Objective To analyze the prevalence of systolic blood pressure,diastolic blood pressure and high blood pressure in Chinese adolescents aged 12-17 years,and to explore the relationship between anthropometric measurements(BMI,waist circumference,waist-to-hip ratio,waist-to-height ratio) and high blood pressure,so as to provide reference for relevant departments to develop strategies for prevention and control of hypertension in children and adolescents. Methods Totally 5 554 children and adolescents aged 12-17 years with completed variables from “China Health and Nutrition Survey” conducted from 1991 to 2015 were selected as study subjects.The definition of high blood pressure was based on the national standard of “high blood pressure screening threshold for children and adolescents aged 7-18 years” issued by the National Health and Health Commission in 2018.Multivariate Logistic regression was used to analyze the association between high blood pressure and the four physical measures. Results From 1991 to 2015,the prevalence rates of high blood pressure isolated high systolic blood pressure,and isolated high diastolic blood pressure in children and adolescents aged 12-17 years in China were 9.67%,1.57%,and 6.41%,respectively.The high blood pressure prevalence rates of lean and normal,overweight and obesity group were 8.79%,17.88% and 27.45%,respectively. Meanwhile,the prevalence of isolated high systolic blood pressure were 1.39%,3.03% and 5.88%,respectively and the prevalence of isolated high diastolic pressure were 5.99%,10.91% and 12.75%,respectively.Multivariable Logistic regression model revealed that the risk of high blood pressure,isolated high systolic blood pressure and isolated high diastolic blood pressure increased with the elevation of BMI level(P<0.05). Conclusion The prevalence of high blood pressure in overweight and obese people aged 12-17 years in China is higher.Preventing and controlling the overweight and obesity is an important measure to cope with the high blood pressure of children and adolescents.
Key words
children and adolescents /
high blood pressure /
body mass index
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