Trends in body mass index, blood pressure, and serum lipids in Japanese children: Iwata population-based annual screening (1993-2008).
Trends in body mass index, blood pressure, and serum lipids in Japanese children: Iwata population-based annual screening (1993-2008).
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DOI：
10.2188/jea.je20090079
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发表时间：
2010
影响因子：
4.7
通讯作者：
Iki M
中科院分区：
文献类型：
--
作者：
Kouda K;Nakamura H;Nishio N;Fujita Y;Takeuchi H;Iki M
目前儿童的体型、血压和血脂趋势是未来疾病患病率的预测因素。然而，还没有关于日本儿童血压和高密度脂蛋白胆固醇（HDL-C）水平的研究。我们使用1993年至2008年的年度筛查数据调查了体重指数（BMI）、收缩压（SBP）、舒张压（DBP）、总胆固醇（TC）、非HDL-C和HDL-C的趋势。研究对象为日本岩田市原岩田地区所有公立学校的14872名五年级学生（占目标人群的98.8%）。在整个过程中使用相同的检查方案，以确保质量控制的一致性和评估的精确度。使用回归模型分析了与日历年有关的变量趋势。在男孩中，BMI的第95百分位数增加了0.09 kg/m2/年。在两种性别中，BMI的第5百分位数降低了0.02 - 0.03 kg/m2/年。收缩压与日历年呈显著负相关，男孩收缩压第95百分位数下降0.52 mm Hg/年，女孩下降0.40 mm Hg/年。DBP也显著降低。然而，TC、非HDL-C或HDL-C无趋势。原岩田肥胖和体重不足儿童的增加与一项全国性调查的结果一致。虽然高血压和相关的危险因素以前在日本是一个严重的问题，但在过去的15年里，岩田小学生的血压水平已经下降。
Current trends in body size, blood pressure, and serum lipids in children are predictors of future disease prevalence. However, there have been no studies of blood pressure and high-density lipoprotein cholesterol (HDL-C) levels in Japanese children. We investigated trends in body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), non-HDL-C, and HDL-C using data from annual screenings in 1993 through 2008. The subjects were 14 872 (98.8% of the target population) fifth-graders enrolled in all public schools in the Original Iwata area in Iwata City, Japan. The same examination protocol was used throughout to ensure the uniformity of quality control and the precision of assessment. Trends in the variables in relation to the calendar year were analyzed by using regression models. In boys, the 95th percentile of BMI increased by 0.09 kg/m2/year. In both sexes, the 5th percentile of BMI decreased by 0.02 to 0.03 kg/m2/year. There was a significant negative correlation between SBP and calendar year, and the 95th percentile of SBP decreased by 0.52 mm Hg/year in boys and by 0.40 mm Hg/year in girls. There was also a significant reduction DBP. However, there were no trends in TC, non-HDL-C, or HDL-C. The increase in obese and underweight children in Original Iwata was consistent with the findings of a nationwide survey. Although high blood pressure and related risk factors were formerly a serious problem in Japan, blood pressure levels have decreased in schoolchildren from Iwata over the past 15 years.
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影响因子：
4.7
作者：
Kouda K;Nakamura H;Tokunaga R;Takeuchi H
通讯作者：
Takeuchi H
影响因子：
8
作者：
Barlow, SE;Dietz, WH
通讯作者：
Dietz, WH
影响因子：
7.1
作者：
Power, C;Lake, JK;Cole, TJ
通讯作者：
Cole, TJ
影响因子：
158.5
作者：
Baker, Jennifer L.;Olsen, Lina W.;Sorensen, Thorkild I. A.
通讯作者：
Sorensen, Thorkild I. A.
影响因子：
1.4
作者：
Okada, T;Murata, M;Harada, K
通讯作者：
Harada, K