Cardiovascular risk factors among black schoolchildren: comparisons among four Know Your Body studies.
Cardiovascular risk factors among black schoolchildren: comparisons among four Know Your Body studies.
复制标题
黑人学童的心血管危险因素：四项“了解你的身体”研究的比较。
DOI：
10.1016/0091-7435(89)90058-3
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发表时间：
1989
影响因子：
5.1
通讯作者：
Walter,HJ
中科院分区：
文献类型：
--
作者：
Zuckerman,AE;Olevsky-Peleg,E;Bush,PJ;Horowitz,C;Davidson,FR;Brown,DG;Walter,HJ
基线心血管危险因素变量来自哥伦比亚特区1,041名4-6年级的黑人儿童，作为了解你的身体评估项目的一部分。筛查包括身高、体重、三头肌皮褶厚度、收缩压和舒张压、健身阶梯测试、血清胆固醇、高密度脂蛋白胆固醇和硫氰酸盐。结果与其他三项Know Your Body研究的结果进行了比较，这三项研究分别是布朗克斯、纽约、韦斯特切斯特、纽约和洛杉矶，结果表明，在其他研究中，哥伦比亚特区的黑人儿童比黑人儿童更有可能胆固醇水平高，健康测试不及格。在哥伦比亚特区，肥胖儿童的血清总胆固醇、收缩、舒张期和高密度脂蛋白水平显著高于其他哥伦比亚特区儿童，而且健康状况不如其他哥伦比亚特区儿童；几乎四分之三的儿童有一个或多个危险因素。社会经济状况与舒张压、皮褶厚度和胆固醇水平呈负相关，与高密度脂蛋白胆固醇呈正相关。肥胖率和舒张压与布朗克斯和威彻斯特的比较一致，表明社会经济地位与种族相互作用，决定了危险因素水平。在所有了解你的身体的研究中，存在多种风险因素的儿童支持早期干预的必要性。
Baseline cardiovascular risk factor variables were obtained from 1,041 black District of Columbia children in Grades 4–6 as part of a Know Your Body evaluation project. Screening included height, weight, triceps skinfold measurements, systolic and diastolic blood pressures, step-test for fitness, serum cholesterol, high-density lipoprotein cholesterol and thiocyanate. Results were compared with those in three other Know Your Body studies, Bronx, New York, Westchester, New York, and Los Angeles, and indicated that District of Columbia black children are more likely to have high cholesterol levels and to fail the fitness test than black children in the other studies. In the District of Columbia, obese children had significantly higher total serum cholesterol, systolic, diastolic, and high-density lipoprotein levels, and were less fit than other District of Columbia children; almost three-fourths of all of the children had one or more risk factors. Socioeconomic status was negatively correlated with diastolic blood pressure, skinfold thickness, and cholesterol levels and was positively correlated with high-density lipoprotein cholesterol. Rates of obesity and diastolic blood pressure were consistent with Bronx and Westchester comparisons suggesting that socioeconomic status interacts with ethnicity to determine risk factor levels. The existence of children with multiple risk factors in all of the Know Your Body studies supports the need for early intervention.