Current status and multidimensional influences on the comorbidity of obesity and high blood pressure among children in Xiamen City

ZHANG Yi; JIANG Jianuo; CHEN Li; LIU Jieyu; YUAN Wen; GUO Tongjun; DONG Yanhui; MA Jun

doi:10.16835/j.cnki.1000-9817.2023.10.006

Volume 44 Issue 10

Oct. 2023

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(10): 1464-1467

ZHANG Yi, JIANG Jianuo, CHEN Li, LIU Jieyu, YUAN Wen, GUO Tongjun, DONG Yanhui, MA Jun. Current status and multidimensional influences on the comorbidity of obesity and high blood pressure among children in Xiamen City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1464-1467. doi: 10.16835/j.cnki.1000-9817.2023.10.006

Citation:

ZHANG Yi, JIANG Jianuo, CHEN Li, LIU Jieyu, YUAN Wen, GUO Tongjun, DONG Yanhui, MA Jun. Current status and multidimensional influences on the comorbidity of obesity and high blood pressure among children in Xiamen City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1464-1467. doi: 10.16835/j.cnki.1000-9817.2023.10.006

Citation:

ZHANG Yi, JIANG Jianuo, CHEN Li, LIU Jieyu, YUAN Wen, GUO Tongjun, DONG Yanhui, MA Jun. Current status and multidimensional influences on the comorbidity of obesity and high blood pressure among children in Xiamen City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1464-1467. doi: 10.16835/j.cnki.1000-9817.2023.10.006

PDF( 416 KB)

Current status and multidimensional influences on the comorbidity of obesity and high blood pressure among children in Xiamen City

doi: 10.16835/j.cnki.1000-9817.2023.10.006

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

Received Date: 2023-06-01
Rev Recd Date: 2023-07-28

Available Online: 2023-10-27

Publish Date: 2023-10-25

Abstract

Abstract

Objective To understand the current status of obesity and high blood pressure (HBP) comorbidity and their multidimensional influencing factors in children aged 7-12 years in Xiamen, so as to provide reference basis for subsequent preventive measures. Methods Based on the baseline survey of the Xiamen pubertal development cohort in 2017, a total of 4 798 primary school students from second to sixth grade were selected in the study by cluster random sampling method. And physical examination and questionnaires were conducted. The Logistic regression was used to screen potential variables for obesity combined with HBP. A multivariate Logistic regression model was used to analyse the factors influencing obesity combined with HBP. Results About 9.15% children were found with obesity and 11.65% with HBP. The rate of obesity combined with HBP was 3.00% in boys and 1.80% in girls. The rate of HBP was 8.28% in normal-weight children and 26.88% in obese children. Multivariate Logistic regression models showed that consumption of sugary drinks at least once a week (OR=2.50), daily consumption of salted or pickled vegetables (OR=4.52), family history of obesity (OR=3.09) were positively associated with obesity combined with HBP (P < 0.05). Girls (OR=0.53), consumption of high-energy snacks at least once a week (OR=0.40) and adequate physical activity (OR=0.58) were negatively associated with comorbidity of obesity and HBP (P < 0.05). Conclusion Gender differences in comorbidity burden of obesity and HBP exist among children aged 7-12 years in Xiamen. Dietary behaviour and exercise behaviour are the main dimensions influencing the comorbidity of obesity and HBP. Prevention and control of obesity and HBP in children should be based on multiple dimensions, including diet and exercise behavioural environment, to prevent early the occurrence for comorbidity of obesity and HBP in children.
- Obesity,
- Hypertension,
- Comorbidity,
- Regression analysis,
- Child

FullText(HTML)

References(30)

