頁籤選單縮合
題 名 | 臺中市學齡兒童及青少年心血管疾病危險因子之流行病學調查=The Prevalence and Determinants of Risk Factors for Cardiovascular Disease in Children and Adolescents in Taichung City |
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作 者 | 劉秋松; 施浤彰; 賴世偉; 賴明美; 李采娟; 林正介; | 書刊名 | 中臺灣醫學科學雜誌 |
卷 期 | 3:4 1998.12[民87.12] |
頁 次 | 頁237-244 |
分類號 | 417.522 |
關鍵詞 | 血壓; 心血管疾病; 兒童; 青少年; Cholesterol; Blood pressure; Cardiovascular disease; Children; Adolescents; |
語 文 | 中文(Chinese) |
中文摘要 | 為了瞭解兒童及青少年心血管疾病危險因子之盛行率及其相關因子,以台中市國小一年級、四年級及國中一年級的學生共4183人進行橫斷性調查研究,其中男生佔52.9%,女生佔47.1%。結果顯示總膽固醇之平均值為163.2 ± 28.7 mg/dl(男生161.7mg/d,女生164.6mg/dl,血中總膽固醇濃度超過200m/dl 以上的有9.6%,170-200mg/dl者有26.9%。 低密度膽固醇之平均值為88.2 ± 24.72 mg/dl,低密度膽固醇濃度超過130mg/dl以上的有5.5%,110-130mg/dl者有11.0%。而血中三酸甘油脂大於150mg/dl則佔3.3%。以重高指數評估受檢者之肥胖情形,則男生有18.6%及女生有15.1%是肥胖者。收縮壓平均為102.5 ± 16.7 mmHG,舒張壓平均為61.9 ± 12.5 mmHG,血壓大於140/90 MmmHG者有2.1%。低密度膽固醇值隨年齡之增加而減少,在控制性別、體重指數、家長教育程度及家族疾病史等因素下,總膽固醇、三酸甘油脂值僅在12-14歲有明顯的下降情形,而高密度膽固醇值則在9-11歲有顯著增加現象。女生在總膽固醇、三酸甘油脂及低密度膽固醇值均高於男生,高密度膽固醇值則是男生高於女生。體質指數與總膽固醇三酸甘油脂及低密度膽固醇呈正相關,而與高密度膽醇呈負相關。家長的教育程度愈高則總膽固醇、高密度膽固醇及低密度膽固醇值愈高。有高脂血症家族史者,其總膽固醇及低密度膽固醇較無高脂血症家族史者高(p<0.01)。而有無心血管疾病家族史及有無腦血管疾病家族史則與血脂濃度無關。由本研究之結果顯示兒童及育少年之高脂血症是值得重視的問題,適當的處理措施可減少將來心血管疾病之發生。 |
英文摘要 | To understand the prevalence and determinants of cardiovascular risk factors in the children and adolescents, we conducted a cross-sectional study in Taichung city, Taiwan. There were 4183 students recruited from the first and the forth graders of primary schools and the first graders of junior high schools, with a mean age of 10.1 ± 2.5 years; 52.9% of the students were boys. The results showed that mean total cholesterol (TC) was l63.2 ± 28.7 mg/dl; 9.6% of the students had TC level greater than 200 mg/dl. Mean levels of triglyceride (TG), low density lipoprotein cholesterol (LDLC), and high density lipoprotein cholesterol (HDLC) were 76.6 ± 31.7 mg/dl, 88.2 ± 24.7 mg/dl, and 59.8 ± 12.7 mg/dl, respectively. Mean systolic and diastolic blood pressures were 102.5 ± l6.7 mmHg and 61.9 ± 12.5 mmHg, respectively. Hypertension (blood pressure greater than 140/90 mmHg) was noted in 2.1% of the students. LDLC levels decreased as the age increased (p <0.01), while TC and TG levels decreased in 12-14 age group and HDLC levels increased in 9-11 age group (p <0.01). Girls had higher levels of TC, TG and LDLC than those of boys (164.6 ± 28.7mg/dl vs 161.7 ± 26.9mg/dl; 79.7 ± 31.1mg/dl vs 73.4 ± 32.2mg/dl; 90.1 ± 25.Omg/dl vs 86.4 ± 23.4mg/dl, p<0.01), while boys had a higher level of HDLC (60.7 ± 12.7mg/dl vs 58.7 ± 12.3mg/dl, p<0.01). TC, TG and LDLC levels increased as the body mass index increased, while HDLC decreased as body mass index increased. The higher theparental educational level the higher the TC, LDLC and HDLC level. Students with afamily history of hyper lipidemia had higher levels of TC and LDLC (.p<0.01). Familyhi story of cardiovascular disease and cerebrovascular disease did not show significant relation with serum lipid levels of the students. Our results indicate that early identification of hyperlipidemia in children and adolescents is important. To preventlong-term risk for future cardiovascular disease, appropriate intervention might be warranted. |
本系統中英文摘要資訊取自各篇刊載內容。