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Assessment of Child Anthropometry in a Large Epidemiologic Study
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子どもと青年の血圧と肥満
Gilles Paradis1, Marie Lambert, Jennifer O'Loughlin
1Direction de santé publique de Montréal-Centre, McGill University Health Centre, 1301 Sherbrooke St East, Montréal, Canada, H2L 1M3. gilles.paradis@mcgill.ca
Circulation
|September 24, 2004
まとめ
小児肥満は,子供と青少年における高血圧 (BP) と関連しています. この研究は,若者における高血圧の流行の増加に対処するための公衆衛生介入の緊急の必要性を強調しています.
科学分野:
- 小児内分泌学について
- 心血管の健康について
- 公衆衛生は公衆衛生である.
背景:
- 肥満は,既知の血液動力学的影響を伴う世界的な健康上の懸念事項です.
- 現在の小児肥満の流行の間,子供と青少年における全人口の血圧 (BP) 分布に関するデータは限られている.
研究 の 目的:
- ケベック州の子供と青年の代表的なサンプルで血圧 (BP) の分布を評価する.
- 小児の集団におけるボディマス指数 (BMI) とBPレベルとの関連性を調査する.
主な方法:
- カナダのケベック州で,9,13,16歳の3,589人の若者を対象に学校調査が行われました.
- 休息時の血圧,身長,体重,皮膚の厚さ,および断食時の血液サンプルが採取されました.
- データ分析には,BMIとBPとの関連を決定する複数の線形回帰が含まれていました.
主要な成果:
- 平均シストリック血圧 (SBP) とダイアストリック血圧 (DBP) は,男女ともに年齢とともに増加した.
- 高度な正常または高度のSBPの流行は,特に高齢の男性 (30%まで) で顕著でした.
- ボディ・マス・インデックス (BMI) は,すべての年齢および性別でSBPとDBPの両方と一貫した関連性を示しました.
結論:
- 平均SBPと高正常および上昇SBPの有病率は,カナダの子供および青少年において上昇しています.
- この調査結果は,肥満の流行とその血液動力学的影響と闘うために,公共政策,保健プログラム,および臨床的措置の緊急の必要性を強調しています.
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