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Updated: Jun 15, 2025

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青少年肥胖和睡眠不足作为高血压的独立风险因素:基于人口的队列研究
Youngju Choi1,2,3, Jang Soo Yook3, Eun-Jeong Cho3,4
1Institute for Specialized Teaching and Research (INSTAR), Inha University, Incheon, Republic of Korea.
Journal of human hypertension
|August 22, 2024
概括
青少年高血压风险随着睡眠时间短暂和肥胖的结合而显著增加. 这种组合比单独的任何一个因素都更能强烈预测年轻人患高血压的情况.
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:
- 在全球范围内,青少年高血压的患病率正在增加.
- 肥胖和睡眠不足是已知的成人高血压和心血管疾病的风险因素.
- 肥胖和睡眠不足对青少年高血压的协同影响需要进一步研究.
研究的目的:
- 调查肥胖和睡眠时间短暂对青少年高血压风险的综合影响.
- 分析高血压在不同睡眠时间和身体质量指数 (BMI) 百分点的不同组合中的患病率.
主要方法:
- 利用了2016-2018年韩国国家健康和营养检查调查 (KNHANES) 的数据.
- 包括1272名青少年,按睡眠时间 (<8小时) 和BMI (≥85百分位数) 分类.
- 高血压的定义是静缩血压≥130 mmHg或静缩血压≥80 mmHg.
主要成果:
- 韩国青少年的整体高血压患病率为9.2%.
- 睡眠时间短,体重过重/肥胖的青少年患高血压的风险显著增加 (OR=6.57).
- 这种关联即使经过调整以考虑混变量 (OR=5.28),也仍然显著.
结论:
- 睡眠时间短缺和肥胖的同时存在是青少年高血压的重要危险因素.
- 针对睡眠卫生和体重管理的公共卫生策略对于预防青少年高血压至关重要.
- 针对这些综合因素的早期干预可以减轻长期的心血管风险.
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