Blood pressure variation and ultra-processed food consumption in children with obesity

Abstract

ObjectivesInvestigate the in uence in UPF consumption, assessed through dietary and urinary markers, on systolic (SBP) and diastolic (DBP) blood pressure in children with obesity. MethodsLongitudinal analysis from a randomized clinical trial carried out with children with obesity aged 7 to 12 years. For six months, children and guardians attended monthly individual consultations and educational activities to encourage a reduction in UPF consumption. Body weight, height, blood pressure, and 24-hour dietary recall were measured at all visits. Random urine samples were collected at baseline, at the second and fth-month follow-up. ResultsA total of 96 children were included in the analysis. Energy, UPF intake and blood pressure showed a quadratic pattern change, with a decrease in the rst two months and an increase thereafter. There was an association between the consumption of UPF and DBP. Intake of UPF was correlated to urinary Na/K ratio (r = 0.29; p = 0.008) and with dietary Na/K ratio (r = 0.40; p ≤ 0.001). For every 100g of increase in UPF, DBP increased by 0.28mmHg (p-value = 0.01) and with further adjustment for change in BMI, the increase was 0.22mmHg (p-value = 0.04).-Reducing UPA consumption can be a good preventive strategy against hypertension even in the absence of weight loss.

Clinical Diagnostic Algorithms of Action in the Practice of a Doctor of General Practice – Family Medicine Diseases of the Urinary System in Children

“…деформація скелету [9, 10]; енурез, нейрогенні розлади сечопуску [11,12]; ніктурія, поліурія [13,14,15]; при підвищенні артеріальному тиску, та/або інші серцево-судинні захворювання [14,16,17,18]; цукровий діабет (І та ІІ типу) [19,20,21,22]; набряки, зміни в біохімічних аналізах крові (підвищення креатиніну та/або сечовини) [23,24];…”