儿童期视屏时间与左心室肥厚的关系

doi:10.11852/zgetbjzz2019-0103

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (11): 1167-1170.DOI: 10.11852/zgetbjzz2019-0103

儿童期视屏时间与左心室肥厚的关系

王明明^1,2, 张艳青³, 张云飞^1,2, 张茜³, 赵敏^2,4, 席波^1,2

1 山东大学公共卫生学院流行病学系,山东济南 250012;
2 山东大学儿童心血管研究中心,山东济南 250012;
3 淄博市疾病预防控制中心,山东淄博 255026;
4 山东大学公共卫生学院营养与食品卫生系,山东济南 250012

收稿日期:2019-01-20 发布日期:2019-11-10 出版日期:2019-11-10
作者简介:王明明(1993-),女,山东人,硕士研究生在读,主要研究方向为儿童心血管病流行病学研究。
基金资助:
国家自然科学基金面上项目(81673195)

Association between screen time and left ventricular hypertrophy in childhood

WANG Ming-ming^1,2, ZHANG Yan-qing³, ZHANG Yun-fei^1,2, ZHANG Qian³, ZHAO Min^2,4, XI Bo^1,2

1 Department of Epidemiology,School of Public Health,Shandong University,Jinan,Shandong 250012,China;
2 Center for Children′s Cardiovascular Research,Shandong University,Jinan,Shandong 250012,China;
3 Zibo Center for Disease Control and Prevention,Zibo,Shandong 255026,China;
4 Department of Nutrition and Food Hygiene,School of Public Health,Shandong University,Jinan,Shandong 250012,China

Received:2019-01-20 Online:2019-11-10 Published:2019-11-10
Contact: XI Bo,E-mail:xibo2010@sdu.edu.cn

摘要/Abstract

摘要： 目的分析儿童期视屏时间与左心室肥厚(LVH)的关系,为预防LVH等靶器官损害提供基础数据。方法 2017年11月-2018年1月采用方便整群抽样的方法,选取淄博市桓台县城南学校1 319名6~11岁儿童作为研究对象,进行问卷调查、身体测量和超声检测。LVH定义为左心室质量指数(LVMI)超过本人群的性别和年龄别的第90百分位数(P₉₀)。采用多元Logistic 回归模型分析视屏时间对儿童LVH的影响。结果所有儿童学习日、休息日和平均每月视屏时间分别为(0.42±0.65)h、(1.83±1.32)h 和(0.83±0.71)h,超过2 h/d的学生比例分别为0.6%(8/1 319)、23.4%(308/1 319)和4.6%(61/1 319)。多元Logistic 回归模型分析发现,控制性别、年龄、蔬菜水果、碳酸饮料、体力活动、睡眠时间和血压等协变量后,与平均每日视屏时间≤2 h/d相比,平均每日视屏时间>2 h/d的学生罹患LVH的风险增加(OR=2.16,95%CI=1.08~4.32,P＝0.03)。进一步控制体重指数(BMI)后,平均每日视屏时间>2 h/d的学生LVH的罹患风险的统计学意义消失(OR=1.45,95%CI=0.63~3.33,P=0.388)。而学习日和休息日视屏时间>2 h/d的学生罹患LVH风险,与视屏时间≤2 h/d的学生相比,差异无统计学意义(P>0.05)。结论每天视屏时间过长是儿童LVH的重要危险因素,而BMI可能在视屏时间与LVH关系中起着中介效应。

关键词: 视屏时间, 左心室肥厚, 体重指数, 儿童期

Abstract: Objective To examine the association between screen time and left ventricular hypertrophy (LVH) among children,so as to provide evidence for the prevention of LVH. Methods A convenience cluster sampling method was adopted from Nov.2017 to Jan. 2018,and totally 1 319 students aged 6-11 years from an elementary school in Huantai county,Zibo city were recruited.The participants filled out questionnaires,conducted anthropometric and ultrasonography test.LVH was defined as left ventricular mass index (LVMI) ≥90th (P₉₀) percentile values by age and sex of the present population.Multiple Logistic regression model was used to examine the association between screen time and LVH in children. Results The average screen time for weekdays,weekend days and all days were (0.42±0.65)h/d,(1.83±1.32)h/d and (0.83±0.71)h/d,respectively.The proportions of children with average screen time over 2 h/d for weekdays,weekend days and all days were 0.6% (8/1 319),23.4% (308/1 319) and 4.6%(61/1 319),respectively.Logistic regression analysis showed that after controlling sex,age,consumption of vegetables and fruits,and carbonated drinks,physical activity,sleep duration and blood pressure,compared with children with screen time less than 2 h/d,those with screen time over 2 h/d had increased risk of LVH (OR=2.16,95%CI:1.08-4.32,P=0.03).After additional adjustment for body mass index (BMI),the significant association disappeared (OR=1.45,95%CI:0.63-3.33,P=0.388).However,there were no significant differences on the association between screen time on weekdays and weekend days and risk of LVH (P>0.05). Conclusion Screen time over 2 h/d is associated with increased risk of LVH in childhood,and BMI may play a mediating effect on the association between screen time and LVH risk.

