女大学生月经初潮年龄与高血压前期的相关性

王英慧; 马迎红; 阎驰

doi:10.16835/j.cnki.1000-9817.2022.01.026

女大学生月经初潮年龄与高血压前期的相关性

doi: 10.16835/j.cnki.1000-9817.2022.01.026

江汉大学医院(武汉市第六医院)全科医学科，湖北武汉 430056

详细信息

作者简介:
王英慧(1968-)，女，广东梅县人，硕士，副主任医师，主要从事高校医疗工作

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.8 R173 R544.1
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- 被引次数: 0
出版历程
- 收稿日期: 2021-06-04
- 修回日期: 2021-09-13
- 刊出日期: 2022-01-25

Association between age at menarche and prehypertension in female college students

Department of General Medical, Hospital of Jianghan University(the Sixth Hospital of Wuhan), Wuhan (430056), China

摘要

摘要: 目的探讨女性大学生月经初潮年龄与高血压前期的关系，为大学生高血压及心血管疾病的早期预防提供科学依据。方法通过分层整群随机抽样方式，选取江汉大学558名在校女大学生，收集月经初潮年龄信息，测量体重、身高及血压，计算体质量指数(BMI)，比较不同月经初潮年龄受试者的血压状态，探讨月经初潮年龄对血压的影响。结果大学女生平均月经初潮年龄为(12.48±0.95)岁，高血压前期检出率为17.56%(98名); 月经初潮年龄8~11，12，13，14，15~19岁，高血压前期检出率分别为30.95%，10.00%，17.31%，10.81%，31.58%，呈近似U型分布趋势，12岁女生检出率最低，13及14岁组高血压前期发生率与12岁组差异无统计学意义，而8~11岁组或15~19岁组发生高血压前期的风险大于12岁组(OR值分别为4.03，4.15，P值均 < 0.05)。结论月经初潮年龄过早或过晚均与血压偏高相关，对于初潮年龄过早且肥胖的女生进行适当干预可能有益于降低未来高血压的发生。
- 月经初潮 /
- 年龄因素 /
- 高血压 /
- 回归分析 /
- 学生 /
- 女(雌)性
Abstract: Objective To explore the correlation of age at menarche and prehypertension in female college students. Methods Age at menarche of 558 female college students was collected, while blood pressure, height and weight were measured, and body mass index(BMI) was calculated. Results Average age at menarche was (12.48±0.95) years, prevalence of prehypertension was 17.56% (98/558). The age of menarche was 8-11, 12, 13, 14, 15-19, and the prevalence of hypertension was 30.95%, 10.00%, 17.31%, 10.81%, 31.58% respectively, U-shape association was observed in the association between prehypertension with age at menarche, lowest when age at menarche was < 12 years. There was no significant difference in prehypertension between age at menarche was 13, 14 years old with 12-year-old group, those age at menarche 8-11 or 15-19 had a significantly higher risk of developing prehypertension than those 12-year-old(OR=4.03, 4.15, P < 0.05). Conclusion Early or late menarche is associated with high blood pressure, appropriate intervention for girls with early menarche and obesity may be beneficial in reducing their future hypertension.
- Menarche /
- Age factors /
- Hypertension /
- Regression analysis /
- Students /
- Female
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

表 1 不同月经初潮年龄受试者BMI和血压比较(x±s)

Table 1. Comparison of BMI and blood pressure in subjects with different menarche ages(x±s)

年龄/岁	人数	BMI/(kg·m^-2)	SBP/mm Hg	DBP/mm Hg
8~11	84	21.44±2.56	114.82±14.27	68.57±8.62
12	150	20.64±2.26	108.46±11.28	64.56±7.14
13	156	20.50±2.86	109.92±11.74	66.96±7.34
14	111	20.47±3.04	111.84±11.55	65.94±7.00
15~19	57	19.30±2.36	117.79±13.56	70.58±6.70
F值		1.87	1.96	2.57
P值		0.12	0.10	0.04
注： 1 mm Hg=0.133 kPa。

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表 2 女大学生月经初潮年龄与高血压前期发生风险的相关性

Table 2. Relationship between age of menarche and risk of prehypertension in female college students

年龄/岁	人数	检出人数	检出率/%	OR值(OR值95%CI)	P值
8~11	84	26	30.95	4.03(1.99~8.17)	< 0.01
12	150	15	10.00	1.00
13	156	27	17.31	1.88(0.96~3.70)	0.06
14	111	12	10.81	1.09(0.49~2.43)	0.83
15~19	57	18	31.58	4.15(1.92~8.99)	< 0.01

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