Volume 45 Issue 3
Mar.  2024
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LIAN Qiguo, CI Renyangzong, WANG Yanhui, ZHAO Junmei, LU Yuxin, LI Na, ZHAO Wenhu, DENG Liping, LIU Zhihao. Analysis of factors influencing elevated blood pressure and overweight/obesity and their comorbidities among Tibetan middle school students in Lhasa City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 423-426. doi: 10.16835/j.cnki.1000-9817.2024076
Citation: LIAN Qiguo, CI Renyangzong, WANG Yanhui, ZHAO Junmei, LU Yuxin, LI Na, ZHAO Wenhu, DENG Liping, LIU Zhihao. Analysis of factors influencing elevated blood pressure and overweight/obesity and their comorbidities among Tibetan middle school students in Lhasa City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 423-426. doi: 10.16835/j.cnki.1000-9817.2024076

Analysis of factors influencing elevated blood pressure and overweight/obesity and their comorbidities among Tibetan middle school students in Lhasa City

doi: 10.16835/j.cnki.1000-9817.2024076
  • Received Date: 2024-01-13
  • Rev Recd Date: 2024-02-04
  • Available Online: 2024-03-29
  • Publish Date: 2024-03-25
  •   Objective  To explore the prevalence of elevated blood pressure and overweight/obesity and their comorbidities among Tibetan middle school students in Lhasa, and to analyze their association with lifestyle and other factors, so as to provide a basis for the intervention measures targeting elevated blood pressure, overweight and obesity among middle school students in high altitude area.  Methods  Using a stratified cluster random sampling method in September 2021, a total of 1 488 Tibetan junior and high students from Lhasa City were investigated with blood pressure measurement, physical examination and questionnaire survey. The influencing factors of elevated blood pressure, overweight and obesity and their comorbidities association were analyzed by multivariate Logistic regression.  Results  The prevalence of elevated blood pressure, overweight/obesity and their comorbidities were 17.8%, 17.4%, 5.0% respectively. Multivariate Logistic regression analysis showed that age(OR=0.81), residence, body mass inex(BMI) and gender were the influencing factors of elevated blood pressure; and the risks of elevated blood pressure in female students were higher than male students (OR=1.89), suburban students were higher than urban students (OR=8.06), overweight and obesity groups were higher than normal groups (OR=2.55, 2.87) (P < 0.05). Adjusting for confounding factors such as gender, residence and school, and BMI (only for elevated blood pressure), daily screen time ≥2 h was positively correlated with elevated blood pressure, overweight/obesity and its comorbidities (OR=1.56, 1.59, 2.51) (P < 0.05).  Conclusions  The prevalence of elevated blood pressure, overweight/obesity are relatively high in Lhasa. Longer screen time is a common factor affecting with elevated blood pressure, overweight/obesity and comorbidities among Tibetan students. Measures should be taken intervene in the lifestyle of Tibetan students, in order to reduce elevated blood pressure and overweight/obesity.
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  • [1]
    董彦会, 陈力, 刘婕妤, 等. 1985—2019年中国7~18岁儿童青少年超重与肥胖的流行趋势及预测研究[J]. 中华预防医学杂志, 2023, 57(4): 461-469.

    DONG Y H, CHEN L, LIU J Y, et al. Epidemiology and prediction of overweight and obesity among children and adolescents aged 7-18 years in China from 1985 to 2019[J]. Chin J Prev Med, 2023, 57(4): 461-469. (in Chinese)
    [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]
    ZHANG Y X, WANG S R, ZHAO J S, et al. Prevalence of overweight and central obesity and their relationship with blood pressure among college students in Shandong, China[J]. Blood Press Monit, 2016, 21(4): 251-254. doi: 10.1097/MBP.0000000000000189
    [4]
    娄小焕, 王明明, 席波. 儿童期血压偏高对成年期高血压的影响研究[J]. 中国儿童保健杂志, 2019, 27(6): 584-587. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201906003.htm

    LOU X H, WANG M M, XI B. Effect of childhood high blood pressure on the risk of hypertension in adulthood[J]. Chin J Child Health Care, 2019, 27(6): 584-587. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201906003.htm
    [5]
    YU L, CHEN W. The effect of boarding on obesity among middle school students: evidence from China[J]. Am J Health Promot, 2021, 35(2): 186-192. doi: 10.1177/0890117120951054
    [6]
    KAWABE H, AZEGAMI T, TAKEDA A, et al. Features of and preventive measures against hypertension in the young[J]. Hypertens Res, 2019, 42(7): 935-948. doi: 10.1038/s41440-019-0229-3
    [7]
    GRACE KHO W F, CHEAH W L, HAZMI H. Elevated blood pressure and its predictors among secondary school students in Sarawak: a cross-sectional study[J]. Cent Eur J Public Health, 2018, 26(1): 16-21. doi: 10.21101/cejph.a5186
    [8]
    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
    [9]
    NAGATA J M, LEE C M, LIN F, et al. Screen time from adolescence to adulthood and cardiometabolic disease: a prospective cohort study[J]. J Gen Intern Med, 2023, 38(8): 1821-1827. doi: 10.1007/s11606-022-07984-6
    [10]
    苑润滋, 王梅, 范超群, 等. 拉萨市8~18岁儿童青少年血压现状研究[C]//中国体育科学学会. 第十一届全国体育科学大会论文摘要汇编. 北京: 中国体育科学学会学术委员会, 2019: 5641-5642.

    YUAN R Z, WANG M, FAN C Q, et al. Study on the blood pressure status of children and adolescents aged 8-18 years in Lhasa[C]//China Sport Science Society. Compilation of abstracts for the 11th national sports science. Beijing: Academic Committee of China Sport Science Society, 2019: 5641-5642. (in Chinese)
    [11]
    中华人民共和国国家卫生健康委办公厅. 2021年全国学生常见病和健康影响因素监测与干预工作方案(国卫办疾控函〔2021〕142号)[Z]. 2021-03-23.

    General Office of the National Health Commission of the PRC. Work plan for national surveillance for common disease and health risk factors among students in 2021(CDC Letter[2021]No. 142 of the National Health Office)[Z]. 2021-03-23. (in Chinese)
    [12]
    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)
    [13]
    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)
    [14]
    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)
    [15]
    张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12 (6): 401-409. https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK201706001.htm

    ZHANG Y T, MA S X, CHEN C, et al. Physical activity guide for children and adolescents in China[J]. Chin J Evid Based Pediatr, 2017, 12 (6): 401-409. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK201706001.htm
    [16]
    蒋家诺, 杨田, 袁雯, 等. 内蒙古地区学生超重肥胖与血压偏高及其共病状况的生活方式影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1313-1318. doi: 10.16835/j.cnki.1000-9817.2023.09.008

    JIANG J N, YANG T, YUAN W, et al. Co-occurrence trend of overweight, obesity and elevated blood pressure and its association with lifestyle factors among students in Inner Mongolia Autonomous Region[J]. Chin J Sch Health, 2023, 44(9): 1313-1318. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.008
    [17]
    TIAN C, XU S, WANG H, et al. Prevalence of pre-high blood pressure and high blood pressure among non-overweight children and adolescents using international blood pressure references in developed regions in China[J]. Annu Human Biol, 2017, 44(6): 574-577. doi: 10.1080/03014460.2017.1318952
    [18]
    XU T, ZHU G, LIU J, et al. Gender-specific prevalence and associated risk factors of high normal blood pressure and hypertension among multi-ethnic Chinese adolescents aged 8-18 years old[J]. Blood Press, 2015, 24(3): 189-195. doi: 10.3109/08037051.2015.1025474
    [19]
    闫娇娇, 张玉飞, 万洋, 等. 西藏那曲特高海拔地区高血压流行病学现状及其危险因素分析[J]. 现代预防医学, 2023, 50(20): 3790-3794. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202320025.htm

    YAN J J, ZHANG Y F, WAN Y, et al. Epidemiological status and risk factors of hypertension in very high altitude area of Naked in Tibet[J]. Modern Prev Med, 2023, 50(20): 3790-3794. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202320025.htm
    [20]
    张媛媛, 杨丽丽, 席波. 济南市城区年龄6~17岁儿童青少年血压偏高现状[J]. 中华高血压杂志, 2019, 23(2): 162-167. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201801029.htm

    ZHANG Y Y, YANG L L, XI B. Prevalence of elevated blood pressure among children and adolescents aged 6-17 years in urban region of Jinan[J]. Chin J Hypertens, 2019, 23(2): 162-167. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201801029.htm
    [21]
    郭腾. 12~17岁藏族青少年高血压流行现状及其与海拔高度的关系研究[D]. 济南: 山东大学, 2020.

    GUO T. Prevalence of occasional hypertension and its association with altitude among Tibetan adolescents aged 12-17 years[D]. Jinan: Shandong University, 2020. (in Chinese)
    [22]
    杨云娟, 马涛, 查远翊, 等. 2017年至2020年云南省昆明市中小学生血压偏高流行趋势及特征分析[J]. 昆明医科大学学报, 2022, 43(11): 17-21. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202211003.htm

    YANG Y J, MA T, ZHA Y Y, et al. Epidemic trends and characteristics of hypertension among primary and secondary students from 2017 to 2020 in Kunming, Yunnan[J]. J Kunming Med Univ, 2022, 43(11): 17-21. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202211003.htm
    [23]
    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
    [24]
    DE SIMONE G, MANCUSI C, HANSSEN H, et al. Hypertension in children and adolescents[J]. Eur Heart J, 2022, 43(35): 3290-3301. doi: 10.1093/eurheartj/ehac328
    [25]
    张依航, 袁雯, 党佳佳, 等. 内蒙古地区2021年中小学生近视与肥胖共患现状及生活方式的调节作用[J]. 中国学校卫生, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

    ZHANG Y H, YUAN W, DANG J J, et al. Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. Chin J Sch Health, 2023, 44(9): 1299-1303. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.005
    [26]
    JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365. doi: 10.1016/S2213-8587(22)00047-X
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