References

[1]	董彦会, 陈力, 刘婕妤, 等. 1985—2019年中国7~18岁儿童青少年超重与肥胖的流行趋势及预测研究[J]. 中华预防医学杂志, 2023, 57(4): 461-469. DONG Y H, CHEN L, LIU J Y, et al. Epidemiology and prediction of overweight and obesity among children and adolescents aged 7-18 years in China from 1985 to 2019[J]. Chin J Prev Med, 2023, 57(4): 461-469. (in Chinese)
[2]	陈力, 张奕, 马涛, 等. 2010—2019年中国7~17岁汉族儿童青少年正常高值血压和血压偏高的流行趋势[J]. 中华预防医学杂志, 2023, 57(4): 499-507. CHEN L, ZHANG Y, MA T, et al. Prevalence trend of high normal blood pressure and elevated blood pressure in Chinese Han children and adolescents aged 7-17 years from 2010 to 2019[J]. Chin J Prev Med, 2023, 57(4): 499-507. (in Chinese)
[3]	SONG P, ZHANG Y, YU J, et al. Global prevalence of hypertension in children: a systematic review and Meta-analysis[J]. JAMA Pediatr, 2019, 173(12): 1154-1163. doi: 10.1001/jamapediatrics.2019.3310
[4]	SERAVALLE G, GRASSI G. Obesity and hypertension[J]. Pharmacol Res, 2017, 122: 1-7. doi: 10.1016/j.phrs.2017.05.013
[5]	DONG B, MA J, WANG H J, et al. The association of overweight and obesity with blood pressure among Chinese children and adolescents[J]. Biom Environ Sci, 2013, 26(6): 437-444.
[6]	KIT B K, KUKLINA E, CARROLL M D, et al. Prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999-2012[J]. JAMA Pediatr, 2015, 169(3): 272-279. doi: 10.1001/jamapediatrics.2014.3216
[7]	吴学坤, 蒋立新. 肥胖型高血压的研究进展[C]//国家心血管病中心. 中国心脏大会论文汇编. 北京: 中国循环杂志社, 2014: 341. WU X K, JIANG L X. Advances in the study of obese hypertension[C]//National Center for Cardiovascular Disease. Compendium of papers from the Chinese heart conference. Beijing: Chinese Circulation Journal Press, 2014: 341. (in Chinese)
[8]	MESSERLI F H, SUNDGAARD-RIISE K, REISIN E, et al. Disparate cardiovascular effects of obesity and arterial hypertension[J]. Am J Med, 1983, 74(5): 808-812. doi: 10.1016/0002-9343(83)91071-9
[9]	LEVY B I, SCHIFFRIN E L, MOURAD J J, et al. Impaired tissue perfusion a pathology common to hypertension, obesity, and diabetes mellitus[J]. Circulation, 2008, 118(9): 968-976. doi: 10.1161/CIRCULATIONAHA.107.763730
[10]	李婧雯, 张晓卉, 尹新华. 肥胖相关高血压的研究进展[J]. 临床与病理杂志, 2020, 40(4): 1006-1011. https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202004033.htm LI J W, ZHANG X H, YIN X H. Progress in obesity-related hypertension[J]. J Clin Pathol Res, 2020, 40(4): 1006-1011. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WYSB202004033.htm
[11]	WÜHL E. Hypertension in childhood obesity[J]. Acta Paediatr, 2019, 108(1): 37-43. doi: 10.1111/apa.14551
[12]	NOBRE L N, LESSA A D. Influence of breastfeeding in the first months of life on blood pressure levels of preschool children[J]. J Pediatr (Rio J), 2016, 92(6): 588-594. doi: 10.1016/j.jped.2016.02.011
[13]	李超, 王荣辉, 李琳, 等. 中国3~6岁儿童肥胖危险因素病例-对照研究的Meta分析[J]. 卫生研究, 2022, 51(4): 656-661. doi: 10.19813/j.cnki.weishengyanjiu.2022.04.026 LI C, WANG R H, LI L, et al. Meta-analysis of case-control studies on obesity risk factors in children aged 3-6 years in China[J]. J Hyg Res, 2022, 51(4): 656-661. (in Chinese) doi: 10.19813/j.cnki.weishengyanjiu.2022.04.026
[14]	贺刚, 王超, 李京诚, 等. 北京市学龄儿童睡眠时间与BMI的相关性研究[C]//中国体育科学学会. 第十二届全国体育科学大会论文摘要汇编. 日照: 中国体育科学学会学校体育分会, 2022: 1075-1077. HE G, WANG C, LI J C, et al. Correlation between sleep durationand BMI in school-age children in Beijing[C]//China Society of Sports Science. Compilation of abstracts of the 12th national congress of sport science. Rizhao: School Sports Branch of China Sports Science Society, 2022: 1075-1077. (in Chinese)
[15]	PFEUFFER M, SCHREZENMEIR J. Milk and the metabolic syndrome[J]. Obes Rev, 2007, 8(2): 109-118. doi: 10.1111/j.1467-789X.2006.00265.x
