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Understanding trends in blood pressure and their associations with body mass index in Chinese children, from 1985 to 2010: a cross-sectional observational study
Dong, Bin1,2; Wang, Zhiqiang1,2; Song, Yi1; Wang, Hai-Jun1; Ma, Jun1
刊名BMJ OPEN
2015
DOI10.1136/bmjopen-2015-009050
5期:9
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]CARDIOVASCULAR-DISEASE RISK ; SECULAR TRENDS ; INTERNATIONAL SURVEY ; BIRTH-WEIGHT ; ADOLESCENTS ; OBESITY ; HYPERTENSION ; METAANALYSIS ; PREVALENCE ; CHILDHOOD
英文摘要

Objective: Understanding trends in blood pressure (BP) in childhood is crucial to addressing and reducing the burden of adulthood hypertension and associated mortality in the future. In view of growing obesity in Chinese children, we sought to investigate the trends in BP and the influence of body mass index (BMI) on them.

Design, setting and participants: We included 1 010 153 children aged 8-17 years, with completed records from a large national successive cross-sectional survey, the Chinese National Survey on Students′ Constitution and Health, between 1985 and 2010.

Main outcome measurements: BP was measured according to the recommendation of the National High Blood Pressure Education Program Working Group, and the elevated BP was based on sex-, age-and height-specific 95th centile of the recommendation.

Results: The adjusted mean systolic BP in boys and girls decreased by 3.9 and 5.6 mm Hg between 1985 and 2005, and increased by 1.3 and 1.0 mm Hg between 2005 and 2010, respectively. Corresponding adjusted prevalence of elevated systolic BP in boys and girls declined from 5.1% and 5.5% to 3.5% and 2.5% between 1985 and 2005, and increased to 4.9% and 3.5% in 2010, respectively. Adjusted mean BMI of boys and girls in 2010 was 2.0 and 1.2 kg/m(2) higher than those in 1985, respectively. The prevalence of obesity rose from 0% to 3.4% in boys and 0.9% in girls. Further adjusting for BMI did not change these trends in systolic BP. A similar pattern was also observed in diastolic BP.

Conclusions: After declining for 20 years, BP levels in Chinese children started to climb upwards. These trends in BP cannot be fully explained by BMI. The investigation of other determinants of BP may provide additional opportunity to curb the current upward BP trend in Chinese children.

语种英语
WOS记录号WOS:000363484000085
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57004
专题北京大学公共卫生学院
北京大学公共卫生学院_公共卫生学院
北京大学医学图书馆_流通阅览部
北京大学临床肿瘤学院_中心实验室
作者单位1.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Inst Child & Adolescent Hlth, Beijing 100871, Peoples R China
2.Univ Queensland, Sch Med, Ctr Chron Dis, Brisbane, Qld, Australia
推荐引用方式
GB/T 7714
Dong, Bin,Wang, Zhiqiang,Song, Yi,et al. Understanding trends in blood pressure and their associations with body mass index in Chinese children, from 1985 to 2010: a cross-sectional observational study[J]. BMJ OPEN,2015,5(9).
APA Dong, Bin,Wang, Zhiqiang,Song, Yi,Wang, Hai-Jun,&Ma, Jun.(2015).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,5(9).
MLA Dong, Bin,et al."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 5.9(2015).
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