新疆2023年中小学生血压偏高现状及相关因素分析

邓希希; 林勤; 潘凯; 丹尼尔·阿不都外力; 夏荣香; 者炜

doi:10.16835/j.cnki.1000-9817.2024351

新疆2023年中小学生血压偏高现状及相关因素分析

doi: 10.16835/j.cnki.1000-9817.2024351

1.
新疆医科大学公共卫生学院，乌鲁木齐 830011
2.
新疆维吾尔自治区疾病预防控制中心健康所

基金项目:

新疆维吾尔自治区自然科学基金项目 2021D01C028

详细信息

作者简介:
邓希希(2000-)，女，贵州盘州人，在读硕士，主要研究方向为流行病与统计学

通讯作者:
夏荣香，E-mail：769930244@qq.com

者炜，E-mail：zhewei1982@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R714.252 R544.1
计量
- 文章访问数: 162
- HTML全文浏览量: 73
- PDF下载量: 43
- 被引次数: 0
出版历程
- 收稿日期: 2024-09-03
- 修回日期: 2024-10-24
- 网络出版日期: 2024-12-10
- 刊出日期: 2024-11-15

Current status and associated factors of high blood pressure among primary and secondary school students in Xinjiang in 2023

DENG Xixi¹,
LIN Qin²,
PAN Kai²,
DANIEL Abduweli²,
XIA Rongxiang^{2
, ,},
ZHE Wei^{2
, ,}

1.
School of Public Health, Xinjiang Medical University, Urumqi (830011), Xinjiang Uygur Autonomous Region, China

摘要

摘要: 目的分析并评估2023年新疆中小学生血压偏高的现状及其相关因素，为学生高血压的防控决策提供科学依据。方法按照分层整群随机抽样的方法，于2023年9—11月在新疆14个地州市抽取94 205名8～17岁中小学生进行身体测量和问卷调查。采用χ²检验比较不同特征学生的血压偏高率差异，采用Logistic回归模型分析中小学生血压偏高的相关因素。结果新疆中小学生的总体血压偏高率为8.18%，以单纯性收缩压增高(占比52.16%)为主要类型。按学段划分，四至六年级小学生、初中生、普通高中生、职业高中生的血压偏高率分别为8.04%，8.59%，7.65%和9.72%，差异有统计学意义(χ²=29.16，P < 0.01)。肥胖和超重学生的血压偏高率分别为9.93%和17.88%，高于体型正常学生的5.32%，差异有统计学意义(χ²=1 643.14，P < 0.01)。城市学生的血压偏高率(8.73%)高于农村学生(7.15%)(χ²=71.58，P < 0.01)。Logistic回归模型分析结果显示，女生的血压偏高风险高于男生(OR=1.06)，初中生、普通高中生和职业高中生的血压偏高风险高于小学生(OR值分别为1.22，1.16，1.70)，农村学生的血压偏高风险低于城市学生(OR=0.90)，超重和肥胖组的血压偏高风险高于正常组(OR值分别为1.54，3.00)，住校学生的血压偏高风险低于不住校学生(OR=0.71)(P值均 < 0.01)。结论新疆2023年中小学生有一定的血压偏高率，且以单纯性收缩压增高为主；需重点关注女生、城市、中学阶段、非住校及超重或肥胖中小学生。
- 血压 /
- 超重 /
- 肥胖症 /
- 回归分析 /
- 学生
Abstract: Objective To analyze and assess the current status of high blood pressure and associated factors among primary and secondary school students in Xinjiang in 2023, so as to provide a scientific basis for prevention and control decision-making of high blood pressure among students. Methods From September to November 2023, a total of 94 205 primary and secondary school students aged 8-17 from 14 prefectures and cities in Xinjiang, were selected for physical measurement and questionnaire survey using a stratified clustering random sampling method. The χ² test was employed to compare differences in high blood pressure rates among students with varying characteristics. Additionally, a Logistic regression model was developed to analyze associated factors with high blood pressure among primary and secondary school students. Results The overall high blood pressure rate among primary and secondary school students in Xinjiang was 8.18%, with simple systolic hypertension being the main type at 52.16%. By educational stages, high blood pressure rates for elementary school (grades 4-6), middle school, high school and vocational high school were 8.04%, 8.59%, 7.65%, and 9.72% respectively (χ²=29.16, P < 0.01). The high blood pressure rates among obese and overweight students were 9.93% and 17.88% respectively, significantly higher than 5.32% among normal weight students (χ²=1 643.14, P < 0.01). The high blood pressure rate among urban students (8.73%) was higher than that of rural students (7.15%) (χ²=71.58, P < 0.01). Logistic regression model analysis showed increased high blood pressure risk for girls than boys (OR=1.06); middle school, high school, and vocational high school students had increased high blood pressure risk compared to elementary school students (OR=1.22, 1.16, 1.70); rural students had lower high blood pressure risk than urban students (OR=0.90); the risk of high blood pressure in overweight and obese groups was higher than that in the normal group (OR=1.54, 3.00), and the risk of high blood pressure in boarding students was lower than that in non boarding students (OR=0.71)(P < 0.01). Conclusions In Xinjiang in 2023, primary and secondary school students have a certain rate of high blood pressure, mainly characterized by elevated systblood pressure lower. The main prevention and control targets are females, urban residents, those in higher academic stages, non-boarding students, as well as overweight and obese primary and secondary school students.
- Blood pressure /
- Overweight /
- Obesity /
- Regression analysis /
- Students
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 新疆2023年不同组别中小学生血压偏高检出率比较

