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2017―2019年深圳市龙华区6~18岁学生超重和肥胖与高血压的关系

周苗 唐蕊 朱霞 周海蓉

周苗, 唐蕊, 朱霞, 周海蓉. 2017―2019年深圳市龙华区6~18岁学生超重和肥胖与高血压的关系[J]. 中华疾病控制杂志, 2023, 27(9): 1096-1100. doi: 10.16462/j.cnki.zhjbkz.2023.09.019
引用本文: 周苗, 唐蕊, 朱霞, 周海蓉. 2017―2019年深圳市龙华区6~18岁学生超重和肥胖与高血压的关系[J]. 中华疾病控制杂志, 2023, 27(9): 1096-1100. doi: 10.16462/j.cnki.zhjbkz.2023.09.019
ZHOU Miao, TANG Rui, ZHU Xia, ZHOU Hairong. Current status of overweight and obesity and its impact on hypertension among students aged 6-18 between 2017 and 2019 in Longhua District, Shenzhen[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(9): 1096-1100. doi: 10.16462/j.cnki.zhjbkz.2023.09.019
Citation: ZHOU Miao, TANG Rui, ZHU Xia, ZHOU Hairong. Current status of overweight and obesity and its impact on hypertension among students aged 6-18 between 2017 and 2019 in Longhua District, Shenzhen[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(9): 1096-1100. doi: 10.16462/j.cnki.zhjbkz.2023.09.019

2017―2019年深圳市龙华区6~18岁学生超重和肥胖与高血压的关系

doi: 10.16462/j.cnki.zhjbkz.2023.09.019
基金项目: 

深圳市医学重点学科建设经费 SZXK063

详细信息
    通讯作者:

    周海蓉,E-mail:54574963@qq.com

  • 中图分类号: R195.4

Current status of overweight and obesity and its impact on hypertension among students aged 6-18 between 2017 and 2019 in Longhua District, Shenzhen

Funds: 

Shenzhen Key Medical Discipline Construction Fund SZXK063

More Information
  • 摘要:   目的  了解深圳市龙华区2017―2019年6~18岁学生超重、肥胖情况和高血压的检出率,探索超重和肥胖与高血压之间的关系,为有针对性地开展相关预防工作提供依据。  方法  利用深圳市龙华区中心医院2017―2019年的学生体检数据,描述不同年份、性别和年龄学生的超重、肥胖情况与高血压检出率,采用logistic回归分析模型分析超重和肥胖对高血压患病的影响。  结果  2017―2019年学生体检人数分别为41 275人、46 907人和51 222人,超重检出率分别为9.66%、9.01%和9.89%,肥胖检出率分别为6.84%、6.22%和7.07%,高血压检出率分别为22.07%、21.16%和17.53%。调整年龄和性别后,2017年超重和肥胖组高血压的患病风险分别为正常组的2.191倍(OR=2.191, 95% CI: 2.038~2.355, P < 0.001)和3.984倍(OR=3.984, 95% CI: 3.566~4.186, P < 0.001),2018年为2.338倍(OR=2.338, 95% CI: 2.179~2.509, P < 0.001)和3.861倍(OR=3.861, 95% CI: 3.565~4.181, P < 0.001),2019年为2.076倍(OR=2.076, 95% CI: 1.937~2.226, P < 0.001)和3.753倍(OR=3.753, 95% CI: 3.486~4.040, P < 0.001)。  结论  深圳市龙华区儿童和青少年超重、肥胖和高血压检出率均相对较高,超重和肥胖是高血压检出的危险因素,需要引起足够的重视。
  • 表  1  2017―2019年研究对象的具体分布情况

