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北京市儿童青少年体重增长与收缩压变化性别差异纵向研究

段军伟 李子昂 赵瑞兰 李莉 赵芳芳 李梦龙 书文 奴比娅·阿马尔江 加吾兰·祖农吾兰 肖惠迪 胡翼飞

段军伟, 李子昂, 赵瑞兰, 李莉, 赵芳芳, 李梦龙, 书文, 奴比娅·阿马尔江, 加吾兰·祖农吾兰, 肖惠迪, 胡翼飞. 北京市儿童青少年体重增长与收缩压变化性别差异纵向研究[J]. 中国学校卫生, 2021, 42(5): 652-655. doi: 10.16835/j.cnki.1000-9817.2021.05.003
引用本文: 段军伟, 李子昂, 赵瑞兰, 李莉, 赵芳芳, 李梦龙, 书文, 奴比娅·阿马尔江, 加吾兰·祖农吾兰, 肖惠迪, 胡翼飞. 北京市儿童青少年体重增长与收缩压变化性别差异纵向研究[J]. 中国学校卫生, 2021, 42(5): 652-655. doi: 10.16835/j.cnki.1000-9817.2021.05.003
DUAN Junwei, LI Ziang, ZHAO Ruilan, LI Li, ZHAO Fangfang, LI Menglong, SHU Wen, NUBIYA Amaerjiang, JIAWULAN Zunong, XIAO Huidi, HU Yifei. A longitudinal study on sex difference in weight growth and systolic blood pressure change among children and adolescents in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 652-655. doi: 10.16835/j.cnki.1000-9817.2021.05.003
Citation: DUAN Junwei, LI Ziang, ZHAO Ruilan, LI Li, ZHAO Fangfang, LI Menglong, SHU Wen, NUBIYA Amaerjiang, JIAWULAN Zunong, XIAO Huidi, HU Yifei. A longitudinal study on sex difference in weight growth and systolic blood pressure change among children and adolescents in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 652-655. doi: 10.16835/j.cnki.1000-9817.2021.05.003

北京市儿童青少年体重增长与收缩压变化性别差异纵向研究

doi: 10.16835/j.cnki.1000-9817.2021.05.003
基金项目: 

国家自然科学基金项目 82073574

北京市自然科学基金项目 7202009

北京市教委科技计划项目 KM201810025009

详细信息
    作者简介:

    段军伟(1989-),男,北京顺义人,大学本科,医师,主要从事学生常见病防控工作

    李子昂(1996-),女,河北张家口人,在读硕士,主要研究方向为儿童青少年期慢性病预防

    通讯作者:

    胡翼飞,E-mail:huyifei@yahoo.com

  • 段军伟与李子昂为共同第一作者。
  • 中图分类号: R 179 R 723.14 R 544.1

A longitudinal study on sex difference in weight growth and systolic blood pressure change among children and adolescents in Beijing

  • 摘要:   目的  探索北京市学龄儿童青少年体重增长与收缩压变化的性别差异,为控制体重和血压的快速增长提供依据。  方法  基于北京市顺义区2009—2018年中小学生体检资料,经匹配个人信息后形成70 288人具有完整体重、收缩压的纵向数据库,计算年龄别体重、收缩压及其增长速度,与以体重增速高峰年龄(PWA)为基点的收缩压增长速度,采用混合效应线性模型分析增速的性别差异。  结果  男、女生体重、收缩压均随年龄增长而升高,各年龄段男生体重、收缩压均高于女生。混合效应线性模型结果显示,体重和收缩压增长速度存在性别年龄交互作用(β值分别为-0.35,-0.40,P值均 < 0.01),即各年龄段体重、收缩压增长速度具有性别差异。年龄别增长速度曲线显示,男生分别于12和13岁达到体重增速高峰和收缩压增速高峰,比女生晚1年和3年,但增长速度高峰均高于女生。收缩压调整PWA后的增长速度曲线显示,PWA出现前2年,男、女生发生增速高峰,在PWA出现次高峰,在PWA后显著下降且男生收缩压增长速度始终高于女生。  结论  北京学龄儿童青少年体重与收缩压增长速度和规律存在性别差异,并且收缩压变化与体重增加密切相关。
    1)  段军伟与李子昂为共同第一作者。
  • 图  1  北京市顺义区8~18岁儿童青少年体重增速曲线

    Figure  1.  Curves of weight growth rate for 8-18 years children and adolescents in Shunyi District, Beijing