Table 1. Comparison of detection rates of elevated blood pressure among primary and middle school students in different groups of Xinjiang in 2023

组别	选项	人数	血压偏高人数	χ²值	P值
性别	男	45 681	3 762(8.24)	0.42	0.52
	女	48 524	3 940(8.12)
学段	小学四至六年级	31 861	2 562(8.04)	29.16	< 0.01
	初中	31 625	2 717(8.59)
	普高	27 211	2 082(7.65)
	职高	3 508	341(9.72)
城乡	城市	60 973	5 325(8.73)	71.58	< 0.01
	农村	33 232	2 377(7.15)
BMI	正常	64 204	4 218(6.57)	1 643.14	< 0.01
	中重度消瘦	2 233	96(4.30)
	轻度消瘦	3 907	208(5.32)
	超重	13 667	1 357(9.93)
	肥胖	10 194	1 823(17.88)
是否住校	否	62 777	5 663(9.02)	178.99	< 0.01
	是	31 428	2 039(6.49)
过去7 d摄入含糖饮料/(次·d^-1)	0	37 087	2 868(7.73)	16.06	< 0.01
	< 1	52 645	4 450(8.45)
	≥1	4 473	384(8.58)
过去7 d摄入油炸食品/(次·d^-1)	0	33 069	2 624(7.93)	9.91	0.01
	< 1	56 173	4 711(8.39)
	≥1	4 963	367(7.39)
吃早餐行为	每天	76 983	6 148(7.99)	22.01	< 0.01
	有时	15 462	1 410(9.12)
	从不	1 760	144(8.18)
每周有≥60 min中高强度运动4 d及以上	否	50 959	4 189(8.22)	4.82	0.09
	是	21 107	1 654(7.84)
	不清楚	22 139	1 859(8.40)
睡眠是否充足	否	29 681	2 400(8.09)	0.47	0.50
	是	64 524	5 302(8.22)
心理因素^*	抑郁风险较低	51 361	4 284(8.34)	4.73	0.09
	有抑郁风险	8 324	662(7.95)
	抑郁风险较高	2 659	194(7.30)
注：^*不涵盖小学生数据；()内数字为检出率/%。

