Nutritional status and its relationship with blood pressure among children and adolescents in South China

Zhang, Caixia; Shi, Jin-Duan; Huang, Hui‐Yu; Liang, Feng; Ma, Jing

doi:10.1007/s00431-012-1684-x

Cited by 24 publications

(17 citation statements)

References 20 publications

(21 reference statements)

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“…One recent study conducted Changsha city in China, showed the prevalence of hypertension among adolescents at the age of 12–17 years and found the relation with BMI [19]. Another study also reported the correlation of hypertension with BMI in children population in Hainan province of South China [20]. In this study, we classified the obesity stages of children both by BMI and WC, the two most widely used index for obesity.…”

Section: Discussionmentioning

confidence: 91%

Prevalence of hypertension in overweight and obese children from a large school-based population in Shanghai, China

Shi

Chen

et al. 2013

BMC Public Health

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BackgroundThe ongoing rise in the prevalence of hypertension in children and adolescents is considered to be accompanied with the epidemic of childhood overweight and obesity. In this study, we established a large scale cross-sectional study in Shanghai, China, which presented a new evidence for the correlation of hypertension prevalence with overweight and obesity stages in Chinese children and adolescents.MethodsA school-based cross-sectional study was conducted during February to December 2009 in Shanghai, China, including total 78,114 children and adolescents. Body weight, height, waist circumference (WC) and blood pressure (BP) were measured. Overweight and obesity were defined according to sex- and age- specific Chinese reference data.ResultsBoth SBP and DBP were very significantly increased in overweight (OW) and obese (OB) groups. With age and sex controlled, BMI and WC were independently positively correlated with SBP and DBP. The prevalence of high SBP, DBP and hypertension were markedly higher among OW and OB children than normal weight (NW) group. Odds ratios (ORs) for high SBP, high DBP and high BP were significantly greater in OW and OB children than NW group, and showed a trend increase correlating with obesity stages (all P <0.0001). According to the increasing OR with different combination of obese status of BMI and WC, WC has a stronger influence on hypertension. The combination of BMI and WC obese shows substantially higher ORs compared with those for either BMI or WC obese alone.ConclusionsIn this study on a large school-based population in Shanghai, China, BMI and WC are positively correlated with SBP and DBP. Being overweight or obese greatly increased the risk of hypertension in Chinese children and adolescents, in which WC is considered as a more sensitive indicator than BMI.

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Section: Discussionmentioning

confidence: 91%

Prevalence of hypertension in overweight and obese children from a large school-based population in Shanghai, China

Shi

Chen

et al. 2013

BMC Public Health

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“…In several epidemiological studies, hypertension prevalence has significantly increased among this young population over the recent years [90][91][92][93][94][95][96]. Numerous studies show that both overweight and obesity were associated with elevated BP in children and adolescents [91,94,97]. Moreover, data from clinical studies on high BP in childhood show that primary hypertension is commonly associated with other cardiovascular risk factors as well as obesity [98].…”

Section: Hypertensionmentioning

confidence: 99%

Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance?

Forkert

Rendo-Urteaga

Nascimento-Ferreira

et al. 2016

Nutrire

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Obesity prevalence has increased worldwide over the last decades and has reached alarming rates in low middleincome countries. Childhood has been affected by this epidemic, leading to premature dramatic health problems. Adipose tissue is currently considered as an endocrine organ modulating an inflammatory state and important metabolic processes (insulin resistance, hypertension, glucose intolerance) leading to consequences of the cardiovascular system. This situation may be worst if the excess of body fat distribution such as abdominal obesity (AO) is involved because it is associated with a more atherogenic risk profile determining the cardiometabolic risks mainly in children and adolescents. Hence, the knowledge regarding the association between AO and cardiometabolic factors aims to prevent and treat the obesity in this young population, avoiding early harmful consequences of adulthood health.

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“…Studies have shown that obesity was significantly associated with hypertension [ 9 , 13 - 15 ] or high BP (≥90th percentile) [ 16 , 17 ] among children and adolescents. Several studies that examined the relationships between overweight, obesity, and prehypertension [ 9 , 12 , 14 ] have yielded different findings. There has yet been little scientific evidence supporting the associations between abdominal obesity and prehypertension and hypertension in children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

et al. 2014

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BackgroundMost epidemiological studies have shown that the prevalence of high blood pressure (BP) has significantly increased among children and adolescents in various countries of the world.The aim of this study was to examine the associations between overweight, obesity, abdominal obesity and prehypertension and hypertension among Lithuanian adolescents aged 12–15 years.MethodsThe subjects with increased BP (≥90th percentile) were screened on two separate occasions. Data on the body mass index (BMI), waist circumference (WC), and BP were analysed in 7,457 adolescents aged 12–15 years. Adjusted odds ratios (aORs) with 95% confidence intervals (CI) for the associations were estimated using multivariate logistic regression models.ResultsAfter two screenings, the study participants were categorised as prehypertensive (12.8%), hypertensive (22.2%), and normotensive (65%). The overall prevalence of overweight, obesity, and abdominal obesity (if WC was in the ≥75th percentile) were 12.1%, 2.4%, and 9%, respectively. After adjusting for age and sex, significant associations were found between overweight and obesity and high BP, namely, prehypertension (overweight: aOR = 2.62; 95% CI 2.13–3.23; obesity: aOR = 4.81; 95% CI 3.08–7.52) and hypertension (overweight: aOR = 3.56; 95% CI 3.02–4.19; obesity: aOR = 6.64; 95% CI 4.65–9.49). Prehypertension was found to be significantly associated with WC in the 75th– < 90th percentiles (aOR = 3.16; 95% CI 2.43–4.10) and WC in the ≥90th percentile (aOR = 4.08; 95% CI 2.35–7.10). For hypertension, significant associations were detected with WC in the 75th– < 90th percentiles (aOR = 3.92; 95% CI 3.18–4.82) and WC in the ≥90th percentile (aOR = 7.41; 95% CI 4.97–11.05).ConclusionsOverweight, obesity, and abdominal obesity were associated with prehypertension and hypertension.

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Nutritional status and its relationship with blood pressure among children and adolescents in South China

Cited by 24 publications

References 20 publications

Prevalence of hypertension in overweight and obese children from a large school-based population in Shanghai, China

Prevalence of hypertension in overweight and obese children from a large school-based population in Shanghai, China

Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance?

Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

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