深圳市儿童身高体重血压变化趋势及相互关系的纵向研究

哈永婷; 李笑颜; 谌丁艳; 周丽; 吴宇; 李晓恒; 程锦泉

doi:10.16835/j.cnki.1000-9817.2022.04.029

深圳市儿童身高体重血压变化趋势及相互关系的纵向研究

doi: 10.16835/j.cnki.1000-9817.2022.04.029

哈永婷^{1, 2},
李笑颜³,
谌丁艳²,
周丽²,
吴宇²,
李晓恒^2, ,,
程锦泉^{1, 2, ,}

1.
郑州大学公共卫生学院分子流行病学教研室, 河南 450001
2.
深圳市疾病预防与控制中心学校卫生所
3.
安徽省疾病预防控制中心传染病防治所

详细信息

作者简介:
哈永婷(1997-), 女, 青海海北州人, 在读硕士, 主要研究方向为分子流行病学

通讯作者:
李晓恒, E-mail: lixiaoheng366@sohu.com

程锦泉, E-mail: cjinquan@szcdc.net

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R723.14 G804.49
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- 文章访问数: 525
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- 被引次数: 0
出版历程
- 收稿日期: 2021-12-16
- 修回日期: 2022-02-15
- 网络出版日期: 2022-04-25
- 刊出日期: 2022-04-25

Longitudinal study on the changes and correlation of height, weight and blood pressure among children in Shenzhen

HA Yongting^{1, 2},
LI Xiaoyan³,
CHEN Dingyan²,
ZHOU Li²,
WU Yu²,
LI Xiaoheng^{2
, ,},
CHENG Jinquan^{1, 2
, ,}

1.
Department of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou (450001), China

摘要

摘要: 目的了解学龄儿童身高、体重、血压的变化趋势及性别差异，探索超重肥胖与儿童高血压的关系，为降低儿童高血压发病提供科学依据。方法选取来自2013—2018年深圳市10所小学学生连续体检监测数据，经个人信息匹配形成纵向数据，计算年龄性别身高、体重、血压变化。采用广义估计方程分析超重肥胖与高血压的关联。结果男女生体重、体质量指数(BMI)、收缩压均随年龄增长升高且有性别差异(t/Z=3.89~31.52，P值均 < 0.05)。女生身高增速在8~11岁高于男生，10岁达到身高增速高峰，男生则比女生晚2年，男、女生分别为7.68，7.42 cm。男、女生体重和血压增速相似。身高增速与血压增速有同步趋势，身高增速高峰阶段血压增速也为高峰。广义估计方程分析结果显示，儿童总体肥胖OR值(95%CI)为1.62(1.48~1.81)，超重OR值(95%CI)为2.01(1.75~2.30)(P值均 < 0.01)。结论儿童身高、体重、血压变化有性别差异，身高和血压的增速呈同步趋势，儿童超重和肥胖可增加血压偏高/高血压的发生风险。
- 身高 /
- 体重 /
- 血压 /
- 肥胖症 /
- 儿童
Abstract: Objective To understand the changes of children's height, weight, blood pressure and gender differences, to explore the relationship between overweight, obesity and childhood hypertension, and to provide a scientific basis for childhood hypertension prevention. Methods Physical examination data during 2013 to 2018 of ten primary school students in Shenzhen were collected. Growth rate of height, weight and blood pressure by age and gender were calculated. The generalized estimating equation was used to analyze the association between overweight, obesity and hypertension. Results Weight, body mass index (BMI) and systolic pressure of boys and girls increased with age (t/Z=3.89-31.52, P < 0.05). The height growth rate of girls was higher than that of boys at the age of 8-11, and reaches the peak of height growth at the age of 10, while boys were two years later than girls(boys: 7.68 cm, gilrs: 7.42 cm). Weight and blood pressure growth rates were similar. At the same time, the growth rate of height and blood pressure had a synchronous trend, and the peak of the growth rate of blood pressure was also at the peak stage of height growth. The OR value of obesity on childhood hypertension was 1.62(1.48-1.81), and the OR value of overweight on childhood hypertension was 2.01(1.75-2.30), both P < 0.01. Conclusion There are gender differences in children's height, weight, and blood pressure, and the growth rate of height and blood pressure shows a synchronous trend. Overweight and obesity in children can increase the risk of high blood pressure and hypertension.
- Body height /
- Body weight /
- Blood pressure /
- Obesity /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 深圳市2013—2018年7~12岁不同性别儿童身高、体重、BMI及血压比较(x ±s)

Table 1. Comparison of gender differences in height weight BMI and blood pressure among children aged 7-12 in Shenzhen from 2013 to 2018(x ±s)

年龄/岁	性别	人数	统计值	身高/cm	体重/kg^*	BMI/(kg·cm^-2)	收缩压/mm Hg	舒张压/mm Hg
7	男	1 623		124.06±5.57	25.53(22.00，28.00)	16.46±2.47	99.56±10.90	63.29±8.30
	女	1 218		122.32±5.46	23.50(20.90，25.15)	15.65±2.09	97.55±10.51	62.01±8.78
			t/Z值	8.30	18.80	9.72	4.76	3.77
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
8	男	1 620		129.54±5.79	28.56(24.00，32.00)	16.89±2.89	101.97±10.03	64.08±7.57
	女	1 221		127.66±5.73	25.97(22.50，28.02)	15.83±2.24	99.82±9.88	62.84±7.57
			t/Z值	8.57	18.36	10.98	5.69	1.30
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.19
9	男	1 620		134.99±6.05	32.20(26.90，36.08)	17.52±3.14	102.49±10.02	64.08±7.57
	女	1 221		133.55±6.18	29.32(25.00，32.00)	16.33±2.45	100.34±9.44	63.06±7.11
			t/Z值	6.18	18.63	11.30	5.85	3.67
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
10	男	1 620		141.12±6.41	36.56(30.00，42.00)	18.23±3.54	104.94±10.60	64.69±7.09
	女	1 221		140.95±6.87	33.91(29.00，38.50)	12.97±7.66	102.31±9.86	63.70±6.80
			t/Z值	0.67	31.52	21.75	6.80	3.77
			P值	0.50	< 0.01	< 0.01	< 0.01	< 0.01
11	男	1 620		146.60±7.17	41.20(33.40，47.00)	18.98±3.61	106.99±10.74	66.19±7.94
	女	1 221		147.52±7.07	39.00(32.80，44.00)	17.78±2.91	105.43±10.33	66.14±7.76
			t/Z值	-3.40	21.24	9.82	3.89	0.16
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.87
12	男	1 575		154.25±8.04	47.18(38.65，54.00)	19.64±3.81	108.62±11.68	65.88±7.54
	女	1 199		153.73±6.33	44.62(38.00，49.80)	18.76±3.08	106.41±10.28	65.99±7.24
			t/Z值	1.91	21.15	6.69	5.25	-0.02
			P值	0.06	< 0.01	< 0.01	< 0.01	0.98
注：*为M(P₂₅, P₇₅)，1 mm Hg=0.133 kPa；血压数据有部分缺失。

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