下载: 导出CSV

表 2 新疆地区2023年中小学生不同类型血压偏高单因素分析

Table 2. Univariate examination of different various types of elevated blood pressure among primary and middle school students in Xinjiang in 2023

特征	选项	人数	单纯收缩压偏高			单纯舒张压偏高			收缩压和舒张压均偏高
特征	选项	人数	检出人数	χ²值	P值	检出人数	χ²值	P值	检出人数	χ²值	P值
性别	男	45 681	1 850(4.05)	9.98	< 0.01	1 414(3.10)	41.82	< 0.01	498(1.09)	4.99	0.03
	女	48 524	2 167(4.47)			1 168(2.41)			605(1.25)
学段	小学四至六年级	31 861	1 151(3.61)	69.79	< 0.01	1 042(3.27)	86.48	< 0.01	369(1.16)	7.80	0.05
	初中	31 625	1 484(4.69)			898(2.84)			335(1.06)
	普高	27 211	1 176(4.32)			553(2.03)			353(1.30)
	职高	3 508	206(5.87)			89(2.54)			46(1.31)
城乡	城市	60 973	2 821(4.63)	55.65	< 0.01	1 721(2.82)	4.33	0.04	783(1.28)	19.18	< 0.01
	农村	33 232	1 196(3.60)			861(2.59)			320(0.96)
BMI	正常	64 204	2 104(3.28)	1 099.59	< 0.01	1 597(2.49)	148.95	< 0.01	517(0.81)	519.63	< 0.01
	中重度消瘦	2 233	40(1.79)			40(1.79)			16(0.72)
	轻度消瘦	3 907	92(2.35)			86(2.20)			30(0.77)
	超重	13 667	762(5.58)			399(2.92)			196(1.43)
	肥胖	10 194	1 019(10.00)			460(4.51)			344(3.37)
是否住校	否	62 777	2 858(4.55)	38.37	< 0.01	1 928(3.07)	77.04	< 0.01	877(1.40)	83.18	< 0.01
	是	31 428	1 159(3.69)			654(2.08)			226(0.72)
过去7 d摄入含糖饮料/	0	37 087	1 484(4.00)	10.51	0.01	978(2.64)	2.65	0.27	406(1.09)	3.93	0.14
(次·d^-1)	<1	52 645	2 340(4.44)			1 474(2.80)			636(1.21)
	≥1	4 473	193(4.31)			130(2.91)			61(1.36)
过去7 d摄入油炸食品/	0	33 069	1 345(4.07)	6.56	0.04	911(2.75)	1.35	0.51	368(1.11)	5.56	0.06
(次·d^-1)	<1	56 173	2 473(4.40)			1 548(2.76)			690(1.23)
	≥1	4 963	199(4.01)			123(2.48)			45(0.91)
吃早餐行为	每天	76 983	3 192(4.15)	15.13	< 0.01	2 101(2.73)	1.43	0.49	855(1.11)	13.20	< 0.01
	有时	15 462	748(4.84)			439(2.84)			223(1.44)
	从不	1 760	77(4.38)			42(2.39)			25(1.42)
每周有≥60 min中高强	否	50 959	2 206(4.33)	2.78	0.25	1 397(2.74)	0.01	1.00	586(1.15)	10.40	0.01
度运动4 d及以上	是	21 107	857(4.06)			580(2.75)			217(1.03)
	不清楚	22 139	954(4.31)			605(2.73)			300(1.36)
睡眠是否充足	否	29 681	1 265(4.26)	0.00	0.98	820(2.76)	0.08	0.78	315(1.06)	4.50	0.03
	是	64 524	2 752(4.27)			1 762(2.73)			788(1.22)
心理因素^*	抑郁风险低	51 361	2 380(4.63)	2.19	0.34	1 299(2.53)	4.22	0.12	605(1.18)	0.45	0.80
	有抑郁风险	8 324	379(4.55)			182(2.19)			101(1.21)
	抑郁风险高	2 659	107(3.73)			59(2.22)			28(1.05)
注：^*不涵盖小学生数据；()内数字为检出率/%。

