Relationship between body fat percentage and high blood pressure among junior high school students in Shanghai

YANG Dongling; ZHOU Yuefang; SUN Lijing; QI Wenjuan; QU Shuangxiao; LUO Chunyan; FENG Xiaogang

doi:10.16835/j.cnki.1000-9817.2021.05.025

Volume 42 Issue 5

May 2021

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YANG Dongling, ZHOU Yuefang, SUN Lijing, QI Wenjuan, QU Shuangxiao, LUO Chunyan, FENG Xiaogang. Relationship between body fat percentage and high blood pressure among junior high school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 746-750. doi: 10.16835/j.cnki.1000-9817.2021.05.025

Citation:

YANG Dongling, ZHOU Yuefang, SUN Lijing, QI Wenjuan, QU Shuangxiao, LUO Chunyan, FENG Xiaogang. Relationship between body fat percentage and high blood pressure among junior high school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 746-750. doi: 10.16835/j.cnki.1000-9817.2021.05.025

Citation:

YANG Dongling, ZHOU Yuefang, SUN Lijing, QI Wenjuan, QU Shuangxiao, LUO Chunyan, FENG Xiaogang. Relationship between body fat percentage and high blood pressure among junior high school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 746-750. doi: 10.16835/j.cnki.1000-9817.2021.05.025

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Relationship between body fat percentage and high blood pressure among junior high school students in Shanghai

doi: 10.16835/j.cnki.1000-9817.2021.05.025

Department of Youth Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai(200336), China

Received Date: 2020-11-19
Rev Recd Date: 2021-01-14

Available Online: 2021-05-20

Publish Date: 2021-05-25

Abstract

Abstract

Objective To investigate the relationship between body fat percentage (BF%) and high blood pressure among adolescents in Shanghai, and to provide basis for early prevention and intervention of cardcovascular diseases. Methods By using stratified cluster sampling method, a total of 5 148 adolescent students in 16 schools from 16 districts of Shanghai were selected. Questionnaire survey and physical examination were performed. The bioelectrical impedance analysis (BIA) was used to measure body fat percentage. National Blood Pressure Reference for Chinese Han Children was used to define high blood pressure. And T test, chi-square test and Logistici regression were used to assess the relation between BF% with high blood pressure. Results The prevalence of high blood pressure in 5 148 junior middle school students in Shanghai was 10.98%, with girls (13.13%) higher than boys (8.99%)(χ²=22.48, P < 0.01). The average total body fat percentage of male students was (20.90±10.73)%, which decreased with age (linear trend variance is 10.04, P < 0.01). The average total body fat percentage of girls was (25.14±8.03)%, which increased with age (linear trend variance is 69.23, P < 0.01). After adjusted for age, diet, exercise and other influencing factors, the prevalence of hypertension showed an increasing trend with the increase of body fat percentage for both boys and girls. The risk of high blood pressure in boys with BF%≥P₉₀ was 12.43 times higher than that in boys with BF% < P₂₅(95%CI=6.98-22.14), while the risk of high blood pressure in girls with BF% ≥P₉₀ was 6.12 times higher than that in girls with BF% < P₂₅(95%CI=3.89-9.63). Conclusion There was a positive correlation between body fat percentage and high blood pressure in adolescents. The prevalence of high blood pressure increased with the increase of body fat percentage, which was more obvious in boys.
- Adiposity,
- Blood pressure,
- Regression analysis,
- Students

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References(20)

