我国大学生高血压前期检出率的meta分析

摘要/Abstract

摘要： 目的系统分析我国大学生高血压前期（prehypertension,PHT）检出率,分析我国大学生PHT流行特征,以期为大学生PHT筛查及防治提供参考。方法检索中国生物医学数据库、知网、万方、维普、PubMed、Embase、Web of Science和Cochrane Library数据库关于我国大学生PHT检出率的相关文献,检索时限均为建库至2023年10月。文献筛选、数据提取及偏倚风险评估均由2位研究者独立完成,使用Stata 17.0软件进行总检出率的meta分析。结果共纳入41篇文献,总样本量为131 144例,我国大学生PHT总检出率为31.0%（95%CI：26.0%~35.9%）。亚组结果显示,我国大学生PHT检出率男、女生分别为43.8%、22.2%;城镇、农村的检出率分别为35.8%、37.2%;南方、北方的检出率分别为28.1%、34.6%;饮酒、不饮酒的检出率分别为49.0%、30.7%;吸烟、不吸烟的检出率分别为54.7%、30.3%;超重、肥胖、非超重的检出率分别为49.4%、57.0%、25.4%;经常锻炼、偶尔或不锻炼的检出率分别为23.2%、32.1%;日常情绪紧张、平和的检出率分别为25.4%、18.2%;2016—2021年、2005—2015年的检出率分别为33.5%、26.9%。结论我国大学生PHT检出率较高,建议重点关注男性、农村、北方、吸烟、饮酒、超重及肥胖、偶尔或不锻炼及日常情绪紧张的大学生,将预防关口前移。

关键词: 大学生, 高血压前期, 检出率, Meta分析

Abstract: Objective To systematically analyze the detection rate of prehypertension（PHT） among Chinese college students,analyze the epidemiological characteristics of PHT among Chinese college students,and provide reference for PHT screening and prevention among college students. Methods Retrieve relevant literature on the detection rate of PHT among Chinese university students from databases including China Biomedical Database,CNKI,Wanfang,VIP,PubMed,Embase,Web of Science,and Cochrane Library from the establishment of the database to October 2023. Literature screening,data extraction and risk of bias assessment were performed independently by two researchers using Stata 17.0 software for meta-analysis of overall detection rates. Results A total of 41 studies were included,with a total sample size of 131,144 cases,and the overall detection rate of PHT in Chinese college students was 31.0%（95%CI：26.0%-35.9%）. The subgroup results showed that the detection rate of PHT among male and female college students in China was 43.8% and 22.2%,respectively. The detection rate in urban and rural areas were 35.8% and 37.2%,respectively. The detection rate in the south and north were 28.1% and 34.6%,respectively. The detection rate of alcohol consumption and non-alcohol consumption was 49.0% and 30.7%,respectively. The detection rate of smoking and non-smoking was 54.7% and 30.3%,respectively. The detection rate of overweight,obesity,non-overweight was 49.4%,57.0% and 25.4%,respectively. The detection rate of regular exercise and occasional or no exercise were 23.2% and 32.1%,respectively. The detection rate of daily emotional stress and peace was 25.4% and 18.2%,respectively. The detection rate from 2016 to 2021 and from 2005 to 2015 was 33.5% and 26.9%,respectively. Conclusion Chinese college students have a high detection rate of PHT,and it is recommended to focus on male,rural,northern,smoking and drinking,overweight and obesity,occasional or non exercise,and daily emotional stress college students,and move the prevention checkpoint forward.

Key words: College students, Prehypertension, Detection rate, Meta-analysis

中图分类号:

R181.2

向凤玲, 王小燕, 何圣洁, 杨修, 干锦华. 我国大学生高血压前期检出率的meta分析. [J]职业与健康, 2025, 41(7): 971-975.

XIANG Fengling, WANG Xiaoyan, HE Shengjie, YANG Xiu, GAN Jinhua. Meta-analysis of the detection rate of prehypertension among college students in China. [J]OCCUPATION AND HEALTH, 2025, 41(7): 971-975.