下载: 导出CSV

表 3 新疆中小学生血压偏高相关因素的Logistic回归分析(n=94 205)

Table 3. Logistic regression analysis of factors related to elevated blood pressure among primary and middle school student in Xinjiang(n=94 205)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)
性别	女	0.06	0.02	6.05	0.01	1.06(1.01~1.11)
学段	初中	0.20	0.03	44.21	< 0.01	1.22(1.15~1.30)
	普高	0.15	0.03	19.65	< 0.01	1.16(1.09~1.24)
	职高	0.53	0.07	61.67	< 0.01	1.70(1.49~1.95)
城乡	农村	-0.11	0.03	16.92	< 0.01	0.90(0.85~0.94)
BMI	中重度消瘦	-0.45	0.11	18.16	< 0.01	0.64(0.52~0.78)
	轻度消瘦	-0.21	0.07	8.37	< 0.01	0.81(0.70~0.93)
	超重	0.43	0.03	171.36	< 0.01	1.54(1.44~1.64)
	肥胖	1.10	0.03	1 261.39	< 0.01	3.00(2.82~3.19)
是否住校	是	-0.34	0.03	121.77	< 0.01	0.71(0.67~0.76)
吃早餐行为	有时	0.09	0.03	7.65	0.01	1.09(1.03~1.16)
	从不	-0.10	0.09	1.21	0.27	0.91(0.76~1.08)

下载: 导出CSV

表 4 新疆2023年中小学生不同类型血压偏高相关因素的Logistic回归分析(n=94 205)

Table 4. Analysis of Logistic regression regarding factors linked to various forms of elevated blood pressure among primary and middle school students in Xinjiang in 2023(n=94 205)

自变量	选项	单纯收缩压偏高					单纯舒张压偏高					收缩压和舒张压均偏高
自变量	选项	β值	标准误	Wald χ²值	P值	OR值(95%CI)	β值	标准误	Wald χ²值	P值	OR值(95%CI)	β值	标准误	Wald χ²值	P值	OR值(95%CI)
性别	女	0.18	0.03	30.44	< 0.01	1.20(1.12~1.28)	-0.21	0.04	27.34	0.02	1.08(1.01~1.16)	0.22	0.07	10.70	< 0.01	1.24(1.09~1.42)
学段	初中	0.40	0.04	91.74	< 0.01	1.49(1.37~1.61)	-0.06	0.05	1.55	0.21	0.94(0.86~1.03)	-0.11	0.08	1.83	0.18	0.89(0.76~1.05)
	普高	0.37	0.05	65.87	< 0.01	1.45(1.33~1.59)	-0.34	0.06	33.65	< 0.01	0.71(0.64~0.80)	0.32	0.09	13.57	< 0.01	1.38(1.16~1.63)
	职高	0.80	0.09	84.36	< 0.01	2.22(1.87~2.63)	-0.01	0.12	0.01	0.91	0.99(0.78~1.25)	0.37	0.19	4.02	0.05	1.45(1.01~2.09)
城乡	农村	-0.14	0.04	14.82	< 0.01	0.87(0.81~0.93)
BMI	中重度消瘦	-0.61	0.16	14.17	< 0.01	0.55(0.40~0.75)	-0.37	0.16	5.15	0.02	0.69(0.50~0.95)	0.38	0.28	1.80	0.18	1.46(0.84~2.52)
	轻度消瘦	-0.30	0.11	7.63	< 0.01	0.74(0.60~0.92)	-0.18	0.11	2.64	0.10	0.83(0.67~1.04)	0.24	0.20	1.33	0.25	1.27(0.85~1.89)
	超重	0.56	0.04	164.06	< 0.01	1.75(1.61~1.91)	0.12	0.06	4.41	0.04	1.13(1.01~1.26)	0.18	0.09	3.69	0.06	1.19(1.00~1.43)
	肥胖	1.20	0.04	878.58	< 0.01	3.33(3.07~3.60)	0.53	0.06	94.69	< 0.01	1.70(1.53~1.90)	0.48	0.08	37.80	< 0.01	1.61(1.38~1.88)
是否住校	是	-0.27	0.04	43.61	< 0.01	0.76(0.70~0.83)	-0.24	0.05	21.55	< 0.01	0.79(0.71~0.87)	-0.50	0.09	30.12	< 0.01	0.61(0.51~0.73)