References

[1]	FALKNER B, LURBE E. Primordial prevention of high blood pressure in childhood: an opportunity not to be missed[J]. Hypertension, 2020, 75(5): 1142-1150. doi: 10.1161/HYPERTENSIONAHA.119.14059
[2]	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
[3]	中华医学会心血管病学分会. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56. doi: 10.3969/j.issn.1007-5410.2019.01.002 Chinese Medical Association Society of Cardiology. Chinese guidelines for the management of hypertension(2018 revision)[J]. Chin J Cardiovascular Med, 2019, 24(1): 24-56. doi: 10.3969/j.issn.1007-5410.2019.01.002
[4]	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
[5]	WANG J, ZHU Y, JING J, et al. Relationship of BMI to the incidence of hypertension: a 4 years' cohort study among children in Guangzhou, 2007-2011[J]. BMC Public Health, 2015, 15: 782. DOI: 10.1186/s12889-015-1997-6.
[6]	LI H, HUANG T, LIU J, et al. Body fat indicators perform better than body mass index in identifying abnormal lipid profiles in boys but not in girls[J]. Pediatr Res, 2019, 85(5): 617-624. doi: 10.1038/s41390-019-0287-x
[7]	TEBAR W R, RITTI-DIAS R M, FARAH B Q, et al. High blood pressure and its relationship to adiposity in a school-aged population: body mass index vs waist circumference[J]. Hypertens Res, 2018, 41(2): 135-140. doi: 10.1038/hr.2017.93
[8]	欧阳一非, 王志宏, 王惠君, 等. 2015年中国十五省老年居民睡眠时间与体脂率的关系[J]. 环境与职业医学, 2019, 36(12): 1113-1118. https://www.cnki.com.cn/Article/CJFDTOTAL-LDYX201912006.htm OUYANG Y F, WANG Z H, WANG H J, et al. Relationship between sleep duration and body fat percentage among elderly residents in 15 provinces of China in 2015[J]. J Environ Occup Med, 2019, 36(12): 1113-1118. https://www.cnki.com.cn/Article/CJFDTOTAL-LDYX201912006.htm
[9]	李珊, 宋晴阳, 宇克莉, 等. 生物电阻抗法测量身体成分的可行性[J]. 解剖学杂志, 2019, 42(5): 480-486. doi: 10.3969/j.issn.1001-1633.2019.05.011 LI S, SONG Q Y, YU K L, et al. Feasibility of body composition measurement by bioelectrical impedance method[J]. Chin J Anat, 2019, 42(5): 480-486. doi: 10.3969/j.issn.1001-1633.2019.05.011
[10]	国家卫生健康委员会. 7~18岁儿童青少年分年龄、性别、身高的血压偏高筛查界值WS/T 610—2018[S]. 2018-06-13. 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 WS/T 610-2018[S]. 2018-06-13.
[11]	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标准WS/T 586—2018[S]. 2018-02-23. National Health and Family Planning Commission of the People's Republic of China. Screening for overweight and obesity among school-age children and adolescents WS/T 86-2018[S]. 2018-02-23.
[12]	国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查标准WS/T 456—2014[S]. 2014-06-20. National Health and Family Planning Commission of the People's Republic of China. Screening standard for malnutrition of school-age children and adolescents WS/T 456-2014[S]. 2014-06-20.
[13]	董彦会, 宋逸, 董彬, 等. 2014年中国7~18岁学生血压状况与营养状况的关联分析: 基于中国儿童青少年血压评价标准[J]. 北京大学学报(医学版), 2018, 50(3): 422-428. doi: 10.3969/j.issn.1671-167X.2018.03.006 DONG Y H, SONG Y, DONG B, et al. Association between the blood pressure status and nutritional status among Chinese students aged 7-18 years in 2014: based on the national blood pressure reference for Chinese children and adolescents[J]. J Peking Univ(Med Sci), 2018, 50(3): 422-428. doi: 10.3969/j.issn.1671-167X.2018.03.006
[14]	刘洋, 旷满华, 刘也, 等. 中国儿童青少年高血压患病率的Meta分析[J]. 中国儿童保健杂志, 2017, 25(1): 59-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201701018.htm LIU Y, KUANG M H, LIU Y, et al. Prevalence of hypertension among children and adolescents in China: a meta-analysis[J]. Chin J Child Health Care, 2017, 25(1): 59-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201701018.htm
[15]	DONG H, YAN Y, LIU J, et al. Reference centiles for evaluating total body fat development and fat distribution by dual-energy x-ray absorptiometry among children and adolescents aged 3-18 years[J]. Clin Nutr, 2020. DOI. org/10.1016/j. clnu. 2020.08.012. http://www.sciencedirect.com/science/article/pii/S0261561420304271
[16]	陶瑞文, 万宇辉, 张辉, 等. 安徽省儿童青少年高血压与体脂百分比关联性研究[J]. 中华流行病学杂志, 2016, 37(2): 178-182. doi: 10.3760/cma.j.issn.0254-6450.2016.02.005 TAO R W, WAN Y H, ZHANG H, et al. Relationship between hypertension and percentage of body fat, in children of Anhui province[J]. Chin J Epidemiol, 2016, 37(2): 178-182. doi: 10.3760/cma.j.issn.0254-6450.2016.02.005
[17]	严孙杰, 张永泽, 沈喜妹, 等. 超重肥胖患者心血管相关危险因子与体成分构成的关系[J]. 中华高血压杂志, 2014, 22(12): 1150-1156. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201412017.htm YAN S J, ZHANG Y Z, SHEN X M, et al. The relationship between cardiovascular risk factors and body compositions in overweight and obese patients[J]. Chin J Hypertens, 2014, 22(12): 1150-1156. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201412017.htm
[18]	刘小晖, 陈暕, 魏晶. 青岛市中小学生体成分与血压的相关性分析[J]. 中国儿童保健杂志, 2017, 25(10): 1044-1046. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201710020.htm LIU X H, CHEN J, WEI J. Analysis of relationship between body component and blood pressure of children and adolescents in Qingdao[J]. Chin J Child Health Care, 2017, 25(10): 1044-1046. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201710020.htm
[19]	丁一, 陈洁, 李廷玉. 生物电阻抗法在儿童青少年体成分分析中的应用现状[J]. 中国儿童保健杂志, 2010, 18(6): 502-504. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201006026.htm DING Y, CHEN J, LI T Y. Application of Bioelectrical impedance analysis in body composition of children and adolescents[J]. Chin J Child Health Care, 2010, 18(6): 502-504. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201006026.htm
[20]	李颂婷, 钟燕. 体成分与儿童青少年肥胖的相关研究进展[J]. 中国儿童保健杂志, 2020, 28(2): 161-164. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202002015.htm LI S T, ZHONG Y. Research advances on body composition and obesity in children and adolescents[J]. Chin J Child Health Care, 2020, 28(2): 161-164. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202002015.htm