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To investigate the comorbidity status and influencing factors of overweight/obesity and elevated blood pressure among primary and secondary school students based on the health ecological model, providing evidence for integrated prevention of common student health issues.
Using stratified cluster random sampling, 140 784 children and adolescents aged 7-18 years in Hubei Province were selected in 2022 for questionnaire surveys, physical examinations, and blood pressure measurements. Independent variables were determined according to five dimensions of the health ecological model, and multivariate logistic regression was used to analyze influencing factors.
The detection rates were 28.52% for overweight/obesity, 20.52% for elevated blood pressure, and 7.95%for comorbidity. Logistic regression showed that junior/senior high school students (OR=1.25), insufficient sleep (OR=1.31), large family structure (OR=1.05), school bullying (OR=1.07), and lack of health records (OR=1.10) were positively associated with comorbidity risk (all P<0.05). Female gender (OR=0.69), moderate-to-vigorous exercise ≥4 days/week (OR=0.92), suburban residence (OR=0.87), skip-generation family (OR=0.88), and boarding (OR=0.76) were protective factors (all P<0.05).
The comorbidity of overweight/obesity and elevated blood pressure is prevalent among Hubei students, with influencing factors spanning multiple dimensions of the health ecological model. Comprehensive interventions addressing individual, behavioral, environmental, and policy aspects are recommended for integrated disease prevention.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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