Cumulative influence of preadolescent lifestyles on the prevalence of elevated blood pressure among children

LI Yanhui; GAO Di; CHEN Manman; MA Ying; CHEN Li; DONG Yanhui; SONG Yi; MA Jun

doi:10.16835/j.cnki.1000-9817.2021.04.003

Volume 42 Issue 4

Apr. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(4): 489-492,496

LI Yanhui, GAO Di, CHEN Manman, MA Ying, CHEN Li, DONG Yanhui, SONG Yi, MA Jun. Cumulative influence of preadolescent lifestyles on the prevalence of elevated blood pressure among children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 489-492,496. doi: 10.16835/j.cnki.1000-9817.2021.04.003

Citation:

LI Yanhui, GAO Di, CHEN Manman, MA Ying, CHEN Li, DONG Yanhui, SONG Yi, MA Jun. Cumulative influence of preadolescent lifestyles on the prevalence of elevated blood pressure among children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 489-492,496. doi: 10.16835/j.cnki.1000-9817.2021.04.003

Citation:

LI Yanhui, GAO Di, CHEN Manman, MA Ying, CHEN Li, DONG Yanhui, SONG Yi, MA Jun. Cumulative influence of preadolescent lifestyles on the prevalence of elevated blood pressure among children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 489-492,496. doi: 10.16835/j.cnki.1000-9817.2021.04.003

PDF( 398 KB)

Cumulative influence of preadolescent lifestyles on the prevalence of elevated blood pressure among children

doi: 10.16835/j.cnki.1000-9817.2021.04.003

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing(100191), China

Received Date: 2020-12-11
Rev Recd Date: 2021-02-12

Available Online: 2021-04-16

Publish Date: 2021-04-25

Abstract

Abstract

Objective To analyze the cumulative effect of preadolescent lifestyles on the prevalence and incidence of elevated blood pressure (EBP) in children, and to provide evidence for early hypertensive intervention. Methods In 2017, a cohort study on pubertal development was conducted in Xiamen, Fujian Province. Participants underwent a physical examination and questionnaire survey. Between 2017 and 2019, this study carried out a 2-year follow-up of 1 316 students whose complete data were obtained. Preadolescent lifestyles were assessed by referring to baseline survey results obtained in 2017, and the prevalence and incidence of EBP were determined according to blood pressure levels that were determined in 2019. The logistic regression model was used to analyze the influence of healthy lifestyles on the prevalence and incidence of EBP after adjusted for confounding factors. Results The prevalence of EBP in 2017 and 2019 was 25.0% and 23.3%, respectively, and its incidence was 18.9% after the 2-year follow-up. Children with a healthy lifestyle had a lower prevalence and incidence of EBP. The regression analysis showed that children who have more healthy lifestyle factors were at a lower risk of EBP (P < 0.05). Compared with students with 0-2 healthy lifestyle factors, the OR value of EBP prevalence was 0.52 (95%CI=0.30-0.90) and the RR value of EBP incidence was 0.60(95%CI=0.29-1.22) in children with 4-5 healthy lifestyle factors. Among them, children who were overweight or obese were at a significantly lower risk of EBP prevalence (OR=0.29, 95%CI=0.10-0.81). Conclusion Preadolescent lifestyles seemed to have a cumulative effect on the occurrence of EBP. Maintaining a healthy lifestyle had a positive effect on reducing the risk of EBP, particularly in overweight and obese children, and this was due to their adoption of a comprehensive healthy lifestyle.
- Lifestyle,
- Blood pressure,
- Prevalence,
- Regression analysis,
- Child

FullText(HTML)

References(26)

