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目的探讨7~12岁儿童超重和肥胖与血压的关系,为心血管疾病的早期预防提供参考依据。方法测量瑞安市92所小学60 120名儿童的身高、体重和血压,分析儿童超重、肥胖与血压的关系。结果 60 120名儿童中男童31 160人(51.83%),女童28 960人(48.17%)。儿童总超重率为16.37%,男童和女童超重率分别为22.24%和10.22%;总肥胖率为6.42%,男童和女童肥胖率分别为9.11%和3.53%。男童超重和肥胖率均高于女童(P<0.01)。受检儿童的血压偏高率为6.63%,其中男童8.79%,女童4.31%,男童血压偏高率高于女童(P<0.01)。随年龄增加,血压偏高率呈上升趋势(P<0.05)。儿童超重和肥胖与血压相关,随体重增加血压偏高率呈上升趋势(P<0.05)。结论超重和肥胖对儿童血压升高有影响,控制超重和肥胖是减少儿童高血压的重要措施。
Objective To explore the relationship between overweight and obesity and blood pressure in children aged 7 to 12 years and provide references for the early prevention of cardiovascular diseases. Methods The height, weight and blood pressure of 60 120 children from 92 primary schools in Ruian City were measured. The relationship between overweight, obesity and blood pressure was analyzed. Results There were 31,160 (51.83%) boys and 28,960 girls (48.17%) out of 60,120 children. The total overweight rate of children was 16.37%, the overweight rates of boys and girls were 22.24% and 10.22% respectively, the total obesity rate was 6.42% and the obesity rates of boys and girls were 9.11% and 3.53% respectively. The overweight and obesity rates of boys were higher than those of girls (P <0.01). The average rate of hypertension was 6.63% in the examined children, including 8.79% in boys and 4.31% in girls. The rate of high blood pressure in boys was higher than that in girls (P <0.01). As age increased, the rate of high blood pressure showed an upward trend (P <0.05). Children overweight and obesity associated with blood pressure, with the increase of body weight increased high rate of blood pressure showed an upward trend (P <0.05). Conclusion Overweight and obesity have an impact on the increase of blood pressure in children. To control overweight and obesity is an important measure to reduce children’s hypertension.