Cardiovascular risk factors in scholars (RIVACANGAS)

Rocío Mera-Gallego , Patricia García-Rodríguez , Marta Fernández-Cordeiro , Ángeles Rodríguez-Reneda , Natalia Vérez-Cotelo , N. Floro Andrés-Rodríguez , J. Antonio Fornos-Pérez , Itxaso Rica-Echevarría
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引用次数: 1

Abstract

Background and aim

The current guidelines for treatment of high blood pressure do not include any section dedicated to hypertension in children and adolescents or to cardiovascular disease (CVD) prevention strategies in that age group. Our study was aimed at identifying cardiovascular risk factors (CVRFs) in an adolescent sample.

Subjects and methods

A cross-sectional study of a sample of adolescents aged 12–17 years (n = 630), conducted from October 2014 to February 2015 in four schools in Cangas do Morrazo (Pontevedra). Sociodemographic variables: age, sex, personal and family history of hypertension and diabetes (DM). Anthropometric variables: body mass index (BMI, kg/m2), waist circumference (WC, cm), waist/height index (WHI), blood pressure (mmHg).

Results

The study sample consisted of 295 female and 335 male adolescents (mean age: 13.8 ± 1.4). CVR-related conditions: hypercholesterolemia (7.1%), CVD (1.7%), hypertension (0.8%) and diabetes (0.3%). BMI (22.0 ± 3,8) was higher in males (22.4 ± 3.8 vs 21.0 ± 3.2; p < .01). Overweight was greater in females (27.6% vs 19.7%; p < .05). Seven percent of subjects were obese, 63.8% had systolic BP > P90 and 23.7% had diastolic BP > P90.

Waist circumference positively correlated with age (r = 0.1669; p < .0001) and was greater in males (75.4 ± 10.9 vs 72.9 ± 8.9; p < 0.01); 27.1% of adolescents had a waist circumference > P75, and 7.5% > P90. Eighty-four (13.3%) adolescents had two CVRFs (overweight + another).

Conclusions

Despite their young age, more than 10% of school children had two CVRFs. Abnormal SBP levels were seen in more than 50%, 20% were overweight, and only 75% had normal waist circumference values.

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学者心血管危险因素(RIVANGAS)
背景和目的目前的高血压治疗指南没有包括任何专门针对儿童和青少年高血压或该年龄组心血管疾病(CVD)预防策略的章节。我们的研究旨在确定青少年样本中的心血管危险因素(CVRF)。受试者和方法2014年10月至2015年2月在Cangas do Morrazo(Pontevedra)的四所学校对12-17岁青少年(n=630)进行的横断面研究。社会人口学变量:年龄、性别、高血压和糖尿病的个人和家族史。人体测量变量:体重指数(BMI,kg/m2)、腰围(WC,cm)、腰围/身高指数(WHI)、血压(mmHg)。结果研究样本包括295名女性和335名男性青少年(平均年龄:13.8±1.4)。CVR相关疾病:高胆固醇血症(7.1%)、心血管疾病(1.7%)、高血压(0.8%)和糖尿病(0.3%)。男性的BMI(22.0±3.8)更高(22.4±3.8 vs 21.0±3.2;p<;.01)。女性超重更大(27.6%vs 19.7%;p&lgt;.05)。7%的受试者肥胖,63.8%的患者收缩压>;P90和23.7%的患者具有舒张压>;P90.腰围与年龄呈正相关(r=0.1669;p<;.0001),男性腰围更大(75.4±10.9 vs 72.9±8.9;p&llt;0.01);27.1%的青少年的腰围>;P75和7.5%>;P90.84名(13.3%)青少年有两次CVRF(超重+另一次)。结论10%以上的在校儿童在幼年时期有两次CVRF。超过50%的患者SBP水平异常,20%的患者超重,只有75%的患者腰围值正常。
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