CAJ | 학술논문

目的了解正常体重儿童少年腹型肥胖的检出率及血压特征,为控制青少年肥胖和高血压提供参考.方法以2010年山东省学生体质健康调查研究中38 816名7～17岁中小学生为研究对象,测量身高、体重、腰围和血压,依据BMI和腰围指标判定体重状况和腹型肥胖.结果 7～17岁中小学生消瘦、正常、超重和肥胖的比例分别为5.37％、72.47％、12.92％和9.24％.在正常体重的学生中,腹型肥胖检出率为5.86％(女生7.19％,男生4.33％),女生高于男生(P＜0.01).正常体重腹型肥胖组的收缩压和舒张压水平(Z值)高于正常腰围组(P＜0.01).结论正常体重腹型肥胖儿童少年的血压水平较高,应列为高风险人群并实施相应的干预措施.
목적 료해정상체중인동소년복형비반적검출솔급혈압특정,위공제청소년비반화고혈압제공삼고.방법 이2010년산동성학생체질건강조사연구중38 816명7～17세중소학생위연구대상,측량신고、체중、요위화혈압,의거BMI화요위지표판정체중상황화복형비반.결과 7～17세중소학생소수、정상、초중화비반적비례분별위5.37％、72.47％、12.92％화9.24％.재정상체중적학생중,복형비반검출솔위5.86％(녀생7.19％,남생4.33％),녀생고우남생(P＜0.01).정상체중복형비반조적수축압화서장압수평(Z치)고우정상요위조(P＜0.01).결론 정상체중복형비반인동소년적혈압수평교고,응렬위고풍험인군병실시상응적간예조시.
Objective To study the prevalence and characteristics of blood pressure (BP) among children and adolescents at normal weight but with abdominal obesity.Methods Using data from the ‘Student physical fitness and health surveillance 2010 project' in Shandong province,a total of 38 816 students aged 7-17 years were selected to participate in this study.Stature,body weight,waist circumference (WC),systolic blood pressure (SBP) and diastolic blood pressure (DBP) of these subjects were measured.Body weight status and abdominal obesity were defined by body mass index (BMI) and WC,respectively.Results In total,the proportions of thinness,normal weight,overweight and obesity defined by BMI were 5.37％,72.47％,12.92％ and 9.24％ respectively.5.86％ of the children and adolescents with normal weight had abdominal obesity,with normal weighted girls (7.19％) having higher prevalence of abdominal obesity than boys (4.33％) (P＜0.01).The Z-scores of SBP and DBP for both boys and girls were all significantly higher in the normal weight but with abdominal obesity groups than in both normal weight and WC groups (P＜0.01).Conclusion Children and adolescents under normal weight but with abdominal obesity had higher BP level need to be identified and considered as high-risk individuals.Related intervention programs should also be targeted to this population.