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Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study
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 life...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178628/ https://www.ncbi.nlm.nih.gov/pubmed/32321441 http://dx.doi.org/10.1186/s12872-020-01488-z |
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author | Angoorani, Pooneh Mostafaei, Shayan Kiani, Toktam Ejtahed, Hanieh-Sadat Motlagh, Mohammad Esmaeil Shafiee, Gita Gorabi, Armita Mahdavi Qorbani, Mostafa Heshmat, Ramin Kelishadi, Roya |
author_facet | Angoorani, Pooneh Mostafaei, Shayan Kiani, Toktam Ejtahed, Hanieh-Sadat Motlagh, Mohammad Esmaeil Shafiee, Gita Gorabi, Armita Mahdavi Qorbani, Mostafa Heshmat, Ramin Kelishadi, Roya |
author_sort | Angoorani, Pooneh |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7178628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71786282020-04-24 Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study Angoorani, Pooneh Mostafaei, Shayan Kiani, Toktam Ejtahed, Hanieh-Sadat Motlagh, Mohammad Esmaeil Shafiee, Gita Gorabi, Armita Mahdavi Qorbani, Mostafa Heshmat, Ramin Kelishadi, Roya BMC Cardiovasc Disord Research Article 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. BioMed Central 2020-04-22 /pmc/articles/PMC7178628/ /pubmed/32321441 http://dx.doi.org/10.1186/s12872-020-01488-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Angoorani, Pooneh Mostafaei, Shayan Kiani, Toktam Ejtahed, Hanieh-Sadat Motlagh, Mohammad Esmaeil Shafiee, Gita Gorabi, Armita Mahdavi Qorbani, Mostafa Heshmat, Ramin Kelishadi, Roya Determinants of childhood blood pressure using structure equation model: the CASPIAN–V study |
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 | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178628/ https://www.ncbi.nlm.nih.gov/pubmed/32321441 http://dx.doi.org/10.1186/s12872-020-01488-z |
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