Key words: screentime, leftventricularhypertrophy, bodymassindex, childhood

中图分类号:

R179

王明明, 张艳青, 张云飞, 张茜, 赵敏, 席波. 儿童期视屏时间与左心室肥厚的关系[J]. 中国儿童保健杂志, 2019, 27(11): 1167-1170.

WANG Ming-ming, ZHANG Yan-qing, ZHANG Yun-fei, ZHANG Qian, ZHAO Min, XI Bo. Association between screen time and left ventricular hypertrophy in childhood[J]. journal1, 2019, 27(11): 1167-1170.

参考文献

[1] 孙宁玲,Jaw-WenChen,王继光等.亚洲高血压合并左心室肥厚诊治专家共识[J].中华高血压杂志,2016,24(7):619-627.
[2] Mehta SK,Rame JE,Khera A,et al.Left ventricular hypertrophy,subclinical atherosclerosis,and inflammation[J].Hypertension,2007,49(6):1385-1391.
[3] Katholi RE,Couri DM.Left ventricular hypertrophy:major risk factor in patients with hypertension:update and practical clinical applications[J].Int J Hypertens,2011,2011:495349.
[4] National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents.The fourth report on the diagnosis,evaluation,and treatment of high blood pressure in children and adolescents[J].Pediatrics,2004,114(Suppl 2):555-576.
[5] Council On Communications And Media.Children,adolescents,and the media[J].Pediatrics,2013,132(5):958-961.
[6] 伍晓艳,陶舒曼,张诗晨,等.中国12省份中小学生视屏时间及其影响因素分析[J].中华预防医学杂志,2016,50(6):508-513.
[7] Carson V,Janssen I.Volume,patterns,and types of sedentary behavior and cardio-metabolic health in children and adolescents:a cross-sectional study[J].BMC Public Health,2011,11:274.
[8] Cliff DP,Jones RA,Burrows TL,et al.Volumes and bouts of sedentary behavior and physical activity:associations with cardiometabolic health in obese children[J].Obesity,2014,22(5):E112-E118.
[9] Saunders TJ,Chaput JP,Tremblay MS.Sedentary behaviour as an emerging risk factor for cardiometabolic diseases in children and youth[J].Can J Diabetes,2014,38(1):53-61.
[10] 李辉,季成叶,宗心南,等.中国0～18岁儿童、青少年身高、体重的标准化生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[11] 范晖,闫银坤,米杰.中国3～17岁儿童性别、年龄别和身高别血压参照标准[J].中华高血压杂志,2017,25(5):428-435.
[12] Börnhorst C,Wijnhoven TM,Kunešová M,et al.WHO European Childhood Obesity Surveillance Initiative:associations between sleep duration,screen time and food consumption frequencies[J].BMC Public Health,2015,15(1):442.
[13] 安美静,陈天娇,马军.北京市房山区中小学生视屏时间与超重肥胖的关系[J].中国学校卫生,2018,39(4):506-508.
[14] 马传伟.济南市城区6~17岁学龄儿童超重、肥胖现状及其对早期靶器官损害的影响[D].济南:山东大学,2017.
[15] Brady TM.The role of obesity in the development of left ventricular hypertrophy among children and adolescents[J].Curr Hypertens Rep,2016,18(1):3.
[16] Martinez-Gomez D,Eisenmann JC,Healy GN,et al.Sedentary behaviors and emerging cardiometabolic biomarkers in adolescents[J].J Pediatr,2012,160(1):104-110.
[17] Biddle SJ,King J,Yates T.TV viewing,but not total sedentary behaviour,is associated with adverse cardiometabolic biomarkers in adolescents[J].Evid Based Nurs,2012,15(4):113-114.
[18] Stamatakis E,Hamer M,Dunstan DW.Screen-based entertainment time,all-cause mortality,and cardiovascular events:population-based study with ongoing mortality and hospital events follow-up[J].J Am Coll Cardiol,2011,57(3):292-299.
[19] Gibbs BB,Reis JP,Schelbert EB,et al.Sedentary screen time and left ventricular structure and function:the CARDIA study[J].Med Sci Sports Exerc,2014,46(2):276-283.
[20] Chau JY,Grunseit A,Midthjell K,et al.Sedentary behaviour and risk of mortality from all-causes and cardiometabolic diseases in adults:evidence from the HUNT3 population cohort[J].Br J Sports Med,2015,49(11):737-742.

