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儿童肥胖预防计划对血压的影响:系统审查和元分析
Li Cai1, Yang Wu, Renee F Wilson
1Johns Hopkins Global Center on Childhood Obesity, Department of International Health, Bloomberg School of Public Health, Baltimore, MD (L.C., Y. Wu, Y. Wang); Department of Nutrition and Food Hygiene, School of Public Health, Peking University Health Science Center, Beijing, China (L.C.); Departments of Health, Behavior, and Society (Y. Wu) and Health Policy and Management (R.F.W., J.B.S.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (J.B.S.); School of Nursing, University of Texas at Austin (M.T.K.); and Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, State University of New York (Y. Wang).
儿童肥胖预防计划可以适度降低血压 (BP). 综合饮食和体力活动干预措施显示,儿童的血压降低最大.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 心脏病学 心脏病学
背景情况:
- 儿童超重和肥胖与高血压 (BP) 有关.
- 生活方式干预计划对儿童血压的影响尚不清楚.
- 这项研究评估了肥胖预防计划对发达国家儿童血压的影响.
研究的目的:
- 评估儿童肥胖预防计划对血压的有效性.
- 为了比较仅饮食,仅体育活动和联合干预措施对血压的影响.
- 检查干预对脂肪和血压的影响之间的关系.
主要方法:
- 在数据库中系统搜索到2013年4月之前发表的相关研究.
- 包括随机对照试验,准实验研究和与饮食或体力活动干预的自然实验.
- 对23项研究 (18,925名参与者) 的元分析,主要是以学校为基础,以计算对缩和腹缩血压的综合干预效应.
主要成果:
- 综合干预效应显示,缩血压 (-1.64毫米升) 和腹缩血压 (-1.44毫米升) 显著降低.
- 与单一组件干预相比,组合饮食和体育活动干预导致更大的血压降低.
- 显著比例的干预措施对血压产生了积极影响,而与脂肪相关的结果没有显著变化.
结论:
- 预防肥胖的计划在降低儿童的血压方面表现出适度但显著的影响.
- 包括饮食和体育活动在内的干预措施在降低血压方面更有效.
- 一些计划有效地降低了BP,即使在没有实质性改变与体重相关的措施.
相关概念视频
Factors affecting Blood pressure
Physiological Factors:
Hypertension and Regulation of Blood Pressure
Hypertension II: Pathophysiology
Pre-Procedural Guidelines for Assessing Blood Pressure
Blood Pressure
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
Blood Pressure

