目的了解五年制高职院校青少年学生肥胖和高血压现状,分析不同肥胖类型与高血压的关系,为青少年高血压的早期发现和治疗提供一定的理论依据。方法以南京某五年制高职院校1 785名学生为调查对象,测量身高、体质量、腰围、血压等体格指数,调查其肥胖及高血压检出率;通过体质指数和腰围身高比两两组合,将调查对象区分为正常体质量组、单纯外周型肥胖组、单纯中心型肥胖组和双重肥胖组,比较各分组的血压水平及高血压检出率,并对不同肥胖分组高血压发病情况进行logistic回归分析。结果男、女生及整体外周型肥胖检出率分别为6.9%、2.5%、2.9%,中心型肥胖检出率分别为11.3%、6.8%、7.2%,高血压检出率分别为16.9%、7.7%和8.4%;肥胖组学生收缩压和舒张压水平均升高(P<0.05或P<0.01);单纯中心型肥胖组和双重肥胖组高血压检出率升高(P<0.01),Logistic回归分析中心型肥胖组及双重肥胖组患高血压的风险升高,其中以双重肥胖组患高血压的风险最高。结论南京某五年制高职院校男生肥胖和高血压检出率高于女生,处于较高水平;肥胖学生血压水平升高,中心型肥胖患高血压的风险最高,应加强对其监控和干预。 Objective To understand the current status of obesity and hypertension among adolescent students in five-year vocational colleges and to analyze the relationship between different obesity types and hypertension so as to provide some theoretical basis for the early detection and treatment of adolescent hypertension. Methods A total of 1,785 students from a five-year vocational college in Nanjing were enrolled in this study. Body height, body mass, waist circumference and blood pressure were measured to investigate the prevalence of obesity and hypertension. The body mass index The two groups were divided into normal body mass group, simple peripheral obesity group, simple central obesity group and double obesity group. The blood pressure level and the detection rate of hypertension were compared among different obesity groups Logistic regression analysis of the situation. Results The detection rates of male, female and whole peripheral obesity were 6.9%, 2.5% and 2.9% respectively. The detection rates of central obesity were 11.3%, 6.8% and 7.2% respectively. The detection rates of hypertension were 16.9% (P <0.05 or P <0.01). The prevalence of hypertension was higher in obese and obese patients than in obese patients (P <0.01 or P <0.01) Logistic regression analysis showed that the central obesity group and the double obesity group were at higher risk of developing hypertension, of which the highest risk was hypertension in the dual obesity group. Conclusion The detection rate of obesity and hypertension in a five-year vocational college in Nanjing is higher than that of girls, and the level of obesity is elevated. The risk of hypertension in obesity is highest. Intervention.