Abstract Objective To investigate the prevalence of hypertension and the relationship between hypertension and obesity in children and adolescents aged 6-18 years in Nanning, Guangxi Province, China. Methods A stratified cluster random sampling method was adopted in Nanning to select 7 893 children and adolescents aged 6-18 years as research subjects. Questionnaire surveys were conducted, and blood pressure, height, weight, and other indicators of growth and development were measured. Results An increasing trend with age for both systolic blood pressure (SBP) and diastolic blood pressure (DBP) was observed. Detection rates of hypertension, high SBP (HSBP) and high DBP (HDBP) were 6.58%, 4.02% and 3.81%, respectively. The detection rates of hypertension and HSBP in boys were significantly higher than in girls (P<0.05). The detection rates of hypertension in normal, overweight and obesity groups were 3.87%, 9.84% and 19.23%, respectively. The obesity group showed the highest detection rates for hypertension, HSBP and HDBP, followed by the overweight group and normal group. Compared with that in the normal group, the odds ratios (95% CI) for hypertension in the overweight and obesity groups were 2.71 (1.69-5.96) and 5.91 (3.46-7.63), respectively. Blood pressure showed a positive correlation with age, height, weight and BMI (P<0.01). Conclusions The present study provides with the current information and characteristics of blood pressure of children and adolescents aged 6-18 years in Nanning, Guangxi. Blood pressure is correlated with gender, age, height, weight and BMI. Obesity is positively correlated with the prevalence of hypertension and the risk of hypertension increases with body weight.
LUO Jing-Si,CHEN Shao-Ke,FAN Xin et al. Prevalence of hypertension and relationship between hypertension and obesity in children and adolescents in Nanning of Guangxi Province[J]. CJCP, 2014, 16(10): 1040-1044.
LUO Jing-Si,CHEN Shao-Ke,FAN Xin et al. Prevalence of hypertension and relationship between hypertension and obesity in children and adolescents in Nanning of Guangxi Province[J]. CJCP, 2014, 16(10): 1040-1044.
Yan S, Li J, Li S, et al. The expanding burden of cardiometabolicrisk in China: the China Health and Nutrition Survey[J]. ObesRev, 2012, 13(9): 810-821.
[2]
Dong B, Ma J, Wang HJ, et al. The association of overweightand obesity with blood pressure among Chinese children andadolescents[J]. Biomed Environ Sci, 2013, 26(6): 437-444.
[3]
Lu X, Shi P, Luo CY, et al. Prevalence of hypertension inoverweight and obese children from a large school-basedpopulation in Shanghai, China[J]. BMC Public Health, 2013, 11:13-24.
[4]
Guo X, Zheng L, Li Y, et al. Gender-specific prevalence andassociated risk factors of prehypertension among rural childrenand adolescents in Northeast China: a cross-sectional study[J].Eur J Pediatr, 2013, 172(2): 223-230.
Xi B, Liang Y, Mi J. Hypertension trends in Chinese childrenin the national surveys, 1993 to 2009[J]. Int J Cardiol, 2013,165(3): 577-579.
[8]
Meng L, Liang Y, Liu J, et al. Prevalence and risk factors ofhypertension based on repeated measurements in Chinesechildren and adolescents[J]. Blood Press, 2013, 22(1): 59-64.
[9]
Ma J, Wang Z, Dong B, et al. Body fat and blood pressure:comparison of blood pressure measurements in Chinese childrenwith different body fat levels[J]. Br J Nutr, 2012, 108(9): 1672-1677.
[10]
Hu YH, Reilly KH, Liang YJ, et al. Increase in body mass index,waist circumference and waist-to-height ratio is associated withhigh blood pressure in children and adolescents in China[J]. JInt Med Res, 2011, 39(1): 23-32.
