Effect of Overweight and Obesity on High Blood Pressure in Chinese Children and Adolescents.


Journal

Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860

Informations de publication

Date de publication:
09 2019
Historique:
received: 14 02 2019
accepted: 20 05 2019
pubmed: 23 7 2019
medline: 24 4 2020
entrez: 23 7 2019
Statut: ppublish

Résumé

This study aimed to compare the secular trends of high blood pressure (HBP) and the effects of overweight and obesity on HBP between Chinese ethnic minority and Han children and adolescents . Data were collected from 224,151 Chinese ethnic minority and 664,094 Han children and adolescents aged 7 to 18 years during three successive, national cross-sectional surveys (2005, 2010, and 2014). Logistic regression and population-attributable risk analyses were used to evaluate the association between HBP and overweight and obesity. HBP prevalence in ethnic minorities increased from 4.8% in 2005 to 6.3% in 2014, which was significantly higher than the variable HBP trends (4.1% to 5.5%) in Han children and adolescents. Both ethnic minority and Han children and adolescents experienced a rapid increase in overweight and obesity, but the pace of growth for HBP, overweight, and obesity was faster in ethnic minorities than in their Han peers. Moreover, the effects of obesity on HBP in ethnic minorities showed a sustained increase over time but were stable for the Han. Higher HBP prevalence, faster obesity increases, and a stronger impact of obesity on HBP in children and adolescents of Chinese ethnic minorities predict their looming burden of HBP, which suggests that attention to the cardiovascular disease risks in children and adolescents from ethnic minorities is indicated to reduce their future adult risk.

Identifiants

pubmed: 31328902
doi: 10.1002/oby.22562
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1503-1512

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2019 The Obesity Society.

