中国医药科学2025，Vol.15Issue(10)：166-170,5.DOI:10.20116/j.issn2095-0616.2025.10.37
宁波市11～17岁青少年高血压患病率及其影响因素研究
Study on prevalence of hypertension and its influencing factors in 11～17 year old adolescents in Ningbo City
摘要
Abstract
Objective To analyze the prevalence of hypertension and its relationship with overweight and obesity among 11-17-year-old middle school students in Ningbo City,to explore the risk factors associated with hypertension,and to provide a reference basis for the comprehensive prevention and treatment of hypertension among adolescents in China.Methods A cluster-randomized sampling method was used to select 8 public schools in Ningbo from October to December 2021.Students aged 11-17 years were enrolled for height,weight,waist circumference measurements,3 blood pressure examinations on non-same days,and completion of questionnaires.Results A total of 3528 students were included in the study,including 1832 boys and 1696 girls.The overall overweight rate was 9.8%,the obesity rate was 5.0%,and the abdominal obesity rate was 14.4%.Based on the results of 3 non-same-day blood pressure measurements,the overall prevalence of hypertension among adolescents in Ningbo was 4.7%,which was significantly lower than the rate of a single blood pressure elevation(14.2%)and the rate of 2 non-same-day blood pressure elevations(8.2%).Among the hypertensive patients,overweight and obese people were as high as 84.3%,and more than half of the abdominal obese people(51.2%).Multifactorial logistic regression analysis showed that men(OR=1.15,95%CI:1.04-1.27,P<0.001),age(OR=1.38,95%CI:1.02-1.86,P=0.028),overweight(OR=1.28,95%CI:1.02-1.61,P=0.037)and obesity(OR=1.68,95%CI:1.05-2.70,P=0.021),abdominal obesity(OR=2.47,95%CI:1.37-4.46,P<0.001),and maternal educational level(OR=0.32,95%CI:0.14-0.75,P=0.012)were the independent risk factors for the prevalence of hypertension in children.Conclusion The prevalence of hypertension among adolescents in Ningbo is 4.7%,and three blood pressure measurements on non-simultaneous days may reduce the false-positive rate of hypertension in children and adolescents.Sex,age,overweight,obesity,abdominal obesity,and mother's education were influential factors in the prevalence of hypertension,with abdominal obesity being the most important risk factor.关键词
儿童青少年/高血压/患病率/腹型肥胖/危险因素Key words
Adolescents/Hypertension/Prevalence rate/Abdominal obesity/Risk factor分类
临床医学引用本文复制引用
孔红,杨雯君,陈芸芸,陶涛..宁波市11～17岁青少年高血压患病率及其影响因素研究[J].中国医药科学,2025,15(10):166-170,5.基金项目
浙江省教育厅科研项目(Y202148025). （Y202148025）
