Analysis of factors influencing elevated blood pressure and overweight/obesity and their comorbidities among Tibetan mid-dle school students in Lhasa City
Objective To explore the prevalence of elevated blood pressure and overweight/obesity and their comorbidities a-mong Tibetan middle school students in Lhasa,and to analyze their association with lifestyle and other factors,so as to provide a basis for the intervention measures targeting elevated blood pressure,overweight and obesity among middle school students in high altitude area.Methods Using a stratified cluster random sampling method in September 2021,a total of 1 488 Tibetan junior and high students from Lhasa City were investigated with blood pressure measurement,physical examination and questionnaire survey.The influencing factors of elevated blood pressure,overweight and obesity and their comorbidities association were analyzed by mult-ivariate Logistic regression.Results The prevalence of elevated blood pressure,overweight/obesity and their comorbidities were 17.8％,17.4％,5.0％respectively.Multivariate Logistic regression analysis showed that age(OR=0.81),residence,body mass in-ex(BMI)and gender were the influencing factors of elevated blood pressure;and the risks of elevated blood pressure in female students were higher than male students(OR=1.89),suburban students were higher than urban students(OR=8.06),overweight and obesity groups were higher than normal groups(OR=2.55,2.87)(P＜0.05).Adjusting for confounding factors such as gender,residence and school,and BMI(only for elevated blood pressure),daily screen time ≥2 h was positively correlated with elevated blood pressure,overweight/obesity and its comorbidities(OR=1.56,1.59,2.51)(P＜0.05).Conclusions The prevalence of ele-vated blood pressure,overweight/obesity are relatively high in Lhasa.Longer screen time is a common factor affecting with elevated blood pressure,overweight/obesity and comorbidities among Tibetan students.Measures should be taken intervene in the lifestyle of Tibetan students,in order to reduce elevated blood pressure and overweight/obesity.
Blood pressureOverweightObesityComorbidityRegression analysisStudentsMinority groups
NETL
NSTL
万方数据
