Secular Trends in Blood Pressure and Overweight and Obesity in Chinese Boys and Girls Aged 7 to 17 Years From 1995 to 2014.
Secular Trends in Blood Pressure and Overweight and Obesity in Chinese Boys and Girls Aged 7 to 17 Years From 1995 to 2014.
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1995年至2014年中国7至17岁男孩和女孩血压、超重和肥胖的长期趋势
DOI：
10.1161/hypertensionaha.118.11291
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发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Prochaska JJ
中科院分区：
文献类型：
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作者：
Dong Y;Ma J;Song Y;Ma Y;Dong B;Zou Z;Prochaska JJ
目前的研究旨在评估中国儿童和青少年超重和肥胖状况以及高血压的长期趋势。数据来自1995年至2014年的中国学生体质与健康调查，涉及943，128名7-17岁的参与者。计算超重状态对高血压的人群归因危险度。超重的患病率从1995年的4.3%上升到2014年的18.4%，而同期高血压患病率在4.4%至6.4%之间波动，2005年最低。在每个调查年内，血压水平和高血压患病率随着身体质量指数的增加而增加。值得注意的是，由于超重导致的高血压人群归因风险从1995年的6.3%稳步上升至2014年的19.2%。国内29个省、市、自治区的肥胖呈线性增长趋势，血压呈波动趋势，超重的人群归因危险度持续增加。尽管从1995年到2014年，中国儿童超重患病率急剧增加，但高血压患病率保持相对稳定，这表明其他独立因素在更大程度上影响高血压趋势。然而，随着时间的推移，超重或肥胖对高血压的影响程度急剧增加，预示着高血压的沉重负担即将到来。减轻超重状况可能有助于预防高血压，从而预防成年后的冠状动脉风险。
The current study aimed to assess the secular trends in overweight and obesity status and high blood pressure in Chinese children and adolescents over two decades. Data on 943,128 participants aged 7-17 years were obtained from the Chinese National Survey on Students’ Constitution and Health from 1995 to 2014. The population attributable risk of overweight status for high blood pressure was calculated. The prevalence of overweight increased from 4.3% in 1995 to 18.4% in 2014, while high blood pressure prevalence fluctuated in the range of 4.4% to 6.4% during the same time period, lowest in 2005. Within each survey year, blood pressure levels and high blood pressure prevalence increased with higher body mass index. Notably, the population attributable risk of high blood pressure due to being overweight steadily increased from 6.3% in 1995 to 19.2% in 2014. The same trends of linear growth for obesity, fluctuating blood pressure and its sustained increasing population attributable risk for overweight also occurred among the domestic 29 provinces. Despite dramatic increases in overweight prevalence among Chinese children from 1995 to 2014, the high blood pressure prevalence remained relatively stable, suggesting that other independent factors are affecting high blood pressure trends to a greater extent. Yet, overtime, the magnitude of the impact of being overweight or obese on high blood pressure increased sharply, predicting looming heavy burden of high blood pressure. Reductions in overweight status may aid in preventing high blood pressure so as to prevent coronary risk in adulthood.