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中国学龄儿童心血管健康状况评价

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目的 了解中国学龄儿童心血管健康状况,为促进中国学龄儿童的心血管健康提供参考依据。方法 数据来源于2013年在中国7省份开展的、具有全国代表性的多中心横断面研究,其原始研究采用多阶段整群抽样方法,本研究纳入其中健康行为和健康结局指标齐全的10 326名5~19岁儿童。使用美国心脏协会"生活八要素"(LE 8)指标评价中国学龄儿童的整体心血管健康状况,健康行为指标包括膳食、体力活动、烟草暴露和睡眠健康;健康结局指标包括体质量指数(BMI)、空腹血糖、血脂和血压。结果 男童平均LE 8为73。3(IQR=14。4)分,女童为73。4(IQR=13。5)分。线性回归分析结果显示,与≤9岁组相比,13~15岁组健康行为得分最低,男童β值为-7。73(95%CI=-8。35--7。12,P<0。01),女童β值为-9。15(95%CI=-9。83~-8。48,P<0。01);≥ 16 岁组健康结局得分最低,男童β值为-7。85(95%CI=-9。07~-6。63,P<0。01),女童β值为-6。11(95%CI=-7。12~-5。09,P<0。01)。结论 中国学龄儿童的心血管健康水平处于一般水平。LE 8指标不同群体间存在很大差异,需要采取有针对性的干预策略,改善学龄儿童心血管健康。
Cardiovascular health status in Chinese school-aged children
Objective The American Heart Association released the Life's Essential 8(LE 8)for the overall evaluation of cardi-ovascular health(CVH)on individual level.The present study aimed to describe the overall CVH in Chinese school-aged children using LE 8 metrics.Methods Data of the present analysis came from a national-representative multicentered cross-sectional study conducted in 7 provinces of China in 2013.The original study used a multistage cluster sampling method.A total of 10 326 children aged 5 to 19 years with complete data of health behaviors and health outcomes were included in the study.Children's health behavior indicators included diet,physical activity,nicotine exposure and sleep health.Health outcome factors included body mass index,fast blood glucose,lipid profile and blood pressure.Results The median CVH score was 73.3(IQR=14.4)in boys and 73.4(IQR=13.5)in girls.Compared to children aged ≤9 years,the health behavior scores were lowest in the 13-15 age group,with boys scoring 7.73 lower(95%CI=-8.35--7.12,P<0.01)and girls scoring 9.15(95%CI=-9.83--8.48,P<0.01)lower.The ≥16 age group had the lowest health outcome scores,with boys scoring 7.85(95%CI=-9.07--6.63,P<0.01)lower and girls sco-ring 6.11(95%CI=-7.12--5.09,P<0.01)lower.Conclusions Chinese school-aged children are generally at a moderate level of cardiovascular health.Specific LE 8 components vary substantially between groups and therefore require targeted intervention strate-gies.

Cardiovascular systemAmerican heart associationRegression analysisChild

王西婕、邹志勇、董彦会、董彬、马军、梁万年

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清华大学万科公共卫生与健康学院,北京 100190

清华大学健康中国研究院

北京大学儿童青少年卫生研究所

心血管系统 美国心脏协会 回归分析 儿童

国家自然科学基金项目国家自然科学基金项目美赞臣学优营养科研基金项目清华大学万科公共卫生与健康学院博士后科研专项项目

8220406781903344CASNHP-MJN2023-112022BH01

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(1)
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