Relationship between high blood pressure and body mass index, waist circumference, and waist-height ratio among children and adolescents in Suzhou
10.16835/j.cnki.1000-9817.2020.07.024
- VernacularTitle:苏州市儿童青少年体质量指数腰围腰高比与血压偏高的关系
- Author:
HU Jia, SHEN Mingzhu, SHI Bing, WANG Ying, SHEN Hui, YANG Haibing
1
Author Information
1. Department of School Health, Suzhou Center for Disease Prevention and Control,Suzhou (215004), Jiangsu Province,China
- Publication Type:Journal Article
- Keywords:
Body mass index;
Blood pressure;
Body height;
Prevalence;
Regression analysis;
Child;
Adolescent
- From:
Chinese Journal of School Health
2020;41(7):1044-1046
- CountryChina
- Language:Chinese
-
Abstract:
To assess the relationship between high blood pressure (HBP) and body mass index (BMI), waist circumference (WC), and waist-height ratio (WHtR) among children and adolescents in Suzhou.
Methods:A total of 3 150 children and adolescents aged 7-17 years were enrolled through stratified cluster sampling from September to October, 2019. Questionnaire survey was conducted, and height, weight, WC and BP were measured to calculate BMI and WHtR, relationship of HBP and adiposity indicators were evaluated.
Results:The prevalence of HBP was 11.3%, overweight/obesity rate was 28.5%, and centrality obesity based on WC and WHtR was 20.6% and 23.7%, respectively. There were significant relationships between HBP and BMI, WC, and WHtR (χ2=157.80,105.87,124.17,P<0.01). As Logistic regression showed, compared to normal weight group, overweight/obesity based on BMI had positive relation with HBP (OR=3.89, 95%CI=3.09-4.90); compared to normal WC/WHtR, centrality obesity showed positive association with HBP (WC: OR=3.05, 95%CI=2.41-3.86; WHtR: OR=3.35, 95%CI=2.67-4.21). Meanwhile, BMI had joint effects on HBP with WC/WHtR. Specifically subjects with overweight/obesity and center obesity had higher risk of HBP, compared to normal BMI and WC subjects(OR=4.28, 95%CI=3.31-5.53).
Conclusion:Significant relationships between HBP and BMI, WC, and WHtR were found. BMI had joint effects on HBP with WC/WHtR. Keeping normal body weight and WC/ WHtR would have significant effects on HBP.