Prevalence and factors related to overweight,obesity and hypertension comorbidities among primary and secondary school students in Ningxia
Objective To explore the prevalence and related factors of overweight,obesity and hypertension comorbidities a-mong children and adolescents in Ningxia,so as to provide a scientific basis for effective early health intervention in children and adolescents.Methods From September 2021 to June 2022,a total of 4 577 students aged 9-16 were selected from Jinfeng District of Yinchuan City,Shapotou District of Zhongwei City,Yanchi County of Wuzhong City and Pingluo County of Shizuishan City in Ningxia by multi-stage cluster random sampling method for questionnaire survey and physical measurement.The influencing factors of overweight,obesity and hypertension comorbidities in children and adolescents were investigated by Chi-square test and multiva-riate unconditioned Logistic regression analysis with weighted complex sampling design.Results The prevalence of overweight and obesity among primary and secondary school students in Ningxia was 22.87％,the prevalence of hypertension was 1.30％,and the comorbity rate of overweight,obesity and hypertension was 1.07％.Multivariate Logistic regression analysis showed that students aged 13-16(OR=15.66,95％CI=3.84-63.96,P＜0.05)were more likely to suffer from overweight,obesity and hypertension than students aged 9-12.The students of insufficient sleep duration(OR=5.47,95％CI=1.73-17.33,P＜0.05)had higher levels of o-verweight,obesity and hypertension comorbidities than those of adequate sleep duration.Students who had breakfast 1 to 7 times a week(OR=0.08,95％CI=0.02-0.37)had lower incidence than those who had breakfast once a week(P＜0.05).Conclusions Age,sleep time and breakfast frequency are all related factors of overweight,obesity and hypertension co-morbidity among primary and secondary school students in Ningxia.Close attention should be paid to students aged 9-12 years with insufficient sleep time and fasting in the morning,and carry out scientific education and prevention and control interventions should be carried out.
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