Prevalence of Elevated Blood Pressure among First Grade Students in Elementary School in Taipei

台北國小一年級學童高血壓盛行率

廖建彰(Chien-Chang Liao) ； 吳麗竹(Li-Chu Wu) ； 楊晨(Chen Yang) ； 蔡卓城(Cheuk-Sing Choy)

《Mid-Taiwan Journal of Medicine》 13卷3期 (2008/09) Pp. 130-135

https://doi.org/10.6558/MTJM.2008.13(3).3

摘要

Background/Purpose. To evaluate the prevalence of elevated blood pressure (BP) and the associated anthropometric factors among first-grade elementary school students in Taipei county.
Methods. We measured height, weight, neck circumference (NC), waist circumference (WC), and blood pressure (BP) in 2344 first-grade children who were undergoing a regular health examination at 6 elementary schools in Taipei County in 2007.
Results. The overall prevalence of elevated BP was 19.0%. The prevalence of elevated BP was significantly higher in boys (21.1%) than in girls (15.7%) (p=0.0002). Compared with the reference group, children with high NC (41.9% vs 17.5%, p＜0.0001) or high WC (45.9% vs 17.4%, p＜0.0001) had a higher prevalence of elevated BP. The prevalence of elevated BP was higher in obese children than in children with normal weight (37.6% vs 15.8%, p＜0.0001). In the multivariate logistic regression, boys had a higher risk of elevated BP than girls (OR=1.41, 95% CI=1.13-1.75). The OR for elevated BP in children with high WC was higher than that in children with normal WC (OR=1.99, 95% CI=1.18-3.37). Obese children (OR=1.83, 95% CI=1.14-2.92) and overweight children (OR=1.99, 95% CI=1.48-2.68) had a higher risk of elevated BP than children with normal weight.
Conclusion. This study found that overweight and obesity are associated with elevated BP. We suggest that BP measurements should be included in regular health examinations among children.

關鍵字

血壓 ； 過重 ； 學童 ； 台北

並列摘要

Background/Purpose. To evaluate the prevalence of elevated blood pressure (BP) and the associated anthropometric factors among first-grade elementary school students in Taipei county.
Methods. We measured height, weight, neck circumference (NC), waist circumference (WC), and blood pressure (BP) in 2344 first-grade children who were undergoing a regular health examination at 6 elementary schools in Taipei County in 2007.
Results. The overall prevalence of elevated BP was 19.0%. The prevalence of elevated BP was significantly higher in boys (21.1%) than in girls (15.7%) (p=0.0002). Compared with the reference group, children with high NC (41.9% vs 17.5%, p＜0.0001) or high WC (45.9% vs 17.4%, p＜0.0001) had a higher prevalence of elevated BP. The prevalence of elevated BP was higher in obese children than in children with normal weight (37.6% vs 15.8%, p＜0.0001). In the multivariate logistic regression, boys had a higher risk of elevated BP than girls (OR=1.41, 95% CI=1.13-1.75). The OR for elevated BP in children with high WC was higher than that in children with normal WC (OR=1.99, 95% CI=1.18-3.37). Obese children (OR=1.83, 95% CI=1.14-2.92) and overweight children (OR=1.99, 95% CI=1.48-2.68) had a higher risk of elevated BP than children with normal weight.
Conclusion. This study found that overweight and obesity are associated with elevated BP. We suggest that BP measurements should be included in regular health examinations among children.

並列關鍵字

blood pressure ； overweight ； school children ； Taipei