儿童期视屏时间与左心室肥厚的关系

Association between screen time and left ventricular hypertrophy in childhood

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	曹亚船, 豆吉娟, 马亚萍, 任金冬, 陈新颜. 肥胖儿童脂质代谢与左心室肥厚及左心室重构的相关性[J]. 中国儿童保健杂志, 2023, 31(7): 809-812.
[2]	王静蓉, 马希权, 金志娟. 儿童期自恋的研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 634-639.
[3]	缪宇铃, 林青敏, 姜艳蕊, 赵瑾, 张云婷, 王广海, 江帆. 上海市青少年24小时活动与负性情绪的相关研究[J]. 中国儿童保健杂志, 2023, 31(5): 475-480.
[4]	李正华, 梁彩玲, 何漪, 刘琦, 王纪, 张丽军. 孤独症谱系障碍儿童睡眠问题及其影响因素[J]. 中国儿童保健杂志, 2023, 31(3): 316-321.
[5]	张艳. 太原市8~11岁儿童体成分与血清尿酸的相关性分析[J]. 中国儿童保健杂志, 2022, 30(9): 1005-1009.
[6]	雷军, 周小燕, 何建勇, 金海菊, 刘丽芳, 叶飘. 丽水市城区学龄前儿童体重指数与体质健康的相关性研究[J]. 中国儿童保健杂志, 2022, 30(9): 1033-1036.
[7]	姜申, 叶欣欣, 奕倩, 宋培歌. 儿童期逆境的研究热点与前沿分析[J]. 中国儿童保健杂志, 2022, 30(8): 890-894.
[8]	段小龙, 王丽明, 康玉蓉, 易晓青, 王思思, 肖延风. 人体测量指标预测肥胖儿童非酒精性脂肪肝的研究[J]. 中国儿童保健杂志, 2022, 30(5): 475-479.
[9]	宫艳慧, 郭玲玲, 车超, 陈坤平, 柴润玉, 曹爱华, 童连. 发育性语言障碍儿童的亲子互动特征及影响因素分析[J]. 中国儿童保健杂志, 2022, 30(3): 259-263.
[10]	周静, 曾令霞, 米白冰, 裴磊磊, 颜虹. 辅食添加对中国西部农村地区婴幼儿体重指数生长轨迹影响的出生队列研究[J]. 中国儿童保健杂志, 2021, 29(6): 594-599.
[11]	仲爱进, 刘惠林, 杨敏, 何梅香. 孕期超重、儿童期饮食行为与儿童期体重的相关性研究[J]. 中国儿童保健杂志, 2021, 29(6): 674-677.
[12]	刘科良, 伏学峰, 郝雪琦, 王耀峰, 孙林清. 西藏边坝县3~5岁儿童龋病与体重指数的关系研究[J]. 中国儿童保健杂志, 2021, 29(6): 682-684.
[13]	马莹, 苏彬彬, 霍家康, 陈曼曼, 李艳辉, 高迪, 董彦会, 马军. 全国7省父母视屏时间和限制行为对6~17岁儿童青少年视屏时间的联合影响研究[J]. 中国儿童保健杂志, 2021, 29(10): 1063-1067.
[14]	张华琴, 马云, 沈丽, 谭秋萍. 中国12～17岁儿童青少年体格测量指标与血压偏高的关联分析[J]. 中国儿童保健杂志, 2020, 28(6): 618-622.
[15]	荚婉茹, 武敏, 王嘉琪, 顾英, 张琦一, 沈杰, 焦富勇, 蔺婧. 体重指数在鉴别儿童青少年体位性心动过速综合征和血管迷走性晕厥中的价值[J]. 中国儿童保健杂志, 2020, 28(5): 506-510.