Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China
ObjectiveWe aimed to demonstrate characteristics of hypertension at three separate visits and its risk factors among children and adolescents based on a large school-based study in China.Materials and methodsBased on a large-scale ongoing monitoring program conducted in Suzhou, China, 59,679 childre...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.976317/full |
| _version_ | 1798000522694754304 |
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| author | Jia Hu Jia Hu Jia Hu Ziyao Ding Ziyao Ding Di Han Bo Hai Huiling Lv Jieyun Yin Hui Shen Hui Shen Aihua Gu Haibing Yang Haibing Yang Haibing Yang |
| author_facet | Jia Hu Jia Hu Jia Hu Ziyao Ding Ziyao Ding Di Han Bo Hai Huiling Lv Jieyun Yin Hui Shen Hui Shen Aihua Gu Haibing Yang Haibing Yang Haibing Yang |
| author_sort | Jia Hu |
| collection | DOAJ |
| description | ObjectiveWe aimed to demonstrate characteristics of hypertension at three separate visits and its risk factors among children and adolescents based on a large school-based study in China.Materials and methodsBased on a large-scale ongoing monitoring program conducted in Suzhou, China, 59,679 children and adolescents aged 7–17 years from 60 public schools were enrolled during 2020 to 2021. Height, weight, and blood pressure (BP) were measured. Additional BP would be measured for hypertensive students at least 2 weeks later. Confirmed hypertension was defined as simultaneously BP meeting above or equal to 95th percentile for age, sex, and height at three separate visits. Odds ratio (ORs), and 95% CIs were calculated by logistic regression to identify risk factors for hypertension.ResultsPrevalence of hypertension at three separate visits were 20.4, 6.3, and 3.1%, respectively. Prevalence of confirmed isolated systolic hypertension, isolated diastolic hypertension, and systolic and diastolic hypertension were 1.9, 0.3, and 0.9%, respectively. Hypertension prevalence for stages 1 and 2 were 2.6 and 0.6%. Different hypertension prevalence were found among various age and gender groups. Boys [OR, 1.137 (95% CI, 1.033–1.251)], high age [OR, 3.326 (95% CI, 2.950–3.751)], urban residents [OR, 1.579 (95% CI, 1.417–1.760)], high-socioeconomic status [OR, 1.156 (95% CI, 1.039–1.286)] and body mass index category including overweight [1.883 (95% CI, 1.665–2.129)], obesity [4.049 (95% CI, 3.625–4.523)], and thinness [OR, 0.457 (95% CI, 0.306–0.683)] were associated with confirmed hypertension.ConclusionA single BP measurement would overestimate hypertension prevalence, about 3% Chinese children were hypertensive, early, and effective intervention around risk factors for hypertension should be taken. |
| first_indexed | 2024-04-11T11:21:38Z |
| format | Article |
| id | doaj.art-5e5555089856476cba66a04fd562586f |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T11:21:38Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-5e5555089856476cba66a04fd562586f2022-12-22T04:26:59ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.976317976317Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in ChinaJia Hu0Jia Hu1Jia Hu2Ziyao Ding3Ziyao Ding4Di Han5Bo Hai6Huiling Lv7Jieyun Yin8Hui Shen9Hui Shen10Aihua Gu11Haibing Yang12Haibing Yang13Haibing Yang14State Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, ChinaSuzhou Institute of Advanced Study in Public Health, Gusu School, Nanjing Medical University, Suzhou, ChinaSuzhou Center for Disease Prevention and Control, Suzhou, ChinaSuzhou Center for Disease Prevention and Control, Suzhou, ChinaInstitute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, ChinaSuzhou Center for Disease Prevention and Control, Suzhou, ChinaSuzhou Center for Disease Prevention and Control, Suzhou, ChinaState Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, ChinaJiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, ChinaSuzhou Institute of Advanced Study in Public Health, Gusu School, Nanjing Medical University, Suzhou, ChinaSuzhou Center for Disease Prevention and Control, Suzhou, ChinaState Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, ChinaState Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, ChinaSuzhou Institute of Advanced Study in Public Health, Gusu School, Nanjing Medical University, Suzhou, ChinaSuzhou Center for Disease Prevention and Control, Suzhou, ChinaObjectiveWe aimed to demonstrate characteristics of hypertension at three separate visits and its risk factors among children and adolescents based on a large school-based study in China.Materials and methodsBased on a large-scale ongoing monitoring program conducted in Suzhou, China, 59,679 children and adolescents aged 7–17 years from 60 public schools were enrolled during 2020 to 2021. Height, weight, and blood pressure (BP) were measured. Additional BP would be measured for hypertensive students at least 2 weeks later. Confirmed hypertension was defined as simultaneously BP meeting above or equal to 95th percentile for age, sex, and height at three separate visits. Odds ratio (ORs), and 95% CIs were calculated by logistic regression to identify risk factors for hypertension.ResultsPrevalence of hypertension at three separate visits were 20.4, 6.3, and 3.1%, respectively. Prevalence of confirmed isolated systolic hypertension, isolated diastolic hypertension, and systolic and diastolic hypertension were 1.9, 0.3, and 0.9%, respectively. Hypertension prevalence for stages 1 and 2 were 2.6 and 0.6%. Different hypertension prevalence were found among various age and gender groups. Boys [OR, 1.137 (95% CI, 1.033–1.251)], high age [OR, 3.326 (95% CI, 2.950–3.751)], urban residents [OR, 1.579 (95% CI, 1.417–1.760)], high-socioeconomic status [OR, 1.156 (95% CI, 1.039–1.286)] and body mass index category including overweight [1.883 (95% CI, 1.665–2.129)], obesity [4.049 (95% CI, 3.625–4.523)], and thinness [OR, 0.457 (95% CI, 0.306–0.683)] were associated with confirmed hypertension.ConclusionA single BP measurement would overestimate hypertension prevalence, about 3% Chinese children were hypertensive, early, and effective intervention around risk factors for hypertension should be taken.https://www.frontiersin.org/articles/10.3389/fped.2022.976317/fulladolescentsblood pressurechildrenhypertensionrisk factorsthree visits |
| spellingShingle | Jia Hu Jia Hu Jia Hu Ziyao Ding Ziyao Ding Di Han Bo Hai Huiling Lv Jieyun Yin Hui Shen Hui Shen Aihua Gu Haibing Yang Haibing Yang Haibing Yang Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China Frontiers in Pediatrics adolescents blood pressure children hypertension risk factors three visits |
| title | Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China |
| title_full | Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China |
| title_fullStr | Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China |
| title_full_unstemmed | Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China |
| title_short | Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China |
| title_sort | prevalence of hypertension and related risk factors among children and adolescents at three separate visits a large school based study in china |
| topic | adolescents blood pressure children hypertension risk factors three visits |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.976317/full |
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