Current status and multidimensional influences on the comorbidity of obesity and high blood pressure among children in Xiamen City
10.16835/j.cnki.1000-9817.2023.10.006
- VernacularTitle:厦门市儿童肥胖和高血压共病现状及其多维度影响因素
- Author:
ZHANG Yi, JIANG Jianuo, CHEN Li, LIU Jieyu, YUAN Wen, GUO Tongjun, DONG Yanhui, MA Jun
1
Author Information
1. Institute of Child and Adolescent Health/School of Public Health, Peking University, Beijing (100191) , China
- Publication Type:Journal Article
- Keywords:
Obesity;
Hypertension;
Comorbidity;
Regression analysis;
Child
- From:
Chinese Journal of School Health
2023;44(10):1464-1467
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of obesity and high blood pressure (HBP) comorbidity and their multidimensional influencing factors in children aged 7-12 years in Xiamen, so as to provide reference basis for subsequent preventive measures.
Methods:Based on the baseline survey of the Xiamen pubertal development cohort in 2017, a total of 4 798 primary school students from second to sixth grade were selected in the study by cluster random sampling method. And physical examination and questionnaires were conducted. The Logistic regression was used to screen potential variables for obesity combined with HBP. A multivariate Logistic regression model was used to analyse the factors influencing obesity combined with HBP.
Results:About 9.15 % children were found with obesity and 11.65% with HBP. The rate of obesity combined with HBP was 3.00% in boys and 1.80 % in girls. The rate of HBP was 8.28% in normal weight children and 26.88% in obese children. Multivariate Logistic regression models showed that consumption of sugary drinks at least once a week ( OR =2.50), daily consumption of salted or pickled vegetables ( OR =4.52), family history of obesity ( OR =3.09) were positively associated with obesity combined with HBP ( P <0.05). Girls ( OR =0.53), consumption of highenergy snacks at least once a week ( OR =0.40) and adequate physical activity ( OR =0.58) were negatively associated with comorbidity of obesity and HBP ( P <0.05).
Conclusion:Gender differences in comorbidity burden of obesity and HBP exist among children aged 7-12 years in Xiamen. Dietary behaviour and exercise behaviour are the main dimensions influencing the comorbidity of obesity and HBP. Prevention and control of obesity and HBP in children should be based on multiple dimensions, including diet and exercise behavioural environment, to prevent early the occurrence for comorbidity of obesity and HBP in children.
