Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study
AbstractBackground Hypertension has become increasingly prevalent in Chinese children and adolescents in recent decades, which affects growth and development of children, leads to cognitive decline and multiple target organ damage. Here, we assessed the impact of different body mass index (BMI) traj...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2023.2267572 |
| _version_ | 1827346560995819520 |
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| author | Lu Wang Longbing Ren Yuzhu Wang Zixiang Ji Rongyu Zhu Yingxian Sun Jue Li Lijuan Zhang |
| author_facet | Lu Wang Longbing Ren Yuzhu Wang Zixiang Ji Rongyu Zhu Yingxian Sun Jue Li Lijuan Zhang |
| author_sort | Lu Wang |
| collection | DOAJ |
| description | AbstractBackground Hypertension has become increasingly prevalent in Chinese children and adolescents in recent decades, which affects growth and development of children, leads to cognitive decline and multiple target organ damage. Here, we assessed the impact of different body mass index (BMI) trajectories on the occurrence of hypertension in children and adolescents using a cohort study in Northeast China.Materials and methods Children and adolescents aged 5–18 years was extracted for physical examination in Fuxin City, Liaoning Province, China during the 2009–2015 period. A latent category growth mixed model (LCGMM) was used to classify BMI changes and analyze the effect of different BMI trajectories on the risk of occurrence of hypertension in these participants within 5 years.Results All participates were divided into five BMI trajectories by LCGMM method: slow increasing group (n = 2616, 30.8%), overweight and obesity (OW/OB) group (n = 1141, 13.4%), normal decreasing group (n = 232, 2.7%), stable normal group (n = 4383, 51.6%), and fast-increasing group (n = 120, 1.4%). Compared with the stable normal group, the slow increasing group [adjusted odds ratio (AOR): 1.610, 95% confidence interval (CI): 1.304–1.989], the OW/OB group (AOR: 3.172, 95% CI: 2.500–4.023) and the fast-increasing group (AOR: 2.708, 95% CI: 1.445–5.074) all increased the risk of developing hypertension in children and adolescents.Conclusion The potential of developing hypertension varies among groups of children aged 5–18 with different BMI trajectories. Children and adolescents in the normal BMI range (the slow growth group) still need to be aware of the change in BMI trajectory to stop or slow down the progression of BP abnormalities. |
| first_indexed | 2024-03-07T23:32:58Z |
| format | Article |
| id | doaj.art-c5254ac35a08487da1a7d6b14491190a |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-03-07T23:32:58Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-c5254ac35a08487da1a7d6b14491190a2024-02-20T11:58:24ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155210.1080/07853890.2023.2267572Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort studyLu Wang0Longbing Ren1Yuzhu Wang2Zixiang Ji3Rongyu Zhu4Yingxian Sun5Jue Li6Lijuan Zhang7Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaClinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaClinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaClinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaClinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaDepartment of Cardiology, The First Hospital of China Medical University, Shenyang, Liaoning, ChinaClinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaClinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Tongji University, Shanghai, ChinaAbstractBackground Hypertension has become increasingly prevalent in Chinese children and adolescents in recent decades, which affects growth and development of children, leads to cognitive decline and multiple target organ damage. Here, we assessed the impact of different body mass index (BMI) trajectories on the occurrence of hypertension in children and adolescents using a cohort study in Northeast China.Materials and methods Children and adolescents aged 5–18 years was extracted for physical examination in Fuxin City, Liaoning Province, China during the 2009–2015 period. A latent category growth mixed model (LCGMM) was used to classify BMI changes and analyze the effect of different BMI trajectories on the risk of occurrence of hypertension in these participants within 5 years.Results All participates were divided into five BMI trajectories by LCGMM method: slow increasing group (n = 2616, 30.8%), overweight and obesity (OW/OB) group (n = 1141, 13.4%), normal decreasing group (n = 232, 2.7%), stable normal group (n = 4383, 51.6%), and fast-increasing group (n = 120, 1.4%). Compared with the stable normal group, the slow increasing group [adjusted odds ratio (AOR): 1.610, 95% confidence interval (CI): 1.304–1.989], the OW/OB group (AOR: 3.172, 95% CI: 2.500–4.023) and the fast-increasing group (AOR: 2.708, 95% CI: 1.445–5.074) all increased the risk of developing hypertension in children and adolescents.Conclusion The potential of developing hypertension varies among groups of children aged 5–18 with different BMI trajectories. Children and adolescents in the normal BMI range (the slow growth group) still need to be aware of the change in BMI trajectory to stop or slow down the progression of BP abnormalities.https://www.tandfonline.com/doi/10.1080/07853890.2023.2267572Children and adolescentsblood pressurehypertensionbody mass index trajectorylatent class growth mixture model |
| spellingShingle | Lu Wang Longbing Ren Yuzhu Wang Zixiang Ji Rongyu Zhu Yingxian Sun Jue Li Lijuan Zhang Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study Annals of Medicine Children and adolescents blood pressure hypertension body mass index trajectory latent class growth mixture model |
| title | Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study |
| title_full | Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study |
| title_fullStr | Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study |
| title_full_unstemmed | Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study |
| title_short | Effect of body mass index trajectory on hypertension among children and adolescents aged 5–18 years: a retrospective cohort study |
| title_sort | effect of body mass index trajectory on hypertension among children and adolescents aged 5 18 years a retrospective cohort study |
| topic | Children and adolescents blood pressure hypertension body mass index trajectory latent class growth mixture model |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2023.2267572 |
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