The prevalence of hypertension and elevated blood pressure and its correlation with overweight/obesity among students aged 6–17 years in Suzhou

Chen, Cailong; Lu, Menglan; Wu, Ying; Zhang, Zheng; Hu, Jia; Yin, Jieyun; Zhou, Wanping; Xu, Jia‐Ying; Lv, Haitao; Qin, Li–Qiang

doi:10.1515/jpem-2021-0033

Cited by 8 publications

(7 citation statements)

References 30 publications

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“…Currently, there are not many reports on the prevalence of high blood pressure among Chinese students. Chen et al [ 16 ] reported a prevalence of high blood pressure of 9.92% among students aged 6 to 17 years in Suzhou. Li et al [ 17 ] reported a prevalence of 12.26% of high blood pressure among students under 18 years old in Lanzhou.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of high blood pressure and its associated factors among students in Shenyang, China: A cross-sectional study

Zhang,

Sun,

et al. 2023

Medicine

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There is growing evidence that the prevalence of high blood pressure is increasing, and it may have serious consequences. However, research on the prevalence and influencing factors of high blood pressure among primary and secondary school students is still relatively scarce. This study aims to investigate the prevalence and influencing factors of high blood pressure among primary and secondary school students in Shenyang, in order to provide scientific evidence for the prevention and management of this disease. From April to May 2020, 4892 students aged 7 to 17 years were selected as the survey subjects, and on-site physical measurements and questionnaire surveys were conducted. The prevalence of high blood pressure was described. Restricted cubic spline was used to analyze the dose-response relationship between sleep duration, BMI and the risk of high blood pressure. Logistic regression was used to analyze the risk factors. Multiplicative and additive models were used to analyze the interaction between sleep duration and BMI. The results showed that the overall prevalence of high blood pressure among students aged 7 to 17 years in Shenyang was 9.9%, with a higher prevalence in females than males (12.1% vs 7.9%) and in urban areas than suburban areas (11.8% vs 7.7%). The prevalence was lowest in students with normal weight (8.3%) and highest in those who were obese (12.5%). The prevalence fluctuated to some extent among different age groups, but overall, it increased with age, with the lowest prevalence in primary school students (7.0%), 11.4% in mild school students, and the highest prevalence of 14.3% in high school students. Multivariable analysis showed that the risk of high blood pressure in female students was 1.90 times higher than that in male students (95% CI: 1.54–2.35), and the risk in suburban areas was 0.65 times lower than that in urban areas (95% CI: 0.52–0.81). Students with a BMI ≥ 21 kg/m2 had a 1.58 times higher risk than those with a BMI < 21 kg/m2(95% CI: 1.28–1.96), while those with a sleep time ≥ 8 hours had a 0.80 times lower risk than those with a sleep time < 8 hours (95% CI: 0.65–0.99). Exercise can significantly reduce the risk of high blood pressure, while using electronic devices for more than 0.5 hours significantly increases the risk of high blood pressure. BMI and sleep duration have no interaction effect on the risk of high blood pressure. To reduce the prevalence of high blood pressure, students should reduce the use of electronic devices, ensure adequate exercise, maintain a reasonable weight, and ensure sufficient sleep.

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Section: Discussionmentioning

confidence: 99%

Prevalence of high blood pressure and its associated factors among students in Shenyang, China: A cross-sectional study

Zhang,

Sun,

et al. 2023

Medicine

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“…Snížení prevalence obezity je prevencí PHT/HT. (17) Recentní studie adolescentů s PHT vyšetřených pomocí ABPM ukázala ve srovnání s kontrolní skupinou zvýšený srdeční minutový volum a tepový objem. Tyto údaje se nelišily od adolescentů s již prokázanou HT, a to i při srovnání periferní cévní rezistence a centrálního systolického tlaku u PHT, resp.…”

Section: Mimo Prenatálního Existuje I Postnatální Programmingunclassified

Prehypertension and hypertension in children and adults: the effect of excessive salt and sugar consumption