参考文献

[1] 潘伟琦,胡荣.从国内外高血压指南看正常高值血压的管理[J].中华健康管理学杂志,2019,13(4):280-284.
[2] KUWABARA M,HISATOME I,NIWA K,et al.Uric acid is a strong risk marker for developing hypertension from prehypertension:A5-year japanese cohort study[J].Hypertension,2018,71(1):78-86.
[3] VASAN R S,LARSON M G,LEIP E P,et al.Impact of high-normal blood pressure on the risk of cardiovascular disease[J].N Engl J Med,2001,345(18):1291-1297.
[4] HUANG Y,CAI X,ZHANG J,et al.Prehypertension and Incidence of ESRD:A systematic review and meta-analysis[J].Am J Kidney Dis,2014, 63(1):76-83.
[5] KOKUBO Y,KAMIDE K,OKAMURA T,et al.Impact of high-normal blood pressure on the risk of cardiovascular disease in a Japanese urban cohort:The Suita study[J].Hypertension,2008,52(4):652-659.
[6] LIANG J,PEI Y,GONG Y,et al.Serum uric acid and non-alcoholic fatty liver disease in non-hypertensive Chinese adults:The cardiometabolic risk in Chinese(CRC) study[J].Eur Rev Med Pharmacol Sci,2015,19(2):305-311.
[7] 桂勇,谭林,尹安瑞,等.实训项目中对高职院校358名大学生健康调查[J].现代医药卫生,2023,39(9):1587-1590.
[8] 林赫冰. 吉林省某警察院校大学生体重指数与正常高值血压的相关性研究[D].长春:吉林大学,2014.
[9] 中华人民共和国教育部.中华人民共和国教育部令[J].中华人民共和国国务院公报,2017,23(24):25-33.
[10] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[11] 张春晓,李利华.云南某大学新生体检血压与尿酸水平关系的分析[J].特别健康,2023,19(2):13-15.
[12] 孙美璐. 吉林某高校大学生血压水平调查分析[J].产业与科技论坛,2023,22(5):102-104.
[13] HONGLV X,WEI W,MIN W,et al.A decision tree model of hypertension among college students in Yunnan Province,China[J].Blood Press,2023,32(1):2243337.
[14] 王英慧,马迎红,阎驰.女大学生月经初潮年龄与高血压前期的相关性[J].中国学校卫生,2022,43(1):117-119.
[15] 刘陶然. 烟台地区大学新生高血压患病现状及其与体质指数的关系[J].国际援助,2022,9(26):162-164.
[16] 樊彩妮,赵海鹰,王浩,等.大学生人群血清尿酸与高血压的相关性[J].中华高血压杂志,2022,30(2):173-177.
[17] 丁晓雨,王全龙,张颖,等.某学院飞行学员血压分布及相关生理生化指标调查分析[J].空军航空医学,2022,39(3):42-45.
[18] 张宁,项艳丽,潘欢军,等.台州市某高校入学新生血压状况及危险因素调查[J].职业与健康,2021,37(21):3002-3006.
[19] 张晗,查龙凤,周波,等.沈阳汉族和满族医学生血压情况及其与体成分关系[J].中国公共卫生,2021,37(1):114-117.
[20] 孙美漩. 耳穴压豆对大学生正常高值血压的疗效观察[D].济南:山东中医药大学,2021.
[21] 上官致洋,刘旭东,朱小康.江西省抚州市某高校新生血压特征及其与BMI相关性研究[J].河南预防医学杂志,2021,32(6):416-419.
[22] 马晓,张红影,焦阳.青年大学生高血压前期情况调查分析[J].中文科技期刊数据库(全文版),2021,13(9):9-13.
[23] 王全龙,王广云,张颖,等.某学院飞行学员中心动脉压与肱动脉压分布调查分析[J].军事医学,2020,44(12):895-898.
[24] 王娟,丁福.重庆市高校新生正常高值血压的现状及影响因素分析[J].中国卫生事业管理,2020,37(2):147-150.
[25] 宋晓鹏. 内蒙古某高校大学生高血压及高血压前期的调查研究[D].呼和浩特:内蒙古医科大学,2020.
