【中图分类号】R589.2【文献标识码】A【文章编号】1672-3783(2011)12-0438-01【摘要】目的分析儿童超重、肥胖与血压之间的关系，为高血压的早期预防提供科学依据。方法采用整群抽样调查方法，从广州市越秀区两所小学中共抽取1036名6〜12岁小学生,对小学生进行身高、体重和血压测量，按照中国肥胖问题工作组(WGOC)推荐的中国儿童青少年超重、肥胖分类标准建议，参照2000年中国学生体质健康研究制定的各年龄组血压百分位数中城市男女生收缩压(SBP)与舒张压(DBP)百分位数［5］筛查血压偏高儿童，对资料完整的调查对象1027名进行分析。结果城区儿童超重检出率为12.4%,肥胖检出率为6.9%；男生超重检出率为15.1%,肥胖检出率为8.9%；女生超重检岀率为9.5%,肥胖检出率为4.8%,男生的超重、肥胖检出率明显高于女生,差别有统计学意义(x?2超重=9.109,x?2肥胖=8.089,PV0.01)。城区儿童血压偏高检出率19.7%,男性为18.7%,女性为20.7%,肥胖儿童以收缩压偏高为特点；随着超重程度增加，儿童收缩压偏高(HSBP)、---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---舒张压（HDBP）偏高、血压偏高（HBP）的检出率均随着上升，差别有统计学意义（趋势x?2hsbp=41.9>趋势x?2hdbp=24.2>趋势x?2hbp=41.8,P<0.001）o结论儿童肥胖和血压呈正相关，应普及卫生保健知识,建立并完善健康检查制度，控制儿童体重以降低患高血压的风险。【关键词】儿童血压偏高体重指数超重肥胖[ABSTRACT】ObjectiveToinvestigatetherelationshipbetweenbloodpressureandbodymassindex(BMI)inchildren,soastoprovidescientificevideneeforearlypreventionofhypertension.MethodAcross-sectionalsurveywithclustersamplingwascarriedoutinGuangzhou,1036pupilsagedfrom6to11wereselectedassubjects,theirstature?bodyweightandbloodpressureweremeasured・ThecategorycriterionofoverweightandobesityinchildrenandadolescentsofChinawasrecommendedbyWGOCHighbloodpressureinchildrenwasdiagnosedaccordingtothereportonthephysicalfitnessandhealthsurveillaneeofChineseschoolstudentsin2000.Atotalof1027qualifiedstudentswereanalyzed・ResultsInurbanarea,prevaleneerateofoverweightandobesityinchildrenwere15.1%and8.9%・Amongtheboys,prevalencerateofoverweightandobesitywere15.1%and8.9%.Amongthegirls,prevaleneerateofoverweightandobesitywere9.5%and4.8%.Theprevaleneerateofoverweightandobesityamongboysweresigrdficantlyhigherthant---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---hoseofgirls・Theprevaleneerateofhighbloodpressurewas19.7%(18.7%forboys,20.7%forgirls),thehighsystolicbloodpressurewasthemajorcharacterinobesechildren.TherewasasigrdficantdiffereneethatprevaleneerateofhighsystolicbloodpressureinchildrenwasincreasedwithBMIincreasing,aswellasPrevaleneerateofDiastolicbloodpressureandhighbloodpressureftrendchi-squarex?2HSBP=41.9>trendchi-squarex?2HDBP=24.2、trendchi-squarex?2HBP=41.8,P<0.001)ConclusionTherewasasign讦icantpositivecorrelationsbetweenobesityandbloodpressureinchildren.Theknowledgeofhygieneshouldbepopularized,thecensorshipofhealthshouldbesetupandperfected,andthebodyweightofchildrenshouldbecontrolledtodecreasetheriskofhighbloodpressure・【Keywords]Children;Highbloodpressure;BMI;Overweight;Obesity随着我国社会经济的发展和人民生活水平的大幅度提高，超重和肥胖已成为全社会关注的重要公共卫生问题，少儿时期尤其是青春期肥胖很容易发展为成人肥胖，且呈低龄化和发病率逐年上升的趋势，超重与肥胖不仅对儿童青少年健康成长，而且对成年人健康构成严重威胁［1-2］。为进一步了解广州市城区儿童体重指数（BMI）与血压关系，为儿童青少年乃至成年超重、肥胖和心血管病防治提供科学依据，我们对广州市城区儿童超重、肥胖与血压关系进行调查,结果报告如下。---本文来源于...