Objective To systematically evaluate the relationship between neck circumference and hypertension of primary and secondary school students.
Methods Web of science, PubMed, Scopus, CNKI and WanFang databases were searched by computer, and the retrieval time was from inception to December 2019. Two researchers independently screened the literature, extracted the data and evaluated the quality, and then performed Meta-analysis using Stata 14.0 software.
Results A total of 8 studies were included, including 20 475 subjects. Meta-analysis results showed that the risk of hypertension increased by 35% in people with a high neck circumference compared with the normal population ( OR =1.35, 95% CI =1.20–1.51, P<0.01). The results of subgroup analysis showed that the correlation between neck circumference and hypertension of obese primary and secondary school students was 1.41 times higher than that of normal weight students ( OR = 1.41, 95% CI = 1.23–1.61, P<0.01). The correlation between the neck circumference and the risk of hypertension of primary and secondary school students in Europe and America was more significant than that in Asia ( OR = 1.31, 95% CI = 1.11–1.53, P = 0.01). When the mean value of neck circumference was greater than cm ( OR =1.29, 95% CI = 1.02–1.64, P =0.03), it was associated with the incidence of hypertension.
Conclusion The neck circumference of primary and middle school students is related to the risk of hypertension, especially in obese people. Blood pressure monitoring and health education should be strengthened to prevent hypertension.
【摘要】 目的 系统评估中小学生颈围与髙血压患病风险之间的关系, 为学校开展髙血压预防与健康宣教提供依据。 方法 计算机检索 Web of science、PubMed、Scopus、CNKI和Wan Fang数据库, 检索时限为建库至 2019 年 12 月。2 位研究员 独立筛选文献, 提取资料与质量评价后, 应用 Stata 14.0 软件进行Meta分析。 结果 共纳人 8 篇文献, 包含 20 475 例研究 对象。Meta 分析结果显示, 髙颈围值人群与正常人群相比, 髙血压患病风险增加 35% ( OR = 1.35,95% CI = 1.20~1.51, P<0.01)。亚组分析结果显示, 肥胖中小学生颈围与髙血压患病的相关性是正常体重者的1.41倍 ( OR =1.41, 95% CI = 1.23~ 1.61, P<0.01);欧美洲地区中小学生颈围与髙血压患病风险的相关性较亚洲地区更为显著 ( OR =1.31, 95% CI =1.11~1.53, P =0.01); 颈围平均值 >28.5 cm 时 ( OR =1.29,95% CI =1.02~1.64, P = 0.03), 与髙血压患病有关。 结论 中小学生颈围与 髙血压患病风险有关, 特别是在肥胖人群。应加强对中小学生髙颈围值群体血压监测和开展健康教育工作, 预防髙血压 发生。