[16]	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
[17]	LEYVRAZ M, CHATELAN A, DA COSTA B R, et al. Sodium intake and blood pressure in children and adolescents: a systematic review and Meta-analysis of experimental and observational studies[J]. Int J Epidemiol, 2018, 47(6): 1796-1810. doi: 10.1093/ije/dyy121
[18]	全国学生体质与健康调研组. 2014年全国学生体质与健康调研工作手册[M]. 北京, 2014. Chinese Student Physical Fitness and Health Research Group. Physical fitness and health research of Chinese school students workbook in 2014[M]. Beijing, 2014. (in Chinese)
[19]	中华人民共和国国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查[EB/OL]. (2018-03-30)[2023-08-31]. http://www.nhc.gov.cn/wjw/pqt/201803/a7962d1ac01647b9837110bfd2d69b26.shtml. National Health Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents[EB/OL]. (2018-03-30)[2023-08-31]. http://www.nhc.gov.cn/wjw/pqt/201803/a7962d1ac01647b9837110bfd2d69b26.shtml. (in Chinese)
[20]	中华人民共和国国家卫生健康委员会. 7~18岁儿童青少年血压偏高筛查界值[EB/OL]. (2018-07-04)[2023-05-04]. http://www.nhc.gov.cn/wjw/pqt/201807/6cee88c1d050493ab50a411a2978f901.shtml. National Health Commission of the PRC. Reference of screening for elevated blood pressure among children and adolescents aged 7-18 years[EB/OL]. (2018-07-04)[2023-05-04]. http://www.nhe.gov.cn/wjw/pqt/201807/6cee88c1d050493ab50a411a2978f901.shtml. (in Chinese)
[21]	LAVELLE G, NOORKOIV M, THEIS N, et al. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy: a cross-sectional study[J]. Physiotherapy, 2020, 107: 209-215. doi: 10.1016/j.physio.2019.08.013
[22]	陈婷, 范奕, 宋孝光, 等. 江西省儿童青少年超重肥胖流行现状及影响因素分析[J]. 中国学校卫生, 2021, 42(11): 1724-1727. doi: 10.16835/j.cnki.1000-9817.2021.11.028 CHEN T, FAN Y, SONG X G, et al. Analysis of prevalence and risk factors of overweight and obesity among children and adolescents in Jiangxi Province[J]. Chin J Sch Health, 2021, 42(11): 1724-1727. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.11.028
[23]	GUO X, ZHENG L, LI Y, et al. Differences in lifestyle behaviors, dietary habits, and familial factors among normal-weight, overweight, and obese Chinese children and adolescents[J]. Int J Behav Nutr Phys Act, 2012, 9: 120. doi: 10.1186/1479-5868-9-120
[24]	陈静仪. 广州市儿童青少年1985—2014年超重肥胖流行趋势[J]. 中国学校卫生, 2016, 37(12): 1915-1917. doi: 10.16835/j.cnki.1000-9817.2016.12.051 CHEN J Y. Prevalence of overweight and obesity among children and adolescents in Guangzhou, 1985-2014[J]. Chin J Sch Health, 2016, 37(12): 1915-1917. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.12.051
[25]	GUI Z H, ZHU Y N, CAI L, et al. Sugar-sweetened beverage consumption and risks of obesity and hypertension in Chinese children and adolescents: a national cross-sectional analysis[J]. Nutrients, 2017, 9(12): 1302.
[26]	MALIK A H, AKRAM Y, SHETTY S, et al. Impact of sugar-sweetened beverages on blood pressure[J]. Am J Cardiol, 2014, 113(9): 1574-1580.
[27]	SHI L, KRUPP D, REMER T. Salt, fruit and vegetable consumption and blood pressure development: a longitudinal investigation in healthy children[J]. Br J Nutr, 2014, 111(4): 662-671.
[28]	XI B, CHENG H, SHEN Y, et al. Physical activity modifies the associations between genetic variants and hypertension in the Chinese children[J]. Atherosclerosis, 2012, 225(2): 376-380.
[29]	JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365.
[30]	YU H J, LI F, HU Y F, et al. Improving the metabolic and mental health of children with obesity: a school-based nutrition education and physical activity intervention in Wuhan, China[J]. Nutrients, 2020, 12(1): 194.