[26] 冀笑怡. 大学生血压与代谢危险因素及PWV相关性研究[D].郑州:河南大学,2020.
[27] 黄淑平,忻平,胡雪芹,等.某高校新生体检结果分析[J].中国校医,2020,34(1):18-20.
[28] 翟文海,胡卫,杜为民.大学新生原发性高血压与中性粒细胞淋巴细胞比值的相关性[J].中国学校卫生,2020,41(9):1419-1421.
[29] 涂卓特,蔡枫瑜,陈扬佳,等.医学专科生正常高值血压调查研究[J].保健医学研究与实践,2019,16(3):10-13.
[30] 李秀兰,牟飞飞,冯长龙,等.河北省某医学院学生高血压前期检出情况分析[J].中国健康教育,2019,35(5):433-437.
[31] 张秋梅,阎驰.大学新生高血压前期与静息心率的相关性[J].中国学校卫生,2018,39(9):1381-1383.
[32] 杨玲芳,秦伟,吴煜聊.阜阳市某高校大学生高血压患病现状及与体质量指数相关性分析[J].安徽预防医学杂志,2018,24(2):91-94,106.
[33] 谭美春,张双娟,胡春植,等.江西省某高校大学生高血压知识的调查[J].江科学术研究,2018,13(4):32-35.
[34] 黄渊秀,胡劲松,黄霜,等.长沙市儿童青少年慢性病患病现状[J].公共卫生与预防医学,2018,29(5):70-73.
[35] 张琼,黄晓飞,张冬梅.2015—2016年湖北省某高校少数民族大学新生入学体检结果分析[J].现代预防医学,2017,44(14):2597-2599,2604.
[36] 刘剑萍,成孟丽,蒙艳斌,等.湘南地区某高校大学生血压水平调查[J].湘南学院学报(医学版),2017,19(2):1-8.
[37] 赵璐. 医学生正常高值血压危险因素及健康管理策略研究[D].长春:吉林大学,2016.
[38] 王英慧. 某高校大学新生血压偏高与高尿酸血症的关系[J].中国学校卫生,2016,37(10):1588-1589.
[39] 王英夫,王英慧.某高校大学新生高血压前期与体质量指数的相关性分析[J].中国学校卫生,2016,37(4):633-635.
[40] 王银燕,曹文静,李英,等.大学生正常高值血压检出率及其影响因素[J].护理研究,2016,30(31):3922-3924.
[41] 罗艳红,王聪,金德芳,等.湘西地区大学生高血压的发病率及其危险因素调查分析[J].大家健康,2016,10(12):26-27.
[42] 郭欣荣,聂绍发.2013年湖北省某高校研究生新生体质量与血压情况调查[J].保健医学研究与实践,2016,13(1):26-29.
[43] 习倩倩,韩钰,戴炜,等.天津市2011—2013年大学新生血压水平及其与BMI的关系[J].中国学校卫生,2015,36(5):729-731.
[44] 刘萍,赵晓红,杨晓晖.大学生高血压前期检出率及影响因素分析[J].新乡医学院学报,2014,31(3):205-207.
[45] 杨元美,刘庚碧,俸俊馨.临沧师专24种民族大学生血压水平检测分析[J].现代预防医学,2013,40(9):1681-1683.
[46] 赵学芳. 苏州某高职学院2008—2010年新生血压正常高值情况调查[J].现代预防医学,2012,39(24):6440-6441,6445.
[47] 杨德玲. 某高校大学生高血压和高血压前期的调查研究[D].青岛:山东大学,2011.
[48] 许小洋,凌丹,王淑珍,等.大学生高血压前期的检出率及相关因素分析[J].现代预防医学,2010,37(18):3401-3404,3409.
[49] 蒋纪文,郑晓艳,刘齐清,等.民航飞行学生血压状况调查分析[J].中华航空航天医学杂志,2006,17(2):134-138.
[50] 杨学涛,周亮,刘方洲,等.高血压发病的性别差异及机制[J].中华高血压杂志,2019,27(4):327-334.
[51] 李艺慧,陈顺松,刘涛,等.老年高血压患者血压的季节变化和管理策略[J].中华高血压杂志,2022,30(9):830-833.
[52] WELLMAN R J,SYLVESTRE M P,ABI NADER P,et al.Intensity and frequency of physical activity and high blood pressure in adolescents:A longitudinal study[J].J Clin Hypertens(Greenwich),2020, 22(2):283-290.
[53] USHAKOV A V,IVANCHENKO V S,GAGARINA A A.Psychological stress in pathogenesis of essential hypertension[J].Curr Hypertens Rev, 2016,12(3):203-214.
[54] HERING D,LACHOWSKA K,SCHLAICH M.Role of the sympathetic nervous system in stress-mediated cardiovascular disease[J].Curr Hypertens Rep,2015,17(10):80-89.