下载: 导出CSV

参考文献(30)

[1]	YANG B, SHI M Q, LI Z H, et al. Effects of n-3 fatty acid supplements on cardiometabolic profiles in hypertensive patients with abdominal obesity in Inner Mongolia: a randomized controlled trial[J]. Food Funct, 2019, 10 (3): 1661-1670. doi: 10.1039/C8FO01707G
[2]	陈力, 张奕, 马涛, 等. 2010—2019年中国7~17岁汉族儿童青少年正常高值血压和血压偏高的流行趋势[J]. 中华预防医学杂志, 2023, 57(4): 499-507. CHEN L, ZHANG Y, MA T, et al. Prevalence trend of high normal blood pressure and elevated blood pressure in Chinese Han children and adolescents aged 7-17 years from 2010 to 2019[J]. Chin J Prev Med, 2023, 57(4): 499-507. (in Chinese)
[3]	黄婕, 曾淳子, 马婕, 等. 2016—2019年广州市农村9~12岁儿童青少年血压偏高与体质量指数的关联分析[J]. 现代预防医学, 2023, 50(19): 3519-3524, 3533. HUANG J, ZENG C Z, MA J, et al. Relationship between high blood pressure and body mass index in children and adolescents aged 9 to 12 years in rural areas of Guangzhou from 2016 to 2019[J]. Mod Prev Med, 2023, 50(19): 3519-3524, 3533. (in Chinese)
[4]	COHEN J L, NEES S N, VALENCIA G A, et al. Sildenafil use in children with pulmonary hypertension[J]. Pediatr, 2019, 205: 29-34. doi: 10.1016/j.jpeds.2018.09.067
[5]	KHOURY M, URBINA E M. Hypertension in adolescents: diagnosis, treatment, and implications[J]. Lancet Child Adolesc Health, 2021, 5(5): 357-366. doi: 10.1016/S2352-4642(20)30344-8
[6]	ZHANG M, SHI Y, ZHOU B, et al. Prevalence, awareness, treatment, and control of hypertension in China, 2004-18: findings from six rounds of a national survey[J]. BMJ, 2023, 380: e071952.
[7]	国家疾病预防控制局, 北京大学儿童青少年卫生研究所. 2023年全国学生常见病和健康影响因素监测及干预工作手册[Z]. 北京, 2023. Bureau of Disease Control and Prevention, Institute of Child and Adolescent Health of Peking University. Work manual for monitoring and intervention of common diseases and health influencing factors among students in China in 2023[Z]. Beijing, 2023. (in Chinese)
[8]	中华人民共和国国家卫生健康委员会. 7~18岁儿童青少年血压偏高筛查界值: WS/T 610—2018[S]. 2018-12-01. National Health Commission of the PRC. Reference of screening for elevated blood pressure among children and adolescents aged 7-18 years: WS/T 610-2018[S]. 2018-12-01. (in Chinese)
[9]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. (in Chinese)
[10]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查: WS/T 456—2014[S]. 2014-12-15. National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. 2014-12-15. (in Chinese)
[11]	中华人民共和国卫生部. 中小学生一日学习时间卫生要求: GB/T 17223—2012[S]. 北京: 中国标准出版社, 2013. Ministry of Health of the PRC. Health requirements of daily learning time for secondary and elementary school students: GB/T 17223-2012[S]. Beijing: Standard Press of China, 2013. (in Chinese)
