Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015

Abstract Background The impact of meat consumption on high blood pressure (HBP) and obesity in children and adolescents is a subject of debate. The aim of this study was thus to evaluate the association between meat consumption and both HBP and obesity in this group. Methods We performed a cross-sec...

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Main Authors: Geum Hee Kim, Sang Won Shin, Juneyoung Lee, Jun Hyun Hwang, Soon-Woo Park, Jin Soo Moon, Hyun Jung Kim, Hyeong Sik Ahn
Format: Article
Language:English
Published: BMC 2017-05-01
Series:Nutrition Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12937-017-0252-7
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author Geum Hee Kim
Sang Won Shin
Juneyoung Lee
Jun Hyun Hwang
Soon-Woo Park
Jin Soo Moon
Hyun Jung Kim
Hyeong Sik Ahn
author_facet Geum Hee Kim
Sang Won Shin
Juneyoung Lee
Jun Hyun Hwang
Soon-Woo Park
Jin Soo Moon
Hyun Jung Kim
Hyeong Sik Ahn
author_sort Geum Hee Kim
collection DOAJ
description Abstract Background The impact of meat consumption on high blood pressure (HBP) and obesity in children and adolescents is a subject of debate. The aim of this study was thus to evaluate the association between meat consumption and both HBP and obesity in this group. Methods We performed a cross-sectional analysis using nationally representative samples of children and adolescents aged 9, 12, and 15 years old (n = 136,739) who were included in the Korea School Health Examination Survey (KSHES) for the 2011–2015 period. Multiple linear and logistic regression analysis was used to determine the factors influencing systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI, kg/m2) levels, and to test the strength of these relationships. Results Adjusted for covariates, 6.3% of those subjects who consumed >5 servings of meat (including beef, pork, and chicken) per week were obese, compared with 9.1% of the subjects who consumed <1 serving of meat/wk (obesity adjusted odds ratio [OR]: 1.44; 95% confidence interval [CI]: 1.21–1.70; P ≤0.001). Those who consumed <1 serving of meat/wk had an HBP prevalence of 8.2%, compared with 7.2% for subjects who consumed >5 servings of meat/wk (systolic HBP adjusted OR: 1.30; 95% CI: 1.05–1.62; P ≤0.01, diastolic HBP adjusted OR: 1.25; 95% CI: 1.02–1.54; P <0.05). Obese subjects were estimated to have a higher SBP (β = 7.497, P < 0.001) and DBP (β = 4.123, P <0.001) than subjects who had no excess weight. Compared to subjects who consumed >5 servings of meat/wk, those who consumed <3 servings of meat/wk had a higher SBP (β = 0.574, P <0.001) and DBP (β = 0.376, P = 0.003) after adjusting for BMI. The intake of milk, fruit, and vegetables was not associated with either SBP or DBP (P >0.05). In contrast, BMI was significantly associated with milk, fruits, and vegetables (P <0.01). Conclusions Among children and adolescents, a higher level of meat consumption was associated with lower SBP, DBP, and BMI, and greater height, suggesting that consuming an appropriate amount of meat is important for healthy growth at a young age.
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spelling doaj.art-289600051fdb40679ce3d617f5fbd4cd2022-12-21T20:32:02ZengBMCNutrition Journal1475-28912017-05-0116111010.1186/s12937-017-0252-7Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015Geum Hee Kim0Sang Won Shin1Juneyoung Lee2Jun Hyun Hwang3Soon-Woo Park4Jin Soo Moon5Hyun Jung Kim6Hyeong Sik Ahn7Department of School Health Education, Sanggye High SchoolDepartment of Medicine, College of Medicine, Korea UniversityDepartment of Biostatistics, College of Medicine, Korea UniversityDepartment of Preventive Medicine, Catholic University of Daegu School of MedicineDepartment of Preventive Medicine, Catholic University of Daegu School of MedicineDivision of Pediatric Gastroenterolgy, Hepatology and Nutrition, Department of Pediatrics, Seoul National University, Children’s HospitalDepartment of Preventive Medicine, College of Medicine, Korea UniversityDepartment of Preventive Medicine, College of Medicine, Korea UniversityAbstract Background The impact of meat consumption on high blood pressure (HBP) and obesity in children and adolescents is a subject of debate. The aim of this study was thus to evaluate the association between meat consumption and both HBP and obesity in this group. Methods We performed a cross-sectional analysis using nationally representative samples of children and adolescents aged 9, 12, and 15 years old (n = 136,739) who were included in the Korea School Health Examination Survey (KSHES) for the 2011–2015 period. Multiple linear and logistic regression analysis was used to determine the factors influencing systolic blood pressure (SBP), diastolic blood pressure (DBP), and body mass index (BMI, kg/m2) levels, and to test the strength of these relationships. Results Adjusted for covariates, 6.3% of those subjects who consumed >5 servings of meat (including beef, pork, and chicken) per week were obese, compared with 9.1% of the subjects who consumed <1 serving of meat/wk (obesity adjusted odds ratio [OR]: 1.44; 95% confidence interval [CI]: 1.21–1.70; P ≤0.001). Those who consumed <1 serving of meat/wk had an HBP prevalence of 8.2%, compared with 7.2% for subjects who consumed >5 servings of meat/wk (systolic HBP adjusted OR: 1.30; 95% CI: 1.05–1.62; P ≤0.01, diastolic HBP adjusted OR: 1.25; 95% CI: 1.02–1.54; P <0.05). Obese subjects were estimated to have a higher SBP (β = 7.497, P < 0.001) and DBP (β = 4.123, P <0.001) than subjects who had no excess weight. Compared to subjects who consumed >5 servings of meat/wk, those who consumed <3 servings of meat/wk had a higher SBP (β = 0.574, P <0.001) and DBP (β = 0.376, P = 0.003) after adjusting for BMI. The intake of milk, fruit, and vegetables was not associated with either SBP or DBP (P >0.05). In contrast, BMI was significantly associated with milk, fruits, and vegetables (P <0.01). Conclusions Among children and adolescents, a higher level of meat consumption was associated with lower SBP, DBP, and BMI, and greater height, suggesting that consuming an appropriate amount of meat is important for healthy growth at a young age.http://link.springer.com/article/10.1186/s12937-017-0252-7Meat consumptionHigh blood pressureObesityChildren and adolescents
spellingShingle Geum Hee Kim
Sang Won Shin
Juneyoung Lee
Jun Hyun Hwang
Soon-Woo Park
Jin Soo Moon
Hyun Jung Kim
Hyeong Sik Ahn
Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015
Nutrition Journal
Meat consumption
High blood pressure
Obesity
Children and adolescents
title Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015
title_full Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015
title_fullStr Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015
title_full_unstemmed Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015
title_short Red meat and chicken consumption and its association with high blood pressure and obesity in South Korean children and adolescents: a cross-sectional analysis of KSHES, 2011–2015
title_sort red meat and chicken consumption and its association with high blood pressure and obesity in south korean children and adolescents a cross sectional analysis of kshes 2011 2015
topic Meat consumption
High blood pressure
Obesity
Children and adolescents
url http://link.springer.com/article/10.1186/s12937-017-0252-7
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