湖北省中小学生人体测量学指标与血压水平关系的研究

发布时间：2018-03-31 15:05

  本文选题：人体测量学　切入点：血压　出处：《华中科技大学》2013年硕士论文

【摘要】：目的 探讨湖北省中小学生人体测量学指标的发育状况及其与血压水平的关系，为制定必要的高血压筛查标准提供依据。 方法 以2010年湖北省学生体质健康调查研究为基础，采用分层整群抽样方法抽取湖北省7~17岁儿童青少年12883人。测量研究对象的身高、体重、腰围、皮褶厚度等指标，计算体质指数、腰围身高比及体脂百分比。利用t-test分析各人体测量指标之间的性别差异，利用单因素方差分析、χ2-test、相关分析、ROC法、多元线性回归法等分析人体测量学指标与血压水平之间的关系。 结果 1.湖北省城乡男、女生BMI、腰围、瘦体重指标随年龄呈现增长趋势，各年龄组的性别差异明显，男生BMI、腰围、瘦体重显著高于女生。皮褶厚度指标，12岁以前男、女之间的差异较小，12岁以后女生显著高于男生(P0.05)。体脂百分比指标，，女生显著高于男生(P0.05)。 2.湖北省城乡男、女生血压随年龄呈现增长趋势。高舒张压患病率为4.34%，其中(男生为4.46%、女生为4.22%)，高收缩压患病率为3.60%，其中(男生为4.33%、女生为2.89%)。 3.①正常组、超重组和肥胖组高舒张压的患病率分别为3.85%、7.56%和11.78%，高收缩压患病率分别为2.78%、8.26%和15.27%。②WC＜P25、P25≤WC＜P75和WC≥P75高舒张压患病率分别为1.89%、4.18%和7.67%，高收缩压患病分别为1.53%、2.48%和8.32%。③WHtR＜0.5和WHtR≥0.5高舒张压患病率为4.18%和9.50%，高收缩压患病率为3.09%和13.03%。④以体脂百分比评价肥胖，正常组、轻度肥胖、中度肥胖和重度肥胖高舒张压患病率分别为3.46%、7.42%、8.68%和14.05%，高收缩压患病率分别为2.59%、5.90%、7.99%和16.99%。 4.各人体测量学指标与血压相关性分析表明，腰围的相关系数最大，与舒张压和收缩压的相关系数分别为0.166和0.278。腰围指标预测男生高舒张压和高收缩压AUCs分别为0.669和0.723，预测女生高舒张压和高收缩压AUCs分别为0.630和0.643。多元线性回归模型显示，腰围的标准化回归系数绝对值最大。 结论 1.湖北省城、乡中小学生人体测量学指标性别差异明显，其中BMI、腰围、瘦体重男生显著高于女生，皮褶厚度和体脂百分比女生高于男生。 2.湖北省中小学生高舒张压患病率为4.34%，高收缩压患病率为3.60%。 3.各人体测量学指标与儿童青少年高血压均有一定的关系，其中腰围与血压关系最密切。
[Abstract]:Purpose. To explore the developmental status of anthropometry and its relationship with blood pressure in primary and middle school students in Hubei Province, and to provide the basis for the establishment of essential screening criteria for hypertension. Method. Based on the investigation of students' physique and health in Hubei province in 2010, a stratified cluster sampling method was used to select 12883 children and adolescents aged 7 to 17 in Hubei province. The body mass index was calculated by measuring the height, weight, waist circumference and skinfold thickness of the subjects. The relationship between anthropometry and blood pressure was analyzed by t-test, single factor variance analysis, 蠂 2-test, correlation analysis, multiple linear regression and so on. Results. 1. The indexes of BMI, waist circumference and lean weight of male and female in Hubei Province showed an increasing trend with age. The sex difference of each age group was obvious. BMI, waist circumference and lean weight of boys were significantly higher than those of girls. The index of skin fold thickness was higher than that of boys before 12 years of age. The difference between girls was significantly higher than that of boys after 12 years of age, and the percentage of body fat in girls was significantly higher than that in boys (P 0.05). The prevalence of high diastolic blood pressure was 4.34 in male students, 4.46 in girls, 4.22 in girls, and 3.60 in high systolic blood pressure (4.3333 for males and 2.89g for females). 2. In Hubei Province, the blood pressure of boys and girls showed an increasing trend with age, and the prevalence rate of high diastolic blood pressure was 4.34, among which the prevalence of high systolic blood pressure was 4.46 for boys, 4.22 for girls, 3.60 for boys and girls. 3.1 normal group, The prevalence rates of hyperdiastolic blood pressure and hyperdiastolic blood pressure were 3.857.56% and 11.78%, respectively. The prevalence rates of high systolic blood pressure were 2.78% and 8.26%, respectively, and the prevalence rates of 15.27%.2WC < P25 鈮

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