[12]	RADLOFF L S. The CES-D Scale: a self-report depression scale for research in the general population[J]. Appl Psychol Measur, 1977, 1(3): 385-401. doi: 10.1177/014662167700100306
[13]	章婕, 吴振云, 方格, 等. 流调中心抑郁量表全国城市常模的建立[J]. 中国心理卫生杂志, 2010, 24(2): 139-143. ZHANG J, WU Z Y, FANG G, et al. Establishment of a Nationwide Urban Norm for the Center for Epidemiological Studies Depression Scale (CES-D)[J]. Chin Ment Health J, 2010, 24(2): 139-143. (in Chinese)
[14]	刘冰, 杨硕, 吴晓刚, 等. 吉林省中小学生血压偏高流行现状及影响因素[J]. 中国卫生工程学, 2024, 23(1): 32-37. LIU B, YANG S, WU X G, et al. Prevalence and influencing factors of slightly elevated blood pressure among children and adolescents in Jilin Province[J]. Chin J Public Health Engineer, 2024, 23(1): 32-37. (in Chinese)
[15]	张昱堃, 王志强, 陈国平, 等. 安徽省中小学生血压偏高流行现状及影响因素[J]. 中国学校卫生, 2023, 44(11): 1733-1737. doi: 10.16835/j.cnki.1000-9817.2023.11.031 ZHANG Y K, WANG Z Q, CHEN G P, et al. Prevalence and influencing factors of elevated blood pressure among primary and middle school students in Anhui Province[J]. Chin J Sch Health, 2023, 44(11): 1733-1737. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.11.031
[16]	刘忠慧, 徐渴, 孙志颖, 等. 天津市儿童青少年肥胖与血压现状及关系[J]. 公共卫生与预防医学, 2021, 32(1): 76-80. LIU Z H, XU K, SUN Z Y, et al. Investigation on the status of obesity and high blood pressure and their relationship in children and adolescents in Tianjin[J]. Public Health Prev Med, 2021, 32(1): 76-80. (in Chinese)
[17]	杨田, 张秀红, 高昇, 等. 内蒙古自治区7~17岁中小学生血压偏高现状及影响因素分析[J]. 医学动物防制, 2023, 39(12): 1187-1190, 1195. YANG T, ZHANG X H, GAO S, et al. Analysis of the current situation and influencing factors of high blood pressure among primary and middle school students aged 7-17 years in Inner Mongolia Autonomous Region[J]. J Med Pest Control, 2023, 39(12): 1187-1190, 1195. (in Chinese)
[18]	张裕, 王非, 陈艳华, 等. 2021年湖南省中学生超重肥胖与血压的关联性研究[J]. 实用预防医学, 2023, 30(5): 549-552. ZHANG Y, WANG F, CHEN Y H, et al. Association of overweight and obesity with blood pressure among middle school students in Hunan Province, 2021[J]. Pract Prev Med, 2023, 30(5): 549-552. (in Chinese)
[19]	董彦会, 宋逸, 董彬, 等. 2014年中国7~18岁学生血压状况与营养状况的关联分析: 基于中国儿童青少年血压评价标准[J]. 北京大学学报(医学版), 2018, 50(3): 422-428. DONG Y H, SONG Y, DONG B, et al. Association between the blood pressure status and nutritional status among Chinese students aged 7-18 years in 2014: based on the national blood pressure reference for Chinese children and adolescents[J]. J Peking Univ(Health Sci), 2018, 50(3): 422-428. (in Chinese)
[20]	PIERNAS C, WANG D, DU S, et al. Obesity, non-communicable disease (NCD) risk factors and dietary factors among Chinese school-aged children[J]. Asia Pac J Clin Nutr, 2016, 25(4): 826-840.
[21]	马军. 重视青春期发育与血压关系的研究[J]. 中华预防医学杂志, 2013, 47(8): 680-683. MA J. Emphasis on the relationship between pubertal development and blood pressure[J]. Chin J Prev Med, 2013, 47(8): 680-683. (in Chinese)
