Hemoglobin and Hematocrit Levels are Positively Associated with Blood Pressure in Children and Adolescents Aged 10 to 18 Years: The Korea National Health and Nutrition Examination Surveys 2007–2017.

Author(s):  
Hwal Rim Jeong ◽  
Hae Sang Lee ◽  
Young Seok Shim ◽  
Jin Soon Hwang

Abstract Objective: To investigate investigated the association of hemoglobin (Hb) concentration, hematocrit (Hct) and blood pressure (BP) in children and adolescents.Methods: The study population consisted of a total 7,950 subjects (4,229 boys, 3,721 girls) aged 10 to 18 years who participated in the Korea National Health and Nutrition Examination Surveys conducted between 2007 and 2017.Results: The prevalence of hypertension is estimated about 19.19% (21.51% for boys and 16.5% for girls). The prevalence of obesity is estimated about 9.59% (10.5% for boys and 8.6% for girls). Hb and Hct level tended to increase with the degree of obesity and blood pressure. The systolic BP (SBP) and diastolic BP (DBP) have positively correlated with Hb and Hct levels in both sex. In the multiple regression analysis, the Hb and Hct presented positive association with SBP and DBP after adjustment for for age, BMI SDS, alcohol consumption, smoking physical activity, rural residence, household income, diagnosis of T2DM, hypertension, and dyslipidemia.Conclusion: Hemoglobin and hematocrit levels were positively associated with SBP and DBP, in children and adolescent, aged 10- 18 year.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hwal Rim Jeong ◽  
Young Suk Shim ◽  
Hae Sang Lee ◽  
Jin Soon Hwang

AbstractTo investigate the associations between hemoglobin (Hb) concentration and hematocrit (Hct), and blood pressure (BP) in children and adolescents. The study population consisted of 7950 subjects total (4229 boys and 3721 girls) aged 10–18 years who participated in the Korea National Health and Nutrition Examination Surveys conducted between 2007 and 2017. The prevalence of hypertension was 19.19% (21.51% for boys and 16.5% for girls) among the study population, and the prevalence of obesity was 9.59% (10.5% for boys and 8.6% for girls). Hb count and Hct tended to increase with the degree of obesity and BP elevation. Systolic BP (SBP) and diastolic BP (DBP) positively correlated with Hb count and Hct in both sexes. Following multiple linear regression analysis, Hb count and Hct presented a positive association with SBP and DBP after adjusting for age, BMI SDS, alcohol consumption, smoking status, physical activity, rural residence, household income, diagnosis of T2DM, hypertension, and dyslipidemia. Hb count and Hct were positively associated with SBP and DBP in children and adolescents 10–18 years old.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Changsong Liu ◽  
Yanfen Liao ◽  
Zongyuan Zhu ◽  
Lili Yang ◽  
Qin Zhang ◽  
...  

Abstract Background Copper is an essential trace metal with potential interest for cardiovascular effects. Few studies have explored the association between copper and blood pressure in children and adolescents. Method We conducted a cross-sectional analysis of 1242 children and adolescents aged 8–17 years who participated in the 2011 to 2016 National Health and Nutrition Examination Survey. Using 2017 American Academy of Pediatrics guidelines, elevated blood pressure (EBP) was defined as a mean systolic and/or diastolic blood pressure (BP) ≥ 90th percentile for sex, age, and height for children aged 1–12 years and systolic BP ≥ 120 mmHg or diastolic BP ≥ 80 mmHg for adolescent age 13–17 years. Mean serum copper was 114.17 μg/dL. Results After multiple adjustments, dose–response analyses revealed that EBP was associated with progressively higher serum copper concentrations in a nonlinear trend. In comparison with the lowest quartile of serum copper concentrations, the adjusted odds of EBP for the highest quartile was 5.26 (95% confidence interval, 2.76–10.03). Conclusion Our results suggested that high serum copper concentrations were significantly associated with EBP in US children and adolescents.


2013 ◽  
Vol 17 (11) ◽  
pp. 2489-2495 ◽  
Author(s):  
Jong Geun Im ◽  
Shin Hye Kim ◽  
Gyeong-yoon Lee ◽  
Hyojee Joung ◽  
Mi-Jung Park

AbstractObjectiveThe present study aimed to assess the adequacy of Ca intake and major food sources of Ca in Korean children and adolescents.DesignA cross-sectional study.SettingData from the Korean National Health and Nutrition Examination Survey (KNHANES) 2007–2010. We analysed the daily Ca intake, major food sources of Ca and the prevalence of inadequate Ca intake in the study population. Ca intake was categorized as inadequate when the participant's daily Ca intake was less than the Estimated Average Requirement.SubjectThe study population consisted of 7233 children and adolescents (3973 boys, 3260 girls; aged 1–18 years).ResultsMean Ca intake was 510·2 mg/d in boys and 431·7 mg/d in girls. Overall, 75·0 % of adolescents (boys 71·6 %, girls 79·1 %) had inadequate Ca intake. The prevalence of inadequate Ca intake increased significantly from toddlers (45–55 %) to adolescents (78–86 %) in both genders. The highest ranked food sources for Ca were dairy products (35·0 %), followed by vegetables (17·3 %), grains (11·3 %) and seafood (9·9 %). Ca intake from dairy products decreased significantly from 57 % in toddlers to 30 % in adolescents, while Ca intakes from other foods increased with age.ConclusionsInadequate Ca intake is highly prevalent and increased with age in Korean children and adolescents. It should be emphasized to encourage children and adolescents to eat more Ca-rich products to meet their Ca needs.


Hypertension ◽  
2019 ◽  
Vol 74 (2) ◽  
pp. 260-266 ◽  
Author(s):  
Katherine J. Overwyk ◽  
Lixia Zhao ◽  
Zefeng Zhang ◽  
Jennifer L. Wiltz ◽  
Elizabeth K. Dunford ◽  
...  

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