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6 790 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。
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 hypertension 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 significantly correlated with blood pressure in both gender, and the correlation is the most obvious in HC.