CAJ | 학술논문

目的调查新疆伊犁地区哈萨克族学龄儿童肥胖指标与血压的相关性.方法 2009年5-6月以伊犁地区所有小学哈萨克族7～14岁儿童为调查对象,共调查2438名,测量腰围、臀围、皮脂厚度、收缩压和舒张压,计算体重指数、腰臀比、腰围身高比.以年龄、性别分组,血压按中国儿童血压标准分为高血压组和正常组.采用SPSS 17.0软件进行相关性统计分析.结果伊犁地区哈萨克族学龄儿童高血压总患病率为5.7％,其中男童为4.4％,女童为7.0％.腰围、臀围、腰身比、腰臀比、收缩压和舒张压均存在性别、年龄别差异(P=0.000).平均收缩压与腰围、臀围、皮脂厚度、体重指数、腰臀比均有相关性(P=0.000),其中臀围相关强度最强(男r=0.618,女r=0.655).平均舒张压与腰围、臀围、皮脂厚度、体重指数、腰臀比均存在相关性(P=0.000),其中臀围相关强度最强(男r=0.489,女r=0.548).高血压组腰围、臀围、皮脂厚度、体重指数及腰臀比与血压正常组比较差异有统计学意义(P＜0.05).结论新疆伊犁地区哈萨克族学龄儿童高血压患病率处于国内外同年龄段儿童的中低等水平.肥胖指标中腰围、臀围、体重指数和腰臀比均与血压存在不同程度相关性,其中以臀围呈正相关尤为显著.
목적 조사신강이리지구합살극족학령인동비반지표여혈압적상관성.방법 2009년5-6월이이리지구소유소학합살극족7～14세인동위조사대상,공조사2438명,측량요위、둔위、피지후도、수축압화서장압,계산체중지수、요둔비、요위신고비.이년령、성별분조,혈압안중국인동혈압표준분위고혈압조화정상조.채용SPSS 17.0연건진행상관성통계분석.결과 이리지구합살극족학령인동고혈압총환병솔위5.7％,기중남동위4.4％,녀동위7.0％.요위、둔위、요신비、요둔비、수축압화서장압균존재성별、년령별차이(P=0.000).평균수축압여요위、둔위、피지후도、체중지수、요둔비균유상관성(P=0.000),기중둔위상관강도최강(남r=0.618,녀r=0.655).평균서장압여요위、둔위、피지후도、체중지수、요둔비균존재상관성(P=0.000),기중둔위상관강도최강(남r=0.489,녀r=0.548).고혈압조요위、둔위、피지후도、체중지수급요둔비여혈압정상조비교차이유통계학의의(P＜0.05).결론 신강이리지구합살극족학령인동고혈압환병솔처우국내외동년령단인동적중저등수평.비반지표중요위、둔위、체중지수화요둔비균여혈압존재불동정도상관성,기중이둔위정정상관우위현저.
Objective To investigate the correlations between obesity index such as waist circumference,hip circumference,skin-fold thickness,body mass index,waist to hip ratio,waist to height ratio etc,and blood pressure among Kazak children living in Yili of Xinjiang.Methods In May-June 2009,2438 Kazak children aged 7 to 14 at primary schools in Yili of Xinjiang,were investigated.Waist circumference,hip circumference,skin-fold thickness,systolic and diastolic blood pressure were measured to calculate the body mass index,waist to hip ratio and waist to height ratio.Analysis on the differences in age and gender,blood pressure (BP) between hypertensive or normal BP group under the standard set for children.SPSS 17.0 software was used for statistical analysis on its correlation.Results The total prevalence of hypertension was 5.7％ in Kazak ethnic school-age children in Yili,with 4.4％ in the boys and 7.0％ in girls.Data from waist circumference,hip circumference,waist-height-ratio,waist-hip ratio,systolic and diastolic blood pressure showed gender and age differences (P=0.000).Average systolic blood pressure was correlated to waist circumference,hip circumference,skin-fold thickness,body mass index and waist to hip ratio (P=0.000),with hip circumference the most (man:r=0.618,female:r=0.655).The average diastolic blood pressure was correlated to waist circumference,hip circumference,skin-fold thickness,body mass index and waist to hip ratio (P=0.000),with hip having the strongest relation (r=0.489 for male and r=0.548 for females).Significant differences were seen between Hypertension groupand normal blood pressure group on waist circumference,hip circumference,skin-fold thickness,body mass index and waist-hip ratio (P＜0.05).Conclusion In Yili of Xinjiang,the prevalence of hypertension was at the low level in Kazak ethnic school-aged children when comparing to data from national and foreign standards.Indicators related to obesity as waist circumference,hip circumference,body mass index and waist to hip ratio were positively correlated with blood pressure,with hip in particular.