文章摘要
黄小流,郭小草,颜红宇,戴弘厚,罗辉,黄玉珊.青少年体重指数与血压水平相关性的研究[J].井冈山大学自然版,2022,43(4):78-83
青少年体重指数与血压水平相关性的研究
THE ASSOCIATION OF BODY MASS INDEX AND BLOOD PRESSURE LEVEL IN TEENAGERS
投稿时间:2021-09-23  修订日期:2022-01-16
DOI:10.3969/j.issn.1674-8085.2022.04.012
中文关键词: 青少年  体重指数  血压  危险因素
英文关键词: teenagers  body mass index  blood pressure  risk factor
基金项目:国家自然科学基金项目(81160474);江西省2021年大学生创新创业训练计划项目(S202110419025);吉安市科技局重点科技计划(2020年市科技项目08)
作者单位
黄小流 井冈山大学医学部, 江西, 吉安 343009 
郭小草 井冈山大学医学部, 江西, 吉安 343009 
颜红宇 井冈山大学医务所, 江西, 吉安 343009 
戴弘厚 井冈山大学附属医院, 江西, 吉安 343000 
罗辉 井冈山大学医学部, 江西, 吉安 343009 
黄玉珊 赣南医学院第一附属医院, 江西, 赣州 341000 
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中文摘要:
      目的 探讨青少年体重指数(body mass index, BMI)与血压水平的关系,为青少年预防高血压发生提供流行病学依据。方法 以2019和2020年在井冈山大学进行了新生入学体检管理的学生为研究对象(N=9061),其中男生3996人,女生5065人,分析BMI与血压水平的相关性。结果 井冈山大学2020级和2019级学生高血压检出率为4.88%,其中男生和女生检出率分别为8.61%和1.93%(x2=214.4094,P < 0.001)。消瘦组、正常组、超重组、肥胖组高血压检出率分别为1.92%、3.78%、10.87%、20.44%(x2=343.879,P < 0.001)。Logistic回归分析发现BMI(OR=1.169,95%CI:1.143,1.196)、谷丙转氨酶(OR=1.004, 95%CI:1.001, 1.008)、血红蛋白(OR=1.036,95%CI:1.029,1.043)是青少年高血压发生的危险因素(P < 0.05)。结论 高BMI、谷丙转氨酶和血红蛋白升高是青少年高血压发生的危险因素,超重和肥胖青少年人群高血压发生的危险相对正常人群分别增加了3.581倍和12.309倍。需要加强对青少年BMI的控制,降低高血压的发生率。
英文摘要:
      Objective:To investigate the relationship between body mass index (BMI) and blood pressure in teenagers, and to provide epidemiological evidence for prevention of hypertension in teenagers. Methods:A total of 9061 freshmen (3996 male students and 5065 female students) underwent with physical examination in Jinggangshan University from 2019 to 2020 were recruited in the study. The correlation between BMI and blood pressure in these students was analyzed. Results:The detection rates of hypertension was 4.88% in this population, 8.61% in boys and 1.93% in girls, respectively(χ2=214.409, P < 0.001). The detection rates of hypertension was 1.92% in the emaciation group, 3.78% in the normal BMI group, 10.87% in the overweight group and 20.44% in the obesity group, respectively(χ2=343.879, P< 0.001). Logistic regression analysis indicated that BMI (OR=1169, 95%CI:1.1343, 1.196), alanine aminotransferase(OR=1.004, 95% CI:1.001, 1.008), and hemoglobin(OR=1.036, 95%CI:1.029, 1.043)were the risk factors for hypertension in teenagers(P< 0.05). Conclusion:High BMI, elevated alanine aminotransferase and hemoglobin are the risk factors for hypertension in teenagers. The risk of incidence of hypertension in overweight and obese teenagers are 3.581 times and 12.309 times higher than those in normal teenagers, respectively. Teenagers need to strengthen the control of BMI to reduce the incidence of hypertension.
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