Janda,

Velemínský

2023

Ces-slov Pediat

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souhrn Janda J, Velemínský m. prehypertenze a hypertenze u dětí a dospělých: vliv nadměrné konzumace soli a cukru Autoři definují pojem prehypertenze (PHT) a hypertenze (HT), uvedena je jejich prevalence u dětí a dospělých. Upozorňujeme na tzv. programming PHT a HT již v prenatálním a časném postnatálním období. Uveden je přehled konzumace soli u nás a ve světě ve vztahu k PHT a HT a komplikacím kardiovaskulárních onemocnění (KVO). Je vysvětlen pojem senzitivita, resp. rezistence při nadměrné dodávce soli podmiňující vzestup krevního tlaku (TK). Stručně jsou uvedeny názory na patofyziologii PHT a HT, shrnuta fakta o konzumaci soli v historii a současnosti a možnosti prevence KVO. Rizika PHT/HT jsou v současnosti spojena s narůstajícím výskytem nadváhy/obezity u dětí a dorostu, ty jsou často spojeny s vysokou konzumací nejen soli, ale i cukru. Shrnujeme zásady primární prevence PHT/HT a komplikací KVO se zdůrazněním nefarmakologické intervence. Prevence by měla začít již ve věku, kdy o jedince pečují pediatři. klíčová slova: prehypertenze, hypertenze, prevalence, konzum soli a cukru, programming PHT a HT, status salt sensitive/resistant, obezita jako rizikový faktor KVO summary Janda J, Velemínský m. prehypertension and hypertension in children and adults: the effect of excessive salt and sugar consumptionThe definition and diagnostics of prehypertension (PHT), hypertension (HT) and their prevalence in children and adults are presented. Attention was drawn to the PHT and HT programming already in the prenatal and early postnatal period. An overview of very high salt consumption in the Czech Republic and in the world which is connected with PHT, HT and later with complications of cardiovascular diseases (CVD). The concept of salt sensitivity/ resistance is explained. Briefly presented are opinions on the pathophysiology of hypertension. Summarized are the facts about salt consumption in history and the present and possibility of CVD prevention. Recently, the risk of PHT/HT is currently associated with the increasing incidence of overweight/obesity in children and adolescents, who are often associated with high consumption of not only salt, but also sugar. Summarized are principles of primary prevention of PHT/HT and complications of CVD with emphasis on early non-pharmacological intervention. Prevention of PHT/ HT should start already at the age when the individual health care is provided by pediatricians.

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“…The prevalence of childhood overweight and obesity increased at an alarming rate over the past decades in China ( 1 ) . Childhood overweight and obesity is correlated with elevated blood pressure (BP) ( 2 ) and other chronic disease ( 3 ) . Apart from the recognised physiological results, depression ( 4 ) , anxiety ( 4 ) and low self-esteem ( 5 ) might also result from obesity.…”

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confidence: 99%

Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents

Liu

Wang

et al. 2023

Public Health Nutr.

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Objective: The relationships between childhood weight self-misperception and obesity-related factors particularly health markers have not been extensively discussed. This study aims to examine the associations between weight self-misperception and obesity-related knowledge, attitudes, lifestyles and cardio-metabolic markers among Chinese pediatric population. Design: Cross-sectional study. Setting: Data sourced from a national survey in Chinese seven provinces in 2013. Participants: Children and adolescents aged 5-19 years. Results: Of the total 14079 participants, there were 14.5% and 2.2% participants over-estimated and under-perceived their weight, respectively. Multi-variable logistic regression was applied to calculate odds ratio (OR) and 95% confidence interval (95% Cl) of obesity-related behaviors and cardio-metabolic markers by actual and perceived weight status. Individuals who perceived themselves as overweight/obese were more likely to have prolonged screen time, insufficient dairy intake, and over sugar-sweetened beverages consumption (all P<0.05), regardless of their weight. Furthermore, actual overweight/obese individuals had higher odds of abnormal cardio-metabolic markers, but a smaller magnitude of association was found among weight under-estimators. Among non-overweight/obese individuals, weight over-estimation was positively associated with abdominal obesity (OR: 10.49, 95% CI: 7.45, 14.76), elevated blood pressure (OR: 1.30, 95% CI: 1.12, 1.51), and dyslipidemia (OR: 1.43, 95% CI: 1.29, 1.58). Conclusions: Weight over-perception was more prevalent than under-estimation, particularly in girls. Weight over-estimators tended to master better knowledge but behave more unhealthily, both weight over-perception and actual overweight/obesity status were associated with poorer cardio-metabolic markers. Future obesity intervention programs should additionally pay attention to the population with inaccurate estimation of weight who were easily overlooked.

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The prevalence of hypertension and elevated blood pressure and its correlation with overweight/obesity among students aged 6–17 years in Suzhou

Cited by 8 publications

References 30 publications

Prevalence of high blood pressure and its associated factors among students in Shenyang, China: A cross-sectional study

Prevalence of high blood pressure and its associated factors among students in Shenyang, China: A cross-sectional study

Prehypertension and hypertension in children and adults: the effect of excessive salt and sugar consumption

Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents

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