摘要
目的探讨河北省健康儿童青少年的血压分布与性别、年龄、城乡以及生长指标的相关性。方法采用分层不等整群抽样的原则,在河北省的两市、两县中随机抽取检测人群,体检确定为健康的5268名10～18岁的儿童、青少年,进行血压、身高和体重等指标的测定。结果儿童、青少年的血压随着年龄的增长而升高,城市男、女儿童、青少年的血压高于农村(P<0·001),尤其以舒张压更明显;男性和女性的血压偏高率分别为7·5%和6·8%,总血压偏高率为7·2%,高于以往同地区儿童、青少年的血压偏高率;血压偏高者其收缩压(SBP)、舒张压(DBP)、体重和BMI值均显著高于同年龄、同性别的血压正常者(P<0·001);Pearson相关分析显示,男、女学生收缩压和舒张压与年龄、身高、体重、BMI均呈正相关(P<0·001),其中男生血压与身高、体重,女生与体重的相关系数较大。结论河北地区儿童、青少年的血压偏高率高于该地区已报道值;体重偏高或肥胖儿童、青少年应注意控制体重,以降低患原发性高血压的危险性。
Objective To investigate the distribution of blood pressure （BP） in healthy children and adolescent in Hebei province and the correlation of BP with sex, age, and growth indexes. Methods To select randomly people to be investigated from 2 cities and 2 counties in Hebei by stratified sampling. BP values and its related indexes in 5268 healthy children and adolescent aged from 10 ~ 18 years were examined and analyzed. Results BP increased with age in children and adolescent. BP value in the city group was significantly higher than that of countries （P〈0.001）, especially diastolic blood pressure （DBP）. The prevalence of high BP in males and females was 7. 5% and 6. 8% , respectively. The average percentage of high BP was 7. 2%. That was all higher than what re- ported before. Systolic BP （ SBP）, DBP, weight and BMI of children and adolescent in high BP group were all significantly higher than those of the same sex and age in normal BP group （P 〈0. 001 ）. Pearson correlation analysis showed positive correlation between BP and age, height, weight and BMI, of which correlation coefficients of BP and height and weight for males and BP and weight for females were higher as compared with others. Conclusion The prevalence of high BP was higher than that reported before in the same region; Over weight or obese children and adolescent should control their weight to reduce the risk of primary hypertension.
出处
《基础医学与临床》
CSCD
北大核心
2007年第5期499-504,共6页
Basic and Clinical Medicine
基金
国家科技部基础性研究专项(2001DEA30031)
关键词
河北省
儿童青少年
血压偏高
BMI
Hebei province
children and adolescent
high blood pressure
BMI