Relative Articles

[1]	LUO Yuemei, REN Yiwen, CHEN Li, DONG Yonghui, YUAN Wen, MA Jun, DONG Yanhui, LI Yan, ZHOU Weiwen. Comorbidity and associated factors of overweight/obesity and dental caries among primary and secondary school students in Guangxi[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(4): 485-488. doi: 10.16835/j.cnki.1000-9817.2025096
[2]	CHENG Ping, REN Yanling, LIU Qin, CHEN Lanling, TONG Jishuang, XIAO Lun, QIN Jun, LI Xinggui, MA Jun, XU Lin, SHI Xiuzhen, WANG Li, WAN Lingjuan, LIANG Xiaohua. Association between the ratio of dietary vitamin A to body weight and hypertension in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 267-272. doi: 10.16835/j.cnki.1000-9817.2024062
[3]	LUO Huijuan, SUN Bingjie, ZHAO Hai, CHEN Dongni, WANG Lu, GAO Ruoyi, KUANG Huining, E Boran, GUO Xin. Analysis of the prevalence and related factors for comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1045-1049. doi: 10.16835/j.cnki.1000-9817.2024166
[4]	LI Shengpeng, LIANG Dingxiong, SU Fan, SONG Yongjing, SHA Mian, XU Jiali, SONG Jiancai, GONG Ling. Correlation of milk tea consumption with comorbid overweight/obesity and depressive symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(11): 1644-1647. doi: 10.16835/j.cnki.1000-9817.2024337
[5]	LIAN Qiguo, CI Renyangzong, WANG Yanhui, ZHAO Junmei, LU Yuxin, LI Na, ZHAO Wenhu, DENG Liping, LIU Zhihao. Analysis of factors influencing elevated blood pressure and overweight/obesity and their comorbidities among Tibetan middle school students in Lhasa City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 423-426. doi: 10.16835/j.cnki.1000-9817.2024076
[6]	WEI Rong, LI Yuan, MA Ning, WANG Xiaoli, JIN Yanan, MA Fang, YANG Yi, CHEN Yaogeng. Prevalence and factors related to overweight, obesity and hypertension comorbidities among primary and secondary school students in Ningxia[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1807-1810. doi: 10.16835/j.cnki.1000-9817.2024359
[7]	SONG Yi, ZHANG Xiuhong, MA Jun. Establishment and exploration of the mechanism of Co-morbidity, Shared Etiology, and Shared Prevention of major health problems of children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1281-1285. doi: 10.16835/j.cnki.1000-9817.2023.09.001
[8]	BAI He, ZHOU Jiali, CHENG Siqing, CAO Jin, XIAO Wenhan, AN Lin, ZHAO Dong, ZHANG Ronghua, SONG Peige. Research hotspots and frontiers of childhood hypertension[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(4): 606-611. doi: 10.16835/j.cnki.1000-9817.2023.04.030
[9]	MA Caixia, MA Jun, SONG Yi, DONG Yanhui, YUAN Wen, ZHANG Xiuhong, GAO Sheng, YANG Tian. Co-morbidity of overweight, obesity and depression and its influencing factors among students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1308-1312. doi: 10.16835/j.cnki.1000-9817.2023.09.007
[10]	JIANG Jianuo, YANG Tian, YUAN Wen, QIN Yang, SONG Xinli, ZHANG Yi, CHEN Li, WANG Ruolin, ZHANG Xiuhong, SONG Yi, MA Jun, DONG Yanhui. Co-occurrence trend of overweight, obesity and elevated blood pressure and its association with lifestyle factors among students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1313-1318. doi: 10.16835/j.cnki.1000-9817.2023.09.008
[11]	ZHANG Qiumei, XIANG Rong. Correlation analysis of overweight obesity and hypertension with resting heart rate of freshmen in different gender universities[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2019, 40(1): 113-115,118. doi: 10.16835/j.cnki.1000-9817.2019.01.031
[12]	ZHANG Qian, MA Chuanwei, XI Bo. The effects of overweight and obesity on left ventricular hypertrophy among hypertensive school-aged children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2019, 40(6): 815-817. doi: 10.16835/j.cnki.1000-9817.2019.06.007
[14]	XU Shuang, TIAN Changwei, CHEN Lin, WANG Wenming, SHEN Hui. Non-linear effects of body mass index on blood pressure in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2018, 39(9): 1347-1349. doi: 10.16835/j.cnki.1000-9817.2018.09.019
[17]	LI Shuangshuang, MA Chuanwei, XI Bo. Trends in elevated blood pressure among Chinese children and adolescents, 1993-2011[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2016, 37(10): 1449-1452. doi: 10.16835/j.cnki.1000-9817.2016.10.003
[18]	Epidemiology of overweight, obesity and hypertension among primary school students in Chongqing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2015, 36(1): 106-108,112.
[19]	CHAO Ling, LI Ran, LIANG Li-hua. Application of classification tree and Logistic regression analysis model on prediction of children's hypertension[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2015, 36(7): 1066-1068.

Supplements(0)

Cited By

Cited by

Periodical cited type(4)

1.	Jia Shiyi，Wang Xia，Wang Rui，Helen Woolley，Yang Lianlian，Liu Jinxin. Evaluation System and Renewal Strategies for Child-Friendly Informal Activity Spaces in Communities Based on Factor Analysis. China City Planning Review. 2025(01): 31-40 .
2.	董彦会，陈璐，马军，宋逸. 构建高水平学校卫生体系促进学生常见病共防行动. 中国学校卫生. 2024(05): 609-614 . 本站查看
3.	王春辉，胡宝翠，任志盛，陈暕，贺倩倩. 青岛市市北区中小学生血压偏高与体质量指数的剂量反应关系. 中国学校卫生. 2024(08): 1181-1185 . 本站查看
4.	沈浩能，周琼颖，陈琦. 100例学龄前儿童心脏多普勒超声量化参数与体质量和血压的关系. 影像科学与光化学. 2024(06): 625-629 .