目的 研究儿童青少年血压水平与血脂各组分的相关关系,为心血管病的早期预防和干预提供依据。方法 采用多阶段分层整群抽样,最终确定2 009名7～17岁学生作为研究对象,按照不同性别分组,分析血压水平与血脂各组分的相关关系。结果 Pearson相关分析显示,研究对象的血压水平与TG、TG/HDL-C、TC/HDL-C、non-HDL-C/HDL-C呈正相关 (P<0.05)。TC除了与女童SBP不相关外(P>0.05),与男童的SBP和DBP以及女童的DBP呈正相关 (P<0.05),TC/HDL-C与男女童的血压水平都呈正相关(P<0.05)。HDL-C除了与女童的DBP不相关外(P>0.05),与男童的SBP和DBP以及女童的SBP呈负相关 (P<0.05)。逐步回归分析显示,男童的SBP水平与TG、non-HDL-C、TG/HDL-C、non-HDL-C/HDL-C呈显著相关 (P<0.05),而DBP水平只与HDL-C呈显著相关 (P<0.05)。女童的DBP水平与TG、TG/HDL-C、LDL-C/HDL-C、non-HDL-C呈显著相关 (P<0.05),而SBP水平只与HDL-C呈显著相关 (P<0.05)。结论 儿童青少年的血压水平与血脂各组分呈现一定的相关关系,并且基于性别不同,相关程度表现出不同差异。
Abstract
Objective To examine the correlation between blood pressure level and lipid components among children and adolescent. Methods A total of 2 009 children and adolescent aged 7~17 were included in the present study.Subjects were grouped by gender,correlation between blood pressure level and lipid components. Results Pearson correlation analysis showed:Blood pressure level was positively correlated with TC,TG / HDL-C,TC / HDL-C,non-HDL-C / HDL-C(P<0.05).Besides SBP of female,TC was positively correlated with SBP and DBP of male and DBP of female (P<0.05).TC / HDL-C was positively correlated with SBP and DBP of male and female (P<0.05).Besides DBP of female,HDL-C was negatively correlated with SBP and DBP of male and SBP of female (P<0.05).Stepwise regression analysis showed:SBP level of male was significantly correlated with TG,non-HDL-C,TG / HDL-C,non-HDL-C / HDL-C (P<0.05),while the DBP level was only significantly correlated with HDL-C (P<0.05).DBP level of female was significantly correlated with TG,TG / HDL-C,LDL-C / HDL-C,non-HDL-C (P<0.05),while SBP level was only significantly correlated with HDL-C (P<0.05). Conclusions To a certain extent,blood pressure level is correlated with lipid components among children and adolescent.And based on different gender,the correlation degree shows significant difference.
关键词
收缩压 /
舒张压 /
脂代谢异常 /
儿童 /
青少年
Key words
systolic blood pressure /
diastolic blood pressure /
lipid metabolism abnormality /
children /
adolescent
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基金
卫生行业科研专项基金资助项目(201202010)
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