2015, 32(5): 430-435. DOI: 10.13213/j.cnki.jeom.2015.14556
引用本文: 熊建菁, 王向东, 徐文燕, 顾峥奕, 张方方. 上海市闸北区小学二年级学生血压水平及相关因素[J]. 环境与职业医学, 2015, 32(5): 430-435. DOI: 10.13213/j.cnki.jeom.2015.14556
XIONG Jian-jing , WANG Xiang-dong , XU Wen-yan , GU Zheng-yi , ZHANG Fang-fang . Blood Pressure and Related Factors among Grade 2 Children in Zhabei District of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2015, 32(5): 430-435. DOI: 10.13213/j.cnki.jeom.2015.14556
Citation: XIONG Jian-jing , WANG Xiang-dong , XU Wen-yan , GU Zheng-yi , ZHANG Fang-fang . Blood Pressure and Related Factors among Grade 2 Children in Zhabei District of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2015, 32(5): 430-435. DOI: 10.13213/j.cnki.jeom.2015.14556

上海市闸北区小学二年级学生血压水平及相关因素

Blood Pressure and Related Factors among Grade 2 Children in Zhabei District of Shanghai

  • 摘要: 目的 探讨上海市学龄儿童血压水平及其影响因素。

    方法 分层整群抽取2010年闸北区7所小学二年级779名儿童为研究对象,由专业人员测量身高、体重、腰围、血压,自行设计饮食、运动调查表并由父母填写完成。

    结果 儿童血压偏高率为9.4%,男生10.0%,女生8.7%,差异无统计学意义(P > 0.05);总体肥胖率为20.9%,腰围偏高率为16.3%。收缩压和舒张压均值随着肥胖程度的增加呈上升趋势,男生(P趋势 < 0.0001)和女生(P趋势< 0.05)均有统计学意义。腰围偏高组的收缩压和舒张压均高于腰围正常组(P < 0.001)。控制年龄、性别、父母亲文化程度、父母亲职业后,多因素分析显示,腰围偏高(OR=1.14,95% CI:1.07~1.21)、摄入甜食多(OR=1.08,95% CI:1.02~1.16)是血压偏高的影响因素。

    结论 闸北区小学二年级学生血压偏高形势严峻,应加强监测和及早干预。控制儿童肥胖,特别是腹型肥胖,以及减少甜食摄入可降低血压偏高发生风险。

     

    Abstract: Objective To estimate the level of blood pressure and to identify related factors in school-age children in Shanghai.

    Methods Using stratified cluster sampling,779 Grade 2 children were selected from seven elementary schools in Zhabei District of Shanghai in 2010 and had measurements on height,weight,waist circumference,and blood pressure by trained personnel.Their parents completed a self-administered questionnaire designed by the research team on child's diet and physical activity.

    Results The prevalence of high blood pressure in the selected children was 9.4% and did not differ significantly between boys and girls (10.0% in boys and 8.7% in girls,P > 0.05).The prevalence of obesity was 20.9%,and 16.3% had high waist circumference.Both systolic blood pressure (SBP) and diastolic blood pressure (DBP) increased with obesity,with P-trend < 0.000 1 in boys and P-trend < 0.05 in girls.Both SBP and DBP were significant higher in the high waist circumference group than in those in the normal waist circumference group (P < 0.001).After multivariate adjustment of age,gender,parental education,and parental occupation,high waist circumference (OR=1.14,95% CI:1.07-1.21) and high consumption of sweet desserts (OR=1.08,95%CI:1.02-1.16) were associated with high blood pressure.

    Conclusion The prevalence of high blood pressure in the Grade 2 children in Zhabei District of Shanghai is at a high level and requires enhancing surveillance and earlier intervention.Targeted interventions against obesity,especially abdominal obesity,and less intake of sweet food are effective measures to reduce the risk of high blood pressure.

     

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