    图  2  北京市顺义区8~18岁儿童青少年的SBP增速曲线

    Figure  2.  Curves of SBP growth rate for 8-18 years children and adolescents in Shunyi District, Beijing

    图  3  北京市顺义区8~18岁儿童青少年以PWA为基点的SBP增速曲线

    Figure  3.  Curves of SBP growth rate for 8-18 years children and adolescents by PWA in Shunyi District, Beijing

    表  1  北京市顺义区8~18岁儿童青少年体重比较[M(P25P75), kg]

    Table  1.   Comparison of sex difference in age-specific weight among children and adolescents aged 8-18 years in Shunyi District, Beijing[M(P25, P75), kg]

    年龄/岁 男生 女生 Z P
    人数 体重 人数 体重
    8 401 31.6(28.0, 37.8) 619 30.1(26.6, 35.4) 4.3 < 0.01
    9 12 482 34.1(29.2, 42.0) 11 641 31.9(27.7, 38.0) -23.4 < 0.01
    10 17 844 38.3(32.4, 47.4) 15 753 36.4(31.2, 43.9) -19.2 < 0.01
    11 17 499 43.7(36.2, 54.0) 15 407 42.2(35.9, 50.1) -13.2 < 0.01
    12 17 705 50.5(42.0, 61.2) 16 592 47.7(41.7, 55.4) -19.4 < 0.01
    13 16 364 55.4(47.5, 66.5) 14 908 50.7(45.2, 58.1) -33.7 < 0.01
    14 13 589 59.8(52.5, 71.2) 12 214 52.7(47.6, 59.6) -50.3 < 0.01
    15 11 946 63.4(56.1, 74.6) 11 757 54.3(49.4, 60.8) -63.1 < 0.01
    16 9 745 65.9(58.7, 76.8) 9 596 55.1(50.0, 61.5) -66.6 < 0.01
    17 8 176 67.9(60.6, 78.2) 8 126 55.6(50.5, 61.8) -67.9 < 0.01
    18 2 400 68.2(61.0, 77.6) 1 860 55.5(50.3, 61.1) -36.1 < 0.01
    下载: 导出CSV

    表  2  北京市顺义区8~18岁儿童青少年血压比较(x±s, mm Hg)

    Table  2.   Comparison of sex difference in age-specific blood pressure among children and adolescent aged 8-18 years in Shunyi District, Beijing (x±s, mm Hg)

    年龄/岁 男生 女生 t P
    人数 收缩压 人数 收缩压
    8 401 104.8±9.6 619 103.3±9.0 2.4 0.02
    9 12 482 105.1±10.0 11 641 103.2±9.8 15.1 < 0.01
    10 17 844 106.4±10.2 15 753 105.1±10.1 11.9 < 0.01
    11 17 499 109.2±10.8 15 407 108.4±10.7 6.9 < 0.01
    12 17 705 109.6±11.2 16 592 107.2±10.8 19.8 < 0.01
    13 16 364 112.4±11.2 14 908 108.4±10.7 32.6 < 0.01
    14 13 589 115.3±11.1 12 214 109.1±10.4 46.6 < 0.01
    15 11 946 116.9±11.4 11 757 108.2±10.5 61.1 < 0.01
    16 9 745 118.2±11.0 9 596 108.3±10.3 64.9 < 0.01
    17 8 176 120.1±11.2 8 126 108.7±10.3 67.8 < 0.01
    18 2 400 120.4±11.8 1 860 109.0±10.4 33.7 < 0.01
    注: 1 mm Hg=0.133 kPa。
    下载: 导出CSV

    表  3  北京市顺义区8~18岁儿童青少年体重、收缩压增速混合效应线性模型分析(n=70 288)

    Table  3.   Linear mixed-effect models of weight and blood pressure growth rate among children and adolescents aged 8-18 in Shunyi District, Beijing (n=70 288)

    参数 体重 收缩压
    β 标准误 P β 标准误 P
    截距 9.94 0.07 < 0.01 -0.57 0.24 0.02
    年龄 -0.34 < 0.01 < 0.01 0.23 0.02 < 0.01
    女生a 3.22 0.09 < 0.01 3.89 0.34 < 0.01
    年龄×女生b -0.35 0.01 < 0.01 -0.40 0.03 < 0.01
    注: a表示以男生为参照组; b表示以年龄×男生为参照组。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-02-10
  • 修回日期:  2021-04-09
  • 网络出版日期:  2021-05-20
  • 刊出日期:  2021-05-25

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