    Table  1.   Distribution of research subjects in 2017-2019

    年龄组/岁
    Age group/years
    男性 Male 女性 Female
    2017年year 2018年year 2019年year 2017年year 2018年year 2019年year
    6~<7 27(0.11) 14(0.05) 17(0.06) 22(0.12) 19(0.09) 20(0.09)
    7~<8 2 907(12.33) 3 217(12.16) 3 781(13.20) 2 329(13.16) 2 784(13.61) 3 080(13.64)
    8~<9 3 451(14.63) 3 663(13.85) 3 822(13.34) 2 593(14.66) 2 874(14.05) 3 118(13.81)
    9~<10 3 196(13.55) 3 629(13.72) 3 645(12.72) 2 430(13.73) 2 818(13.77) 2 886(12.78)
    10~<11 2 845(12.06) 3 381(12.78) 3 581(12.50) 2 065(11.67) 2 619(12.80) 2 789(12.35)
    11~<12 2 456(10.41) 3 008(11.37) 3 266(11.40) 1 784(10.08) 2 164(10.58) 2 552(11.30)
    12~<13 2 104(8.92) 2 451(9.27) 2 782(9.71) 1 535(8.68) 1 825(8.92) 2 005(8.88)
    13~<14 1 989(8.43) 2 114(7.99) 2 117(7.39) 1 342(7.58) 1 493(7.30) 1 592(7.05)
    14~<15 1 607(6.81) 1 762(6.66) 1 902(6.64) 1 085(6.13) 1 209(5.91) 1 394(6.17)
    15~<16 1 190(5.05) 1 286(4.86) 1 487(5.19) 892(5.04) 944(4.61) 1 153(5.11)
    16~<17 1 014(4.30) 1 063(4.02) 1 284(4.48) 862(4.87) 990(4.84) 1 134(5.02)
    17~<18 688(2.92) 738(2.79) 849(2.96) 661(3.74) 634(3.10) 759(3.36)
    18 108(0.46) 121(0.46) 114(0.40) 93(0.53) 87(0.43) 93(0.41)
    合计Total 23 582 26 447 28 647 17 693 20 460 22 575
    注:①以[人数(占比/%)]表示。
    Note: ① [Number of people (proportion/%)].
    下载: 导出CSV

    表  2  2017―2019年不同性别研究对象超重、肥胖和高血压的检出情况

    Table  2.   Detection status of overweight, obesity, and hypertension in participants across gender in 2017-2019

    性别
    Sex
    2017年year 2018年year 2019年year
    超重
    Overweight
    肥胖
    Obesity
    高血压
    Hypertension
    超重
    Overweight
    肥胖
    Obesity
    高血压
    Hypertension
    超重
    Overweight
    肥胖
    Obesity
    高血压
    Hypertension
    男性Male 2 339(9.92) 2 125(9.01) 6 498(27.55) 2 480(9.38) 2 235(8.45) 7 046(26.64) 2 937(10.25) 2 736(9.55) 6 532(22.80)
    女性Female 1 649(9.32) 698(3.95) 2 612(14.76) 1 744(8.52) 681(3.33) 2 881(14.08) 2 129(9.43) 886(3.92) 2 447(10.84)
    合计Total 3 988(9.66) 2 823(6.84) 9 110(22.07) 4 224(9.01) 2 916(6.22) 9 927(21.16) 5 066(9.89) 3 622(7.07) 8 979(17.53)
    χ2值value 4.15 407.17 961.71 10.25 519.18 1 090.87 9.56 608.15 1 249.71
    P值value 0.042 < 0.001 < 0.001 0.001 < 0.001 < 0.001 0.002 < 0.001 < 0.001
    注:①以[人数(占比/%)]表示。
    Note: ① [Number of people (proportion/%)].
    下载: 导出CSV

    表  3  2017―2019年不同年龄段研究对象超重、肥胖和高血压的检出情况

    Table  3.   Detection status of overweight, obesity and hypertension in participants across age from 2017 to 2019

