scholarly journals Gender-specific differences in related indicators of blood pressure in Chinese school-age children with overweight and obesity

2020 ◽  
Author(s):  
Hongmei He ◽  
Shujun Yang ◽  
Na Qiu ◽  
Yong Ding ◽  
Ling Qiao ◽  
...  

Abstract Background The effects of overweight and obesity on blood pressure in children may differ by sex. Previous studies have only shown the association between overweight and obesity and elevated blood pressure (EBP). The objective of this study is to further explore the association between elevated pulse pressure (EPP) and elevated mean arterial pressure (EMAP) and obesity in Chinese school-age children by gender. Methods We performed a cross-sectional study of 935 children between seven and twelve years old. Overweight and obesity were defined by body mass index and body composition. The adjusted population attributable risk was used to assess the effects of obesity on EBP, EPP and EMAP. Results The interaction of height or age and obesity was used to identify the effect of obesity on blood pressure independent of age and height. Boys with overweight and obesity had higher EBP, EPP and EMAP (P < 0.05). The multivariate logistic regression analysis showed that overweight and obesity had a greater impact on BP and MAP than PP, especially in boys [Odds ratio (OR) > 1]. EBP in 79% of boys and 76% of girls could be attributable to the visceral fat level. The interaction between blood pressure and height or age was modestly increased in children with overweight and obesity, especially in boys. Conclusions Independent of age and height, the effect of obesity on blood pressure was greater in boys than girls. Moreover, the effect was mainly on small arteries rather than large arteries.

2021 ◽  
Vol 9 ◽  
Author(s):  
Hongmei He ◽  
Shujun Yang ◽  
Na Qiu ◽  
Ling Qiao ◽  
Yong Ding ◽  
...  

Objective: The objective of this study is to further explore the difference between elevated blood pressure (EBP), elevated pulse pressure (EPP), and elevated mean arterial pressure (EMAP) and obesity in Chinese school-age children by sex.Methods: We performed a cross-sectional study of 935 children between 7 and 12 years old. Overweight and obesity were defined by body mass index and body composition. The multivariate logistic regression and the adjusted population attributable risk were used to assess the effects of obesity on pre-EBP/EBP, EPP, and EMAP. The interactions were used to identify the modification of obese on the relationship between related indicators of blood pressure and height or age.Results: The average age of the children included in the study was 10. Boys with overweight and obesity had higher pre-EBP/EBP, EPP, and EMAP (p &lt; 0.05). The multivariate logistic regression analysis showed that overweight and obesity had a greater impact on BP and MAP than PP, especially in boys [odds ratio (OR) &gt; 1]. Pre-EBP/EBP in 79% of boys and 76% of girls could be attributable to the visceral fat level. The interaction between BP, PP, MAP, and height or age was modestly increased in children with overweight and obesity, especially in boys.Conclusions: Independent of age and height, obesity not only increases blood pressure, it also increases mean arterial pressure and pulse pressure, and this effect is more pronounced in boys.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Saad Al-Lahham ◽  
Nidal Jaradat ◽  
Mohammad Altamimi ◽  
Ola Anabtawi ◽  
Alma Irshid ◽  
...  

Abstract Background Childhood obesity is rising in developed and developing countries, while childhood underweight is rising mainly in developing countries. Childhood underweight has been shown to increase a child’s risk of rapid weight gain. Overweight and obese children are more likely to become obese adults, which increases the risk of type-II diabetes and cardiovascular diseases. Studies concerning obesity among Palestinian children are scarce. The prevalence of obesity among Palestinian children has increased from 3 to 6% within 5 years in comparison to the worldwide rise from 1 to 7%, within 41 years. We aim to determine the current prevalence of underweight, overweight and obesity among Palestinian school-age children and to assess the role of dietary and sociodemographic factors. Methodology A cross sectional study was conducted in Palestine in 2017. A total of 1320 school-age children and their 2640 corresponding parents were recruited. A written questionnaire was filled out by the parents. Anthropometric indices were measured and categorized according to the Center for Disease Control and prevention (CDC). Results The mean ± SD age of the children was 9.5 ± 1.5 years and 48.8% were females. The prevalence of underweight, overweight and obesity among the children was approximately 7.3% (95% CI = 5.9–8.8%), 14.5% (95% CI = 12.7–16.6%) and 15.7% (95% CI = 13.8–17.8%) respectively. Multinomial logistic regression analysis demonstrated a significant correlation of waist circumference, age, gender and living place with the body mass indexes of the students. Conclusion Our findings highlighted the accelerated increase in the prevalence of underweight, overweight and obesity (37.5%) among Palestinian children within a very short time in comparison to the globe. Therefore, Interventions aiming to prevent obesity and underweight at an early stage might be vital to avoid obesity later in life and its health-related co-morbidities, e.g. type-II diabetes and cardiovascular diseases.


2021 ◽  
Author(s):  
Jun-Jie Chang ◽  
Nuo Xu ◽  
Ling-Ling Song ◽  
Yong-Han Li ◽  
Meng-Yuan Yuan ◽  
...  

Abstract BackgroundOverweight and obesity rates have increased rapidly in Chinese school-age children, and previous studies have indicated that poor dietary literacy can lead to poor eating behaviours. However, few studies have investigated the association between the dietary literacy of daily diet providers and the eating behaviours and nutritional status of school-age children raised by the providers. Thus, we aimed to explore this association.MethodsWe collected data on the eating behaviours and nutritional status of children in two primary schools in Anhui Province, as well as the dietary literacy of their daily diet providers. T-tests, one-way ANOVA, and multiple linear regression were used to analyse the association.ResultsWe found significant differences in the scores on the Questionnaire of Children's Daily Diet Providers' Dietary Literacy (QCDDPDL) by region, relationship with the child, age, and educational level of the daily diet provider (all p < .05). Moreover, the children in the low QCDDPDL score group were inclined to engage in unhealthy eating behaviours (p < .05). In addition, the incidence of overweight and obesity was higher in the low QCDDPDL attitude score group than the high score group (p = .006).ConclusionsOur study showed that the dietary literacy of diet providers may influence children's health and eating behaviours. Improving the dietary literacy of diet providers may promote the health status and eating behaviours of school-age children.


