Analysis of the current childhood hypertension prevalence of 13~18 years old adolescents in Changsha city.

QIU Jun; LU Xiu-lan; WANG Ke-wei; ZHU Sheng; WU Xiao-li

doi:10.11852/zgetbjzz2015-23-01-18

PDF(435 KB)

Chinese Journal of Child Health Care ›› 2015, Vol. 23 ›› Issue (1) : 58-60. DOI: 10.11852/zgetbjzz2015-23-01-18

Analysis of the current childhood hypertension prevalence of 13~18 years old adolescents in Changsha city.

QIU Jun¹,LU Xiu-lan¹,WANG Ke-wei¹,ZHU Sheng¹,WU Xiao-li²

Author information +

History +

Abstract

Objective To know the current prevalence of hypertension of adolescents between 13 and 18 years old in Changsha city and provide the scientific basis for prevention measures in childhood hypertension. Methods Cross-sectional analyses of a represent sample (n=16 843) in Chinese children and adolescents from 13 to 18 years old were derived from 12 middle schools and 12 high schools by a cluster sampling method.The blood pressure was measured in elected students.The data were analysed by SPSS 18.0 statistical software. Results The mean of systolic blood pressure (SBP) was (103.90±10.42) mmHg,and the mean of diastolic blood pressure (DBP) was (66.83±6.68) mmHg in 16 843 elected students.In same age group,the mean of SBP and DBP in male was higher than in female students,and the difference was statistically significant (P<0.05).The detection rates of prehypertension (PHTN) and hypertension (HTN) were increased with the growth of age from 13 to 18 years old.The detection rates of prehypertension and hypertension were as 10.34%(843/8 149) and 15.35% (1251/8 149)in male students respectively,while they were as 5.16%(449/8 694) and 3.45%(300/8 694) in female students respectively.In same age,the distribution of different degree of childhood hypertension was statistically significant in different genders (P<0.001). Conclusions The prevalence of childhood hypertension is high in 13 to 18 years old adolescents in Changsha city.Therefore,the prehypertension and hypertension are adopted as primary prevention strategy to reduce the prevalence of hypertension in adolescents in China.

Key words

hypertension / prehypertension / detection rate / 13~18 years old adolescents

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

QIU Jun,LU Xiu-lan,WANG Ke-wei,ZHU Sheng,WU Xiao-li. Analysis of the current childhood hypertension prevalence of 13~18 years old adolescents in Changsha city.[J]. Chinese Journal of Child Health Care. 2015, 23(1): 58-60 https://doi.org/10.11852/zgetbjzz2015-23-01-18

References

[1] Lawes CM,Vander Hoorn S,Rodgers A.Global burden of blood-pressure-related disease,2001[J].Lancet,2008,371(9623):1513-1518.
[2] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
[3] Chen X,Wang Y.Tracking of blood pressure from childhood to adulthood:a systematic review and meta-regression analysis[J].Circulation,2008,117(25):3171-3180.
[4] 米杰,王天有,孟玲慧,等.中国儿童青少年血压参照标准的研究制定[J].中国循证儿科杂志,2010,5(1):4-14.
[5] 陆丽萍,万燕萍,戴寅妍,等.长三角4935名在校学生中高血压诊断标准探讨[J].临床儿科杂志,2011,29(10):948-951,956.
[6] 王天有,梁璐,米杰,等.北京地区儿童及青少年血压分布特征[J].中华儿科杂志,2007,45(5):378-381.
[7] Lo JC,Chandra M,Sinaiko A,et al.Severe obesity in children:prevalence,persistence and relation to hypertension[J].Int J Pediatr Endocrinol,2014,1:3-15.
[8] 时景璞,欧凤荣,徐占民,等.不同儿童高血压诊断标准对患病率的影响[J].中国公共卫生,2005,21(11):1344-1346.
[9] Chiolero A,Paradis G,Kaufman JS.Assessing the possible direct effect of birth weight on childhood blood pressure:a sensitivity analysis[J].Am J Epidemiol,2014,179(1):4-11.
[10] 徐永杰,李敏,徐佩茹,等.新疆伊犁地区哈萨克族7～14岁儿童肥胖指标与血压相关性分析[J].中华流行病学杂志,2012,33(8):774-778.
[11] Shi L,Krupp D,Remer T.Salt,fruit and vegetable consumption and blood pressure development:a longitudinal investigation in healthy children[J].Br J Nutr,2014,111(4):662-671.
[12] Ebbeling CB,Pawlak DB,Ludwig DS.Childhood obesity:public-health crisis,common sense cure[J].Lancet,2002,360(9331):473-482.
[13] 王念蓉,王继林.重庆城区3～18岁儿童肥胖和血压的关系[J].中国儿童保健杂志,2008,16(6):670-672.
[14] 许韶君,叶冬青,潘发明.安徽省儿童青少年人体质量指数与血压关系分析[J].中国学校卫生,2008,29(4):339-340.
[15] 仇君,吴晓丽.长沙市13～18岁青少年超重和肥胖流行现状[J].中国儿童保健杂志,2014,22(5):517-519.
[16] Tu W,Eckert GJ,Saha C,et al.Synchronization of adolescent blood pressure and pubertal somatic growth[J].J Clin Endocrinol Metab,2009,94(12):5019-5022.
[17] Shankar RR,Eckert GJ,Saha C,et al.The change in blood pressure during pubertal growth[J].J Clin Endocrinol Metab,2005,90(1):163-167.
[18] Kuciene R,Dulskiene V.Associations of short sleep duration with prehypertension and hypertension among Lithuanian children and adolescents:a cross-sectional study[J].BMC Public Health,2014,14(1):255-270.
[19] Active Healthy Living.prevention of childhood obesity through increased physical activity[J].Pediatrics,2006,117(5):1834-1842.
[20] Cutler JA,Roccella EJ.Salt reduction for preventing hypertension and cardiovascular disease:a population approach should include children[J].Hypertension,2006,48(5):818-829.