References

[1]	MATOSSIAN D. Pediatric hypertension[J]. Pediatr Ann, 2018, 47(12): e499-e503. doi: 10.3928/19382359-20181119-01
[2]	KOSKINEN J, JUONALA M, DWYER T, et al. Utility of different blood pressure measurement components in childhood to predict adult carotid intima-media thickness[J]. Hypertension, 2019, 73(2): 335-341. doi: 10.1161/HYPERTENSIONAHA.118.12225
[3]	URBINA E M, LANDE M B, HOOPER S R, et al. Target organ abnormalities in pediatric hypertension[J]. J Pediatr, 2018, 202: 14-22. DOI: 10.1016/j.jpeds.2018.07.026.
[4]	CHEN X, WANG Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis[J]. Circulation, 2008, 117(25): 3171-3180. doi: 10.1161/CIRCULATIONAHA.107.730366
[5]	KELLY R K, THOMSON R, SMITH K J, et al. Factors affecting tracking of blood pressure from childhood to adulthood: the childhood determinants of adult health study[J]. J Pediatr, 2015, 167(6): 1422-1428. doi: 10.1016/j.jpeds.2015.07.055
[6]	SALVADOR M R, CUNHA G S, QUINAZ R G, et al. Effect of lifestyle on blood pressure in patients under antihypertensive medication: an analysis from the Portuguese Health Examination Survey[J]. Revist Portug De Cardiol, 2019, 38(10): 697-705. doi: 10.1016/j.repc.2018.12.006
[7]	BAENA C P, OLANDOSKI M, YOUNGE J O, et al. Effects of lifestyle-related interventions on blood pressure in low and middle-income countries: systematic review and meta-analysis[J]. J Hypertens, 2014, 32(5): 961-973. doi: 10.1097/HJH.0000000000000136
[8]	SHANKAR R R, ECKERT G J, SAHA C, et al. The change in blood pressure during pubertal growth[J]. J Clin Endocrinol Metabol, 2005, 90(1): 163-167. doi: 10.1210/jc.2004-0926
[9]	MENG L, ZHAO D, PAN Y, et al. Validation of Omron HBP-1300 professional blood pressure monitor based on auscultation in children and adults[J]. BMC Cardiov Disord, 2016, 16: 9. DOI: 10.1186/s12872-015-0177-z.
[10]	MARSHALL W A, TANNER J M. Variations in pattern of pubertal changes in girls[J]. Arch Dis Child, 1969, 44(235): 291-303. doi: 10.1136/adc.44.235.291
[11]	MARSHALL W A, TANNER J M. Variations in the pattern of pubertal changes in boys[J]. Arch Dis Child, 1970, 45(239): 13-23. doi: 10.1136/adc.45.239.13
[12]	CHEN Y, MA L, MA Y, et al. A national school-based health lifestyles interventions among Chinese children and adolescents against obesity: rationale, design and methodology of a randomized controlled trial in China[J]. BMC Public Health, 2015, 15: 210. DOI: 10.1186/s12889-015-1516-9.
[13]	中国营养学会. 中国学龄儿童膳食指南(2016) [M]. 北京: 人民卫生出版社, 2016: 47-49. Chinese Nutrition Society. Dietary guidelines for school-age children in China (2016) [M]. Beijing: People's Medical Publishing House, 2016: 47-49.
[14]	TREMBLAY M S, CARSON V, CHAPUT J P, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep[J]. Appl Physiol Nutr Metab, 2016, 41(6 Suppl 3): S311-327. http://europepmc.org/abstract/MED/27306430
[15]	中华人民共和国国家卫生和计划生育委员会. 7~18岁儿童青少年血压偏高筛查界值WS/T 610—2018[S]. 北京: 中国标准出版社, 2018. National Health Commission of the People's Republic of China. Reference of screening for elevated blood pressure among children and adolescents aged 7-18 years old WS/T 610—2018[S]. Beijing: Standards press of China, 2018.
[16]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查WS/T 586—2018[S]. 北京: 中国标准出版社, 2018. National Health Commission of the People's Republic of China. Screening for overweight and obesity among school-age children and adolescents WS/T 586—2018[S]. Beijing: Standards press of China, 2018.
[17]	MELLENDICK K, SHANAHAN L, WIDEMAN L, et al. Diets rich in fruits and vegetables are associated with lower cardiovascular disease risk in adolescents[J]. Nutrients, 2018, 10(2): 136. doi: 10.3390/nu10020136
[18]	MANIOS Y, KARATZI K, MOSCHONIS G, et al. Lifestyle, anthropometric, socio-demographic and perinatal correlates of early adolescence hypertension: the healthy growth study[J]. Nutr Metabol Cardiov Dis, 2019, 29(2): 159-169. doi: 10.1016/j.numecd.2018.10.007
[19]	JIANG W, HU C, LI F, et al. Association between sleep duration and high blood pressure in adolescents: a systematic review and meta-analysis[J]. Ann Human Biol, 2018, 45(6/8): 457-462. http://www.ncbi.nlm.nih.gov/pubmed/30387692
[20]	ROSÁRIO R, SANTOS R, LOPES L, et al. Fruit, vegetable consumption and blood pressure in healthy adolescents: a longitudinal analysis from the LabMed study[J]. Nutr Metabol Cardiov Dis, 2018, 28(10): 1075-1080. doi: 10.1016/j.numecd.2018.05.014
[21]	SAMADIAN F, DALILI N, JAMALIAN A. Lifestyle modifications to prevent and control hypertension[J]. Iran J Kidney Dis, 2016, 10(5): 237-263. https://pubmed.ncbi.nlm.nih.gov/27721223/
[22]	WVHL E. Hypertension in childhood obesity[J]. Acta Paediatr, 2019, 108(1): 37-43. doi: 10.1111/apa.14551
[23]	LURBE E, AGABITI-ROSEI E, CRUICKSHANK J K, et al. 2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents[J]. J Hypertens, 2016, 34(10): 1887-1920. doi: 10.1097/HJH.0000000000001039
[24]	FLYNN J T, KAELBER D C, BAKER-SMITH C M, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents[J]. Pediatrics, 2017, 140(3): e20171904. doi: 10.1542/peds.2017-1904
[25]	PAZOKI R, DEHGHAN A, EVANGELOU E, et al. Genetic predisposition to high blood pressure and lifestyle factors: associations with midlife blood pressure levels and cardiovascular events[J]. Circulation, 2018, 137(7): 653-661. doi: 10.1161/CIRCULATIONAHA.117.030898
[26]	SHIMBO D. Dietary and lifestyle factors in hypertension[J]. J Human Hypertens, 2016, 30(10): 571-572. doi: 10.1038/jhh.2016.57