Association between growth patterns and blood pressure in children and adolescents with different nutritional status: cross-sectional data from seven provinces and cities in China

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

doi:10.16835/j.cnki.1000-9817.2021.07.025

Volume 42 Issue 7

Jul. 2021

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CHEN Manman, CHEN Li, MA Ying, GAO Di, LI Yanhui, MA Tao, DONG Yanhui, MA Jun. Association between growth patterns and blood pressure in children and adolescents with different nutritional status: cross-sectional data from seven provinces and cities in China[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(7): 1068-1072. doi: 10.16835/j.cnki.1000-9817.2021.07.025

Citation:

CHEN Manman, CHEN Li, MA Ying, GAO Di, LI Yanhui, MA Tao, DONG Yanhui, MA Jun. Association between growth patterns and blood pressure in children and adolescents with different nutritional status: cross-sectional data from seven provinces and cities in China[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(7): 1068-1072. doi: 10.16835/j.cnki.1000-9817.2021.07.025

Citation:

CHEN Manman, CHEN Li, MA Ying, GAO Di, LI Yanhui, MA Tao, DONG Yanhui, MA Jun. Association between growth patterns and blood pressure in children and adolescents with different nutritional status: cross-sectional data from seven provinces and cities in China[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(7): 1068-1072. doi: 10.16835/j.cnki.1000-9817.2021.07.025

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Association between growth patterns and blood pressure in children and adolescents with different nutritional status: cross-sectional data from seven provinces and cities in China

doi: 10.16835/j.cnki.1000-9817.2021.07.025

School of Public Health and Institute of Child and Adolescent Health, Perking University, Beijing (100091), China

Received Date: 2021-03-11
Rev Recd Date: 2021-04-02

Available Online: 2021-07-23

Publish Date: 2021-07-25

Abstract

Abstract

Objective To explore the association between growth patterns and blood pressure in children and adolescents with different nutritional status. Methods A total of 38 839 children and adolescents aged 6 to 8 years old were included in this study by stratified cluster sampling. The American Academy of Pediatrics 2017 Guideline was used to evaluate the blood pressure, the US 2000 CDC standard was used to determine different growth patterns, and the WHO Child and Adolescent Growth and Development Standard issued in 2007 was used to evaluate nutritional status. Variance analyses were used to compare the levels of systolic and diastolic blood pressure and growth patterns by nutritional status, and χ² test was used to compare the difference of prevalence. Multivariate Logistic regression model was used to analyze the association between growth patterns and blood pressure. Results The proportion of normal growth, catch-up growth and catch-down growth was 33.2%, 41.6% and 25.2%, respectively. Under different growth patterns, systolic blood pressure (105.17±12.33) mm Hg and diastolic blood pressure (66.55±8.75) mm Hg of catch-up growth were higher than those of normal growth and catch-down growth. In overweight and obesity, the prevalence of hypertension (24.9%), high systolic blood pressure (18.9%) and high diastolic blood pressure (15.0%) in catch-up growth were higher than those in normal growth and catch-down growth (P < 0.05). The risk of catch-up growth to hypertension was higher in overweight and obesity (OR=1.18, 95%CI=1.06-1.31) than in normal children and adolescents (OR=1.15, 95%CI=1.05-1.27). Conclusion In catch-up growth children and adolescents, hypertension and high blood pressure are higher than normal growth and catch-down growth. Overweight and obesity than normal children and adolescents have a higher risk of hypertension.
- Growth and development,
- Blood pressure,
- Nutritional status,
- Regression analysis,
- Child,
- Adolescent

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References(24)

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