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曹娟, 田彦军, 李静, 吴婉君, 吴文军, 韩百惠, 吕文沛, 赵海萍. 儿童青少年血脂水平与血压相关性[J]. 中国公共卫生, 2017, 33(3): 390-395. DOI: 10.11847/zgggws2017-33-03-13
引用本文: 曹娟, 田彦军, 李静, 吴婉君, 吴文军, 韩百惠, 吕文沛, 赵海萍. 儿童青少年血脂水平与血压相关性[J]. 中国公共卫生, 2017, 33(3): 390-395. DOI: 10.11847/zgggws2017-33-03-13
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CAO Juan, TIAN Yan-jun, LI Jing.et al, . Relationship between blood lipid and blood pressure in children and adolescents[J]. Chinese Journal of Public Health, 2017, 33(3): 390-395. DOI: 10.11847/zgggws2017-33-03-13
Citation: CAO Juan, TIAN Yan-jun, LI Jing.et al, . Relationship between blood lipid and blood pressure in children and adolescents[J]. Chinese Journal of Public Health, 2017, 33(3): 390-395. DOI: 10.11847/zgggws2017-33-03-13
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儿童青少年血脂水平与血压相关性

Relationship between blood lipid and blood pressure in children and adolescents

    摘要
  • 摘要: 目的分析宁夏银川、吴忠市儿童青少年血脂水平与血压的关系。方法采用分层整群随机抽样方法，于2013年9月在宁夏银川和吴忠市抽取学生2 331人，对其进行问卷调查、血压测定及血脂水平测定。结果研究对象高血压检出率为18.6%；不同年龄组儿童青少年高血压检出率差异有统计学意义（χ2=116.186，P=0.000），10岁年龄组高血压检出率最高，为32.7%。不同年龄组血脂异常检出率及其水平有差异（均P<0.05），血脂异常组收缩压（SBP）、舒张压（DBP）水平均高于血脂正常组（P<0.001），低密度脂蛋白胆固醇（LDL-C）、总胆固醇（TC）高血压检出率异常组高于正常组，差异均有统计学意义（P<0.05）；不同体质指数（BMI）水平下SBP、DBP水平差异均有统计学意义（P<0.01），高血压检出率肥胖组>超重组>正常组。进一步二元logistic回归分析结果表明，年龄（OR=0.754，90%CI=0.717～0.793）、高密度脂蛋白胆固醇（HDL-C）（OR=0.594，90%CI=0.424～0.832）、LDL-C（OR=1.550，90%CI=1.272～1.840）、甘油三酯（TG）（OR=1.733，90%CI=1.546～1.944）、TC（OR=1.502，90%CI=1.357～1.663）、BMI（OR=1.173，90%CI=1.134～1.213）、高血压家族史（OR=1.282，90%CI=1.050～1.660）均与高血压相关。结论儿童青少年高血压检出率处于较高水平，血脂可能是血压的影响因素，HDL-C是高血压的保护性因素，LDL-C、TG、TC、BMI、高血压家族史均是高血压的危险性因素。

     

    Abstract: ObjectiveTo analyze the relationship between blood lipids and blood pressure among children and adolescents in two cities of Ningxia Hui Autonomous Region (Ningxia).MethodsA study including questionnaire survey and measurements of blood pressure and lipids was conducted among 2 331 students selected with random cluster sampling from 14 primary and high schools in Yinchuan and Wuzhong cities of Ningxia during September 2013.ResultsThe detection rate of hypertension of the participants was 18.6%;there was a significant between-age difference in the detection rate (χ2=116.186,P<0.01) and the highest detection rate (32.7%) was observed among the students aged 10 years.The detection rate and the distribution of blood lipid abnormality differed among the students of various age groups (P< 0.05);both the systolic blood pressure (SBP) and diastolic blood pressure (DBP) were higher among the students with abnormal blood lipids than among those with normal blood lipids (both P< 0.001);significant higher hypertension rate was detected among the students with abnormal low density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) than among the students with normal LDL-C and TC (P<0.05).There were significant differences in SBP and DBP among the students with different body mass index (BMI) (both<0.01);the detection rate of hypertension was higher among the students with overweight or obesity than among those with normal body weight.The results of binary logistic analysis showed that age (odds ratio OR=0.754，90% confidence interval 90%CI:0.717-0.793),high density lipoprotein cholesterol (HDL-C) (OR=0.594，90%CI:0.424-0.832),LDL-C(OR=1.550，90%CI:1.272-1.840),triglyceride (TG) (OR=1.733，90%CI:1.546-1.944),TC (OR=1.502，95%CI:1.357-1.663),BMI (OR=1.173，90%CI:1.134-1.213),and family history of hypertension (OR=1.282，90%CI:1.050-1.660) were all associated with blood pressure among the students.ConclusionThe prevalence of hypertension is at a relative high level and may be associated reversely with HDL-C and positively with LDL-C,TG,TC,BMI,and family history of hypertension among children and adolescents in Ningxia.

     

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