CAJ | 학술논문

目的：调查分析人体测量指标对儿童血压的影响。方法随机抽样检查郑州地区6790名6~13岁儿童，测量体质指数（BMI）、腰围（WC）、臀围（HC）、血压，计算腰围/臀围比（WHR）及腰围/身高比（WHtR），采用SPSS16.0软件进行统计分析。结果儿童高血压检出率为5.57%。控制年龄因素后采用偏相关分析发现，男、女童的BMI、WC、HC、WHtR与收缩压和舒张压均呈显著正相关（P均<0.05）。无论男女，高血压组的BMI、WC、HC、WHR和WHtR的水平均高于正常血压组，差异均有统计学意义（P均<0.05）。共检出肥胖儿童280名（4.12%），超重622名（9.16%）。肥胖、超重及正常体质量组的高血压比例的差异有统计学意义（P<0.01），肥胖组高血压比例高于超重及正常体质量组。肥胖、超重组的收缩压、舒张压水平均高于正常体质量组，差异均有统计学意义（P<0.05）。结论郑州地区6~13岁儿童高血压患病率处于同年龄段儿童的中低等水平。BMI、WC、HC、WHtR与男、女童血压具有显著相关性，尤以HC较为显著。
목적：조사분석인체측량지표대인동혈압적영향。방법수궤추양검사정주지구6790명6~13세인동，측량체질지수（BMI）、요위（WC）、둔위（HC）、혈압，계산요위/둔위비（WHR）급요위/신고비（WHtR），채용SPSS16.0연건진행통계분석。결과인동고혈압검출솔위5.57%。공제년령인소후채용편상관분석발현，남、녀동적BMI、WC、HC、WHtR여수축압화서장압균정현저정상관（P균<0.05）。무론남녀，고혈압조적BMI、WC、HC、WHR화WHtR적수평균고우정상혈압조，차이균유통계학의의（P균<0.05）。공검출비반인동280명（4.12%），초중622명（9.16%）。비반、초중급정상체질량조적고혈압비례적차이유통계학의의（P<0.01），비반조고혈압비례고우초중급정상체질량조。비반、초중조적수축압、서장압수평균고우정상체질량조，차이균유통계학의의（P<0.05）。결론정주지구6~13세인동고혈압환병솔처우동년령단인동적중저등수평。BMI、WC、HC、WHtR여남、녀동혈압구유현저상관성，우이HC교위현저。
Objective To investigate the correlation of anthropometric indicators and blood pressure in children. Methods A total of 6 790 children aged 6 to 13 years were inspected by random sampling. The body mass index (BMI), waist circumference (WC), hip circumference (HC), and blood pressure were measured. The waist/hip ratio (WHR) and waist/height ratio (WHtR) were calculated. The data wrer analyzed by SPSS16.0 statistical software. Results The detection rate of hypertension in children was 5.57%. After controlling for age, both in male and female children, the BMI, WC, HC, WHR, WHtR and systolic blood pressure showed a significant positive correlation by partial correlation analysis (all P<0.05). Both in male and female children, the BMI, WC, HC, WHR, and WHtR were significantly higher in children with hypertension than those in children with normal blood pressure (all P<0.05). Among all subjects, 280 children (4.12%) were obese, 622 children (9.16%) were overweight. The detection rates of hy-pertension were significantly different among obese, overweight and normal weight children (P<0.01). The detection rate of hypertension was significantly higher in obese children than that in overweight and normal weight children. The systolic and diastolic blood pressure were all significantly higher in obese and overweight children than that in normal weight children (P<0.05). Conclusion The hypertension prevalence of children aged 6 to 13 years in Zhengzhou is in the low to median level in the same age groups. The BMI, WC, HC, WHR, WHtR are signiifcantly correlated with blood pressure in both gender, and the correlation is the most obvious in HC.