Références

Zhou M, Wang H, Zhu J, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013. Lancet 2016;387:251-272.
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19.1 million participants. Lancet 2017;389:37-55.
Li Y, Wang DD, Ley SH, et al. Potential impact of time trend of life-style factors on cardiovascular disease burden in China. J Am Coll Cardiol 2016;68:818-833.
Lacey B, Lewington S, Clarke R, et al. Age-specific association between blood pressure and vascular and non-vascular chronic diseases in 0.5 million adults in China: a prospective cohort study. Lancet Glob Health 2018;6:e641-e649.
Ingelfinger JR. The child or adolescent with elevated blood pressure. N Engl J Med 2014;370:2316-2325.
National Bureau of Statistics of China. Abulation on the 2010 population census of the People’s Republic of China. http://www.stats.gov.cn/tjsj/pcsj/rkpc/6rp/indexch.htm. Published April 1, 2012. Accessed May 4, 2016.
Feigin VL, Nguyen G,Cercy K, et al. Country-specific lifetime risks of stroke, 1990 and 2016. N Engl J Med 2018;379:2429-2437.
Mills KT, Bundy JD, Kelly TN, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation 2016;134:441-450.
Lu J, Lu Y, Wang X, et al. Prevalence, awareness, and control of hypertension in China: data from 1.7 million adults in a population-based screening study (China PEACE Million Persons Project). Lancet 2017;390:2549-2558.
Tao J, Ma YT, Xiang Y, et al. Prevalence of major cardiovascular risk factors and adverse risk profiles among three ethnic groups in the Xinjiang Uygur Autonomous Region, China. Lipids Health Dis 2013;12:185. doi:10.1186/1476-511X-12-185
Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation 2008;117:3171-3180.
Daniels SR, Pratt CA, Hayman LL. Reduction of risk for cardiovascular disease in children and adolescents. Circulation 2011;124:1673-1686.
Dong B, Wang Z, Song Y, Wang HJ, Ma J. Understanding trends in blood pressure and their associations with body mass index in Chinese children, from 1985 to 2010: a cross-sectional observational study. BMJ Open 2015;5:e009050. doi:10.1136/bmjopen-2015-009050
Xi B, Liang Y, Mi J. Hypertension trends in Chinese children in the national surveys, 1993 to 2009. Int J Cardiol 2013;165:577-579.
Yan Y, Liu J, Wang L, et al. Independent influences of excessive body weight and elevated blood pressure from childhood on left ventricular geometric remodeling in adulthood. Int J Cardiol 2017;243:492-496.
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet 2017;390:2627-2642.
Dong Y, Ma J, Song Y, et al. Secular trends in blood pressure and overweight and obesity in Chinese boys and girls aged 7 to 17 years from 1995 to 2014. Hypertension 2018;72:298-305.
Dong Y, Ma J, Song Y, et al. National blood pressure reference for Chinese Han children and adolescents aged 7 to 17 years. Hypertension 2017;70:897-906.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240-1243.
Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 2007;335:194.
Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC growth charts for the United States: methods and development. Vital and Health Statistics, series 11, no. 246. Hyattsville, MD: National Center for Health Statistics; 2002.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-576.
Dong B, Wang HJ, Wang Z, Liu JS, Ma J. Trends in blood pressure and body mass index among Chinese children and adolescents from 2005 to 2010. Am J Hypertens 2013;26:997-1004.
Khang YH, Lynch JW. Exploring determinants of secular decreases in childhood blood pressure and hypertension. Circulation 2011;124:397-405.
Shirasawa T, Ochiai H, Nishimura R, et al. Secular trends in blood pressure among Japanese schoolchildren: a population-based annual survey from 1994 to 2010. J Epidemiol 2012;22:448-453.
Hosseini-Esfahani F, Khameneh AMN, Mirmiran P, Ghanbarian A, Azizi F. Trends in risk factors for cardiovascular disease among Iranian adolescents: the Tehran Lipid and Glucose Study, 1999-2008. J Epidemiol 2011;21:319-328.
Watkins D, McCarron P, Murray L, et al. Trends in blood pressure over 10 years in adolescents: analyses of cross sectional surveys in the Northern Ireland Young Hearts project. BMJ 2004;329:139. doi:10.1136/bmj.38149.510139.7C
Peters H, Whincup PH, Cook DG, Law C, Li L. Trends in blood pressure in 9 to 11-year-old children in the United Kingdom 1980-2008: the impact of obesity. J Hypertens 2012;30:1708-1717.
Kollias A, Antonodimitrakis P, Grammatikos E, Chatziantonakis N, Grammatikos EE, Stergiou GS. Trends in high blood pressure prevalence in Greek adolescents. J Hum Hypertens 2009;23:385-390.
Din-Dzietham R, Liu Y, Bielo MV, Shamsa F. High blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation 2007;116:1488-1496.
Falkner B. Is there a bend in the upward trend of high blood pressure in childhood?: a commentary on prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999-2012. J Am Soc Hypertens 2015;9:668-669.
Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA 2004;291:2107-2113.
Kit BK, Kuklina E, Carroll MD, Ostchega Y, Freedman DS, Ogden CL. Prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999-2012. JAMA Pediatr 2015;169:272-279.
Xi B, Zhang T, Zhang M, et al. Trends in elevated blood pressure among US children and adolescents: 1999-2012. Am J Hypertens 2016;29:217-225.
Chiolero A, Bovet P, Paradis G, Paccaud F. Has blood pressure increased in children in response to the obesity epidemic? Pediatrics 2007;119:544-553.
Guo S, Zhao C, Ma Q, Sun HP, Pan CW. Prevalence of overweight and malnutrition among ethnic minority children and adolescents in China, 1991-2010. Sci Rep 2016;6:37491. doi:10.1038/srep37491
Zhai F, He Y, Wang Z, Hu Y. Status and characteristic of dietary intake of 12 minority nationalities in China. Wei Sheng Yan Jiu 2007;36:539-541.
Choe KY, Han SY, Gaub P, et al. High salt intake increases blood pressure via BDNF-mediated downregulation of KCC2 and impaired baroreflex inhibition of vasopressin neurons. Neuron 2015;85:549-560.
Farajian P, Panagiotakos DB, Risvas G, Micha R, Tsioufis C, Zampelas A. Dietary and lifestyle patterns in relation to high blood pressure in children: the GRECO study. J Hypertens 2015;33:1174-1181.
Raj M, Sundaram KR, Paul M, Sudhakar A, Kumar RK. Body mass index trend and its association with blood pressure distribution in children. J Hum Hypertens 2010;24:652-658.
National Bureau of Statistics of China. Statistical Yearbook of China. http://www.stats.gov.cn/tjsj/ndsj/. Published September 1, 2011. Accessed April 5, 2018.
Gu H, Li W, Yang J, Wang Y, Bo J, Liu L. Hypertension prevalence, awareness, treatment and control among Han and four ethnic minorities (Uygur, Hui, Mongolian and Dai) in China. J Hum Hypertens 2015;29:555-560.
Flynn JT, Kaelber DC, Baker-Smith CM, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics 2017;140:e20171904. doi:10.1542/peds.2017-1904
Dong Y, Song Y, Zou Z, Ma J, Dong B, Prochaska JJ. Updates to pediatric hypertension guidelines: influence on classification of high blood pressure in children and adolescents. J Hypertens 2019;37:297-306.

Auteurs

Yanhui Dong (Y)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Catherine Jan (C)

George Institute for Global Health, School of Medicine, University of New South Wales, Sydney, New South Wales, Australia.

Zhiyong Zou (Z)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Bin Dong (B)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Zhenghe Wang (Z)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Zhaogeng Yang (Z)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Yanhui Li (Y)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Bo Wen (B)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Yinghua Ma (Y)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Yi Song (Y)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Jun Ma (J)

Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China.

Susan M Sawyer (SM)

Faculty of Medicine, Department of Paediatrics, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia.
Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, Australia.

George C Patton (GC)

Faculty of Medicine, Department of Paediatrics, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia.
Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, Australia.

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