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Updated: May 5, 2026

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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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在青春期的儿童中,胸部脂肪和血压
Qing He1, Mary Horlick, Barbara Fedun
1Obesity Research Center, St Luke's-Roosevelt Hospital, New York, NY 10025, USA.
Circulation
|March 6, 2002
概括
胸部脂肪与男孩的高血压有关,但与女孩无关. 这一发现突出了儿童心血管风险的性别特异性因素,并为早期干预策略提供了信息.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心血管健康的心血管健康
- 身体组成分析分析.
背景情况:
- 心血管风险与成人脂肪分布有关.
- 之前的研究指出了儿童群体中安卓脂肪和心血管风险因素之间的联系.
- 目前的研究调查了不同儿科样本中的血压 (BP) 和身体脂肪分布,考虑了种族,性别和青春期.
研究的目的:
- 为了检查血液压力和身体脂肪分布之间的关系,在一个大的,横截面儿科队列.
- 评估种族,性别和青春期状态如何影响血压和脂肪分布之间的关联.
- 确定儿童和青少年血压的潜在性别特异性决定因素.
主要方法:
- 这是一项对来自不同种族背景 (非裔美国人,亚洲人,高加索人) 的920名健康儿童和青少年 (5-18岁) 的横截面研究.
- 测量了血压,并使用皮厚度和双能X射线吸收度 (DXA) 评估了脂肪分布.
- 使用坦纳标准确定了青春期状态,回归分析探索了血压和脂肪分布之间的关联.
主要成果:
- 在所有青春期阶段和种族的男孩中,在缩和腹缩血压和干脂肪 (调整为总脂肪) 之间发现了显著的积极关联.
- 这些关联在使用DXA和皮层脂肪分布测量时都是一致的.
- 相比之下,胸部脂肪并不是女孩血压的重要预测因素.
结论:
- 在血压和体内脂肪之间的关系中存在着显著的性别差异,只有男孩才观察到显著的关联.
- 这些发现得到了脂肪分布的两个独立指标的支持,可以帮助识别有风险的个体进行早期干预.
- 这项研究表明,性别特异性决定因素对于理解儿科患者血压调节的重要性.
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