    年龄组/岁
    Age group/years
    2017年year 2018年year 2019年year
    超重
    Overweight
    肥胖
    Obesity
    高血压
    Hypertension
    超重
    Overweight
    肥胖
    Obesity
    高血压
    Hypertension
    超重
    Overweight
    肥胖
    Obesity
    高血压
    Hypertension
    6~<7 14(28.57) 4(8.16) 11(22.45) 4(12.12) 1(3.03) 9(27.27) 6(16.22) 5(13.51) 7(18.92)
    7~<8 491(9.38) 376(7.18) 1 193(22.78) 467(7.78) 392(6.53) 1 042(17.36) 558(8.13) 529(7.71) 1 021(14.88)
    8~<9 482(7.97) 504(8.34) 1 178(19.49) 522(7.99) 427(6.53) 1 038(15.88) 597(8.60) 542(7.81) 952(13.72)
    9~<10 540(9.60) 503(8.94) 967(17.19) 535(8.30) 505(7.83) 1 006(15.60) 585(8.96) 532(8.15) 928(14.21)
    10~<11 465(9.47) 335(6.82) 891(18.15) 558(9.30) 469(7.82) 1 033(17.22) 642(10.08) 552(8.67) 954(14.98)
    11~<12 392(9.25) 284(6.70) 812(19.15) 463(8.95) 295(5.70) 886(17.13) 615(10.57) 479(8.23) 841(14.46)
    12~<13 397(10.91) 212(5.83) 981(26.96) 425(9.94) 245(5.73) 984(23.01) 503(10.51) 268(5.60) 895(18.70)
    13~<14 353(10.60) 187(5.61) 861(25.85) 392(10.87) 159(4.41) 1 085(30.08) 416(11.22) 178(4.80) 737(19.87)
    14~<15 249(9.25) 149(5.53) 773(28.71) 289(9.73) 142(4.78) 1 030(34.67) 369(11.20) 179(5.43) 836(25.36)
    15~<16 222(10.66) 104(5.00) 650(31.22) 193(8.65) 117(5.25) 735(32.96) 294(11.14) 126(4.77) 768(29.09)
    16~<17 217(11.57) 95(5.06) 466(24.84) 212(10.33) 105(5.11) 607(29.57) 271(11.21) 134(5.54) 602(24.90)
    17~<18 143(10.60) 66(4.89) 324(24.02) 146(10.64) 53(3.86) 470(34.26) 182(11.31) 91(5.66) 437(27.18)
    18 23(11.44) 4(1.99) 3(1.49) 18(8.65) 6(2.88) 2(0.96) 28(13.53) 7(3.38) 1(0.48)
    合计Total 3 988(9.66) 2 823(6.84) 9 110(22.07) 4 224(9.01) 2 916(6.22) 9 927(21.16) 5 066(9.89) 3 622(7.07) 8 979(17.53)
    χ2值value 63.98 118.29 477.31 55.17 117.66 1359.09 79.73 157.87 858.16
    P值value < 0.001 < 0.001 < 0.001 < 0.001 < 0.001 < 0.001 < 0.001 < 0.001 < 0.001
    注:①以[人数(占比/%)]表示。
    Note: ① [Number of people (proportion/%)].
    下载: 导出CSV

    表  4  超重和肥胖影响高血压患病的logistic回归分析模型分析

    Table  4.   The logistic regression analysis for the association between overweight and obesity and hypertension

    变量Variable 2017年year 2018年year 2019年year
    β
    value
    OR值value
    (95% CI)
    P
    value
    β
    value
    OR值value
    (95% CI)
    P
    value
    β
    value
    OR值value
    (95% CI)
    P
    value
    正常Normal weight 1.000 1.000 1.000
    超重Overweight 0.784 2.191(2.038~2.355) < 0.001 0.849 2.338(2.179~2.509) < 0.001 0.731 2.076(1.937~2.226) < 0.001
    肥胖Obesity 1.352 3.984(3.566~4.186) < 0.001 1.351 3.861(3.565~4.181) < 0.001 1.323 3.753(3.486~4.040) < 0.001
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-03-17
  • 修回日期:  2021-06-14
  • 网络出版日期:  2023-10-12
  • 刊出日期:  2023-09-10

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