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Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China

This study aimed to examine the impact of short-term adiposity change on risk of high blood pressure (HBP), and to assess the low limit range of body mass index (BMI) and waist-to-height ratio (WHtR) reduction proposed to decrease the HBP risk in children. Children were longitudinally surveyed at ba...

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Autores principales: Yang, Yi-de, Xie, Ming, Zeng, Yuan, Yuan, Shuqian, Tang, Haokai, Dong, Yanhui, