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北京3~6岁儿童体质指数及腰围与血压的关系 被引量:8

Association between blood pressure and BMI,waist circumference among children aged 3~6 years in Beijing
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摘要 【目的】分析北京市3~6岁儿童血压与体质指数(body mass index,BMI)、腰围(waist circumference,WC)的关系,探讨儿童高血压与肥胖及肥胖类型的关系。【方法】选取2004年4—10月进行的北京市儿童代谢综合征研究(Beijing children metabolic syndrome study,BCAMS)中1 862名3~6岁儿童(男942,女920人)为研究对象,分析其血压水平与BMI及WC的关系;以BMI标准分别划分儿童超重和肥胖,以WC标准划分腹型肥胖,分析肥胖与高血压状态的变化及其趋势。【结果】北京3~6岁儿童收缩压(systolic blood pressure,SBP)和舒张压(diatolic blood pressure,DBP)均值按BMI和腰围正常、超重和肥胖组顺序依次升高;控制年龄和性别后,BMI、腰围与SBP和DBP呈独立正相关(P〈0.001);超重组和肥胖组的高血压患病率均显著高于正常组(P〈0.001),BMI肥胖组高血压患病率为45.9%,高血压发生风险是正常组的3.3倍;腹型肥胖组高血压患病率为38.6%,高血压患病风险是正常组的2.6倍。【结论】儿童BMI、WC与SBP和DBP呈正相关,用BMI和腰围评价的肥胖均可增加儿童高血压的患病风险,高血压患病率随着肥胖程度增加呈现成倍上升趋势。控制儿童BMI和腰围可以降低儿童血压水平,从而降低高血压发病风险。 【Objective】To analyze the relationship between blood pressure and overweight,obesity diagnosed by BMI,waist circumference(WC) respectively,among children(3~6 years) in Beijing. 【Methods】As part of the Beijing children and adolescents metabolic syndrome study(BCAMS),data of weight,height,WC,and blood pressure were collected from 1 862 subjects aged 3~6 years from April to October in 2004.Overweight and obesity were defined according to the US 2000 CDC Growth frac34,the 85^th and 95^th percentiles;abdominal obesity was defined by waist circumference 90^th cutpoints based on data from BCAMS.High Blood pressure were defined according to blood pressure reference standard in children of China. 【Results】The levels of SBP and DBP increased from normal weight to overweight and to obesity.The partial correlation coefficients between SBP,DBP and BMI were 0.313 and 0.282,for waist circumference were 0.293 and 0.313(P〈0.001) controlled by age,gender and location.The prevalence of hypertension in obesity diagnosed by BMI and waist circumference were 45.9% and 38.6% respectively,the prevalence was 3 times higher than in normal weight children. 【Conclusions】The prevalence of obesity and hypertension are high among children aged 3~6 years in Beijing.The levels of blood pressure are positively correlated with BMI and WC.Obesity is an explanation for higher incidence of hypertension than normal weight.
作者 侯冬青 程红 米杰 HOU Dong-qing,CHENG Hong,MI Jie.(Department of Epidemiology,Capital Institute of Pediatrics,Beijing 100020)
出处 《中国儿童保健杂志》 CAS 2010年第6期453-455,共3页 Chinese Journal of Child Health Care
基金 北京市科技计划重点项目(D08050700320000 D08050700320801) 首都医学发展基金(2007-1024)致谢:感谢北京市妇幼保健院及6区县(西城、朝阳、海淀、大兴、延庆、平谷)妇幼保健院和所有参加调查的幼儿园儿童及其家长.感谢北京市教育委员会、北京市卫生局对研究工作的支持.
关键词 高血压 超重 肥胖 儿童 hypertension overweight obesity children
作者简介 侯冬青(1977-),女,北京人,助理研究员,学士学位,主要研究方向为心血管病流行病学。 通信作者。
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