Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study
Abstract Background Childhood hypertension is a predictor of later diseases, increases the risk for cardiovascular morbidity and mortality in adulthood and results in major economic burdens. The purpose of this study was to investigate the direct and indirect effect of anthropometric, socioeconomic...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12872-020-01488-z |
| _version_ | 1818291689516695552 |
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| author | Pooneh Angoorani Shayan Mostafaei Toktam Kiani Hanieh-Sadat Ejtahed Mohammad Esmaeil Motlagh Gita Shafiee Armita Mahdavi Gorabi Mostafa Qorbani Ramin Heshmat Roya Kelishadi |
| author_facet | Pooneh Angoorani Shayan Mostafaei Toktam Kiani Hanieh-Sadat Ejtahed Mohammad Esmaeil Motlagh Gita Shafiee Armita Mahdavi Gorabi Mostafa Qorbani Ramin Heshmat Roya Kelishadi |
| author_sort | Pooneh Angoorani |
| collection | DOAJ |
| description | Abstract Background Childhood hypertension is a predictor of later diseases, increases the risk for cardiovascular morbidity and mortality in adulthood and results in major economic burdens. The purpose of this study was to investigate the direct and indirect effect of anthropometric, socioeconomic and lifestyle factors on blood pressure (BP) in a large population-based sample of children and adolescents using a path analysis. Methods This multi-centric nationwide study was performed on students aged 7–18 years. Anthropometric indices and blood pressure were measured by standard methods and demographic data, socioeconomic status, dietary habits and health related behaviors were obtained using validated questionnaires. Path analysis was applied to evaluate the relationships among the study variables and to implement the subsequent structural modeling. Results Totally, 7235 students (50.6% boys; the mean age 12.3 ± 3.1 years) were assessed. Systolic and diastolic BP positively correlated with age (r = 0.35 and 0.26; respectively), BMI (r = 0.06 and 0.04; respectively) and WC (r = 0.05 and 0.03; respectively). According to path analysis, age had significant direct effect on BMI, WC, and BP (β = 0.035, 0.043 and 0.345; respectively), which was greater for BP. BMI and WC had the greatest direct effect on BP (β = 0.05 and 0.03; respectively). Education level, subjective health complaints, health-related behaviors and dietary habits had positive direct effects on BP (β = 0.036, 0.030, 0.018 and 0.017; respectively). Socioeconomic status and positive changes in diet had negative indirect effect on BP (β = − 0.001 for both). Conclusion Our findings strengthen the importance of weight and body composition in BP control. It is suggested to improve diet and health related behaviors especially in families with low socioeconomic position. |
| first_indexed | 2024-12-13T02:48:04Z |
| format | Article |
| id | doaj.art-7a9065fc99444b39bb8832f313f3b66d |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-13T02:48:04Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-7a9065fc99444b39bb8832f313f3b66d2022-12-22T00:02:08ZengBMCBMC Cardiovascular Disorders1471-22612020-04-012011810.1186/s12872-020-01488-zDeterminants of childhood blood pressure using structure equation model: the CASPIAN–V studyPooneh Angoorani0Shayan Mostafaei1Toktam Kiani2Hanieh-Sadat Ejtahed3Mohammad Esmaeil Motlagh4Gita Shafiee5Armita Mahdavi Gorabi6Mostafa Qorbani7Ramin Heshmat8Roya Kelishadi9Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesMedical Biology Research Center, Health Technology Institute, Kermanshah University of Medical SciencesRheumatology Research Center, Tehran University of Medical SciencesObesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDepartment of Pediatrics, Ahvaz Jundishapur University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-communicable Diseases Research Center, School of Medicine, Alborz University of Medical SciencesChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesDepartment of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical SciencesAbstract Background Childhood hypertension is a predictor of later diseases, increases the risk for cardiovascular morbidity and mortality in adulthood and results in major economic burdens. The purpose of this study was to investigate the direct and indirect effect of anthropometric, socioeconomic and lifestyle factors on blood pressure (BP) in a large population-based sample of children and adolescents using a path analysis. Methods This multi-centric nationwide study was performed on students aged 7–18 years. Anthropometric indices and blood pressure were measured by standard methods and demographic data, socioeconomic status, dietary habits and health related behaviors were obtained using validated questionnaires. Path analysis was applied to evaluate the relationships among the study variables and to implement the subsequent structural modeling. Results Totally, 7235 students (50.6% boys; the mean age 12.3 ± 3.1 years) were assessed. Systolic and diastolic BP positively correlated with age (r = 0.35 and 0.26; respectively), BMI (r = 0.06 and 0.04; respectively) and WC (r = 0.05 and 0.03; respectively). According to path analysis, age had significant direct effect on BMI, WC, and BP (β = 0.035, 0.043 and 0.345; respectively), which was greater for BP. BMI and WC had the greatest direct effect on BP (β = 0.05 and 0.03; respectively). Education level, subjective health complaints, health-related behaviors and dietary habits had positive direct effects on BP (β = 0.036, 0.030, 0.018 and 0.017; respectively). Socioeconomic status and positive changes in diet had negative indirect effect on BP (β = − 0.001 for both). Conclusion Our findings strengthen the importance of weight and body composition in BP control. It is suggested to improve diet and health related behaviors especially in families with low socioeconomic position.http://link.springer.com/article/10.1186/s12872-020-01488-zBlood pressurePath analysisChildrenAdolescents |
| spellingShingle | Pooneh Angoorani Shayan Mostafaei Toktam Kiani Hanieh-Sadat Ejtahed Mohammad Esmaeil Motlagh Gita Shafiee Armita Mahdavi Gorabi Mostafa Qorbani Ramin Heshmat Roya Kelishadi Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study BMC Cardiovascular Disorders Blood pressure Path analysis Children Adolescents |
| title | Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study |
| title_full | Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study |
| title_fullStr | Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study |
| title_full_unstemmed | Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study |
| title_short | Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study |
| title_sort | determinants of childhood blood pressure using structure equation model the caspian v study |
| topic | Blood pressure Path analysis Children Adolescents |
| url | http://link.springer.com/article/10.1186/s12872-020-01488-z |
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