[22]	孙月琳, 张晓瑜, 程晓松, 等. 2018—2022年烟台市儿童体质量指数和血压偏高动态变化关系的队列研究[J]. 现代预防医学, 2024, 51(13): 2364-2368, 2380. SUN Y L, ZHANG X Y, CHENG X S, et al. A cohort study on the relationship between dynamic changes of body mass index and high blood pressure in children in Yantai from 2018 to 2022[J]. Mod Prev Med, 2024, 51(13): 2364-2368, 2380. (in Chinese)
[23]	杨梦利, 徐学琴, 赵倩倩, 等. 河南省7~18岁学生血压现状及影响因素分析[J]. 现代预防医学, 2023, 50(7): 1240-1244. YANG M L, XU X Q, ZHAO Q Q, et al. Analysis on the status and influencing factors of blood pressure among school students aged 7 to 18 years in Henan Province[J]. Mod Prev Med, 2023, 50(7): 1240-1244. (in Chinese)
[24]	张晓红, 马昊哲, 侯丽明, 等. 山西省高中生血压偏高现状及影响因素分析[J]. 中国健康教育, 2023, 39(5): 447-450. ZHANG X H, MA H Z, HOU L M, et al. Prevalence of elevated blood pressure and its influencing factors among senior high school students in Shanxi Province[J]. Chin J Health Educ, 2023, 39(5): 447-450. (in Chinese)
[25]	陈永刚, 高青, 朴泰弘, 等. 辽宁省本溪市青少年血压偏高现况及其影响因素分析[J]. 中国儿童保健杂志, 2021, 29(7): 779-782. CHEN Y G, GAO Q, PIAO T H, et al. Prevalence of high blood pressure and its influencing factors among adolescents in Benxi, Liaoning Province[J]. Chin J Child Health Care, 2021, 29(7): 779-782. (in Chinese)
[26]	李芳, 刘茁, 杨云娟, 等. 2020年云南省大理市儿童青少年血压现状分析[J]. 预防医学情报杂志, 2024, 40(5): 539-549. LI F, LIU Z, YANG Y J, et al. Prevalence of blood pressure among children and adolescents in Dali City of Yunnan Province in 2020[J]. J Prev Med Inf, 2024, 40(5): 539-549. (in Chinese)
[27]	NAGATA J M, LEE C M, LIN F, et al. Screen time from adolescence to adulthood and cardiometabolic disease: a prospective cohort study[J]. Gen Intern Med, 2023, 38(8): 1821-1827.
[28]	姚丽娟, 曲静, 娄伟伟. 儿童青少年不同体质量指数与血压水平关联的队列研究[J]. 中国学校卫生, 2023, 44(5): 773-777. doi: 10.16835/j.cnki.1000-9817.2023.05.030 YAO L J, QU J, LOU W W. Cohort study on different BMI and blood pressure levels in children and adolescents[J]. Chin J Sch Health, 2023, 44(5): 773-777. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.030
[29]	廉启国, 次仁央宗, 王延会, 等. 拉萨市藏族中学生血压偏高与超重肥胖及其共病影响因素分析[J]. 中国学校卫生, 2024, 45(3): 423-426, 430. doi: 10.16835/j.cnki.1000-9817.2020.01.030 LIAN Q G, CI R Y Z, WANG Y H, et al. Analysis of factors influencing elevated blood pressure and overweight/obesity and their comorbidities among Tibetan middle school students in Lhasa City[J]. Chin J Sch Health, 2024, 45(3): 423-426, 430. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.01.030
[30]	SIEBENHOFER A, JEITLER K, HORVATH K, et al. Long-term eff-ects of weight-reducing drugs in hypertensive patients[J]. Cochrane Database Syst Rev, 2013(3): CD007654.