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Effect of Childhood Obesity Prevention Programs on Blood Pressure
Cai, Li1,2; Wu, Yang1,3; Wilson, Renee F.4; Segal, Jodi B.4,5; Kim, Miyong T.6; Wang, Youfa1,7
关键词blood pressure meta-analysis obesity pediatrics prevention
刊名CIRCULATION
2014-05-06
DOI10.1161/CIRCULATIONAHA.113.005666
129期:18页:1832-1839
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems ; Peripheral Vascular Disease
资助者Agency for Healthcare Research and Quality, US Department of Health and Human Services ; National Institutes of Health (Eunice Kennedy Shriver National Institute of Child Health and Human Development) ; National Institute of Child Health and Human Development ; Office of Behavioral and Social Sciences Research ; China Scholarship Council ; Agency for Healthcare Research and Quality, US Department of Health and Human Services ; National Institutes of Health (Eunice Kennedy Shriver National Institute of Child Health and Human Development) ; National Institute of Child Health and Human Development ; Office of Behavioral and Social Sciences Research ; China Scholarship Council
研究领域[WOS]Cardiovascular System & Cardiology
关键词[WOS]PHYSICAL-ACTIVITY INTERVENTION ; LEFT-VENTRICULAR HYPERTROPHY ; RANDOMIZED CONTROLLED-TRIAL ; DISEASE RISK-FACTORS ; ESSENTIAL-HYPERTENSION ; SCHOOL-INTERVENTION ; CHILDREN ; ADOLESCENTS ; HEALTH ; PROJECT
英文摘要

Background Childhood overweight and obesity are associated with elevated blood pressure (BP). However, little is known about how childhood obesity lifestyle prevention programs affect BP. We assessed the effects of childhood obesity prevention programs on BP in children in developed countries.

Methods and Results We searched databases up to April 22, 2013, for relevant randomized, controlled trials, quasi-experimental studies, and natural experiments. Studies were included if they applied a diet or physical activity intervention(s) and were followed for 1 year (or 6 months for school-based intervention studies); they were excluded if they targeted only overweight/obese subjects or those with a medical condition. In our meta-analysis, intervention effects were calculated for systolic BP and diastolic BP with the use of weighted random-effects models. Of the 23 included intervention studies (involving 18 925 participants), 21 involved a school setting. Our meta-analysis included 19 studies reporting on systolic BP and 18 on diastolic BP. The pooled intervention effect was -1.64 mm Hg (95% confidence interval, -2.56 to -0.71; P=0.001) for systolic BP and -1.44 mm Hg (95% confidence interval, -2.28 to -0.60; P=0.001) for diastolic BP. The combined diet and physical activity interventions led to a significantly greater reduction in both systolic BP and diastolic BP than the diet-only or physical activity-only intervention. Thirteen interventions (46%) had a similar effect on both adiposity-related outcomes and BP, whereas 11 interventions (39%) showed a significant desirable effect on BP but not on adiposity-related outcomes.

Conclusions Obesity prevention programs have a moderate effect on reducing BP, and those targeting both diet and physical activity seem to be more effective.

语种英语
所属项目编号290-2007-10061-I ; 1R01HD064685-01A1 ; U54HD070725
资助者Agency for Healthcare Research and Quality, US Department of Health and Human Services ; National Institutes of Health (Eunice Kennedy Shriver National Institute of Child Health and Human Development) ; National Institute of Child Health and Human Development ; Office of Behavioral and Social Sciences Research ; China Scholarship Council ; Agency for Healthcare Research and Quality, US Department of Health and Human Services ; National Institutes of Health (Eunice Kennedy Shriver National Institute of Child Health and Human Development) ; National Institute of Child Health and Human Development ; Office of Behavioral and Social Sciences Research ; China Scholarship Council
WOS记录号WOS:000335367500010
Citation statistics
Cited Times:28[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58211
Collection北京大学公共卫生学院
作者单位1.Bloomberg Sch Publ Hlth, Dept Int Hlth, Johns Hopkins Global Ctr Childhood Obes, Baltimore, MD USA
2.Peking Univ, Dept Nutr & Food Hyg, Sch Publ Hlth, Hlth Sci Ctr, Beijing 100871, Peoples R China
3.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
4.Univ Texas Austin, Sch Nursing, Austin, TX 78712 USA
5.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
6.Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA
7.SUNY Buffalo, Dept Epidemiol & Environm Hlth, Sch Publ Hlth & Hlth Profess, Buffalo, NY 14214 USA
Recommended Citation
GB/T 7714
Cai, Li,Wu, Yang,Wilson, Renee F.,et al. Effect of Childhood Obesity Prevention Programs on Blood Pressure[J]. CIRCULATION,2014,129(18):1832-1839.
APA Cai, Li,Wu, Yang,Wilson, Renee F.,Segal, Jodi B.,Kim, Miyong T.,&Wang, Youfa.(2014).Effect of Childhood Obesity Prevention Programs on Blood Pressure.CIRCULATION,129(18),1832-1839.
MLA Cai, Li,et al."Effect of Childhood Obesity Prevention Programs on Blood Pressure".CIRCULATION 129.18(2014):1832-1839.
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