2020 ◽  
Vol 7 (2) ◽  
pp. 256-263
Author(s):  
Abdul Qodir

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan  dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications,  but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.


2020 ◽  
Vol 8 (3) ◽  
pp. 266-270
Author(s):  
Ekwuluo Celestine Emeka ◽  
S.I Muhammed

Motivation/Background: In 2001, non-communicable diseases (NCDs) accounted for 60 percent of 56 million deaths worldwide and 47% of global burden of disease. In all countries, evidence suggested underlying determinants of NCDs were largely same. These include increased consumption of rapidly processed energy-dense nutrient-poor foods high in fat, sugar, salt and reduced levels of physical activity. The objective of this study was to determine prevalence, pattern and determinants of fast foods consumption among school age children in Jos metropolis. Method: In this study, we used descriptive cross-sectional study and included 347 mothers or care givers with children age 6 to 12 years in our sample size. We applied structured interviewer-administered questionnaire during data collection and analyzed the data with SPSS version 21.0. Results: Prevalence of fast food consumption among school age children in Jos metropolis in the last one week is 91.1%. Knowledge of health risk associated with fast food consumption was 86.5%. Flour based fast food were most commonly consumed. We established an association between meal skipping, fast food advertisement and fast food consumption. Conclusions: We recommend the need to focus public enlightenment on health risk associated with fast food consumption among school age children. Likewise, children should be encouraged to carry home-made food to school and legislation on fast food advertisement directed at children should be enacted.


2017 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Rendy Manuhutu ◽  
Dyah Umiyarni Purnamasari ◽  
Endo Dardjito

School age is the important period of human life and the quality have to be prepared well. The school age children is susceptible to malnutrition. Malnutrition among school age children will implicatethe children�s development and further potential development in that age. Food consumption levels and worm infection status are the two most affected factors to nutritional status of children school. The purpose of this research is to know the effect of energy, protein, fat and worm inflectional status to the nutritional status of SDN 01 Limpakuwus�s student in Sumbang, Banyumas. This research was cross sectional study approach,used purposive sampling with inclusion and exclusion criteria in 44 respondents. Analysis conducted by univariate, bivariate (Spearman rank) and multivariate (multiple logistic regression).Multivariate analysis showed the variables that influenced nutritional status is the level of fat consumption (p=0.022), and the variable did not affect the nutritional status are the level of energy consumption (p=0.999), protein consumption level (p=0.580), and worm infection status (p = 0.661). The suggestion is to get more food that can fulfil the energy, protein, fat needs and make the canteen in the school becomes a healthy canteen that serves healthy and nutritious meal.


2019 ◽  
Vol 16 (2) ◽  
pp. 152-153
Author(s):  
Luis Monteiro Rodrigues

The Nutrition and Food Sciences section includes two sequential papers regarding the anthropometric evaluation of pre-school and school age children from the Canarian Islands (Biomed & Biopharm Research, 2019;(16) 2; 154-164 DOI:10.19277/bbr.16.2.207) and from Azores (Biomed & Biopharm Research, 2019;(16) 2; 165-175 DOI:10.19277/bbr.16.2.208). These two cross-sectional studies focus the prevalence of normal weight, overweight, and obesity in those age groups, completing similar information published in the last issue of our journal in reference to the Madeiran Islands. A complete characterization of this condition is now achieved and described for the entire European Macaronesian islands, underlining the originality and interest of these papers.


2013 ◽  
Vol 7 (1) ◽  
pp. 15-19
Author(s):  
Samjhana Shakya ◽  
J Bhattarai ◽  
K Rawal ◽  
AR Kunwar ◽  
YR Shakya ◽  
...  

Hypertension is an important public health challenge in the developing and the developed world alike. This worksite based descriptive cross-sectional study was undertaken in Sahid Gangalal National Heart Centre in 2010 with 50 subjects were recruited by multistage purposive cluster sampling. The primary aim of this descriptive cross-sectional study was to assess the socioeco­nomic status and to measure the prevalence, awareness, treatment, and correlates of hypertension. The prevalence of pre-hypertension is 38% and hypertension is 34%. Among the hypertensive 53% are aware of their condition and 66.66% of them are under treatment and 16.66% have con­trol over the condition. The prevalence of overweight and obesity were 22% and 4% respectively. The prevalence of central obesity was 29.72% among male and 69% among female. Knowledge, Attitude and Practice on hypertension was satisfactory. Fourteen percent understood hypertension as a raised blood pressure during blood flow in the arteries. Majority of them (72%) have posi­tive attitude towards use of medicine in hypertension. Majority of them (86%) had checked their blood pressure in last 2 years. Difference in prevalence of hypertension was found among the tobacco users and non- users (65% vs 40%), who do regular exercise and those who do not (28% vs. 38%) and sleep disturbance was higher among hypertensive than non-hypertensive (48% vs. 10%). Patients with Dislipidemia (32%) had higher prevalence of hypertension than those without Dislipidemia (44% vs 30 %) Similar finding were found between overweight participants (26%) and normal weight participants (46% vs 34%). The prevalence of hypertension is higher with the higher socio-economic status. Nepalese Heart Journal | Volume 7 | No.1 | November 2010 (special issue) | Page 15-19 DOI: http://dx.doi.org/10.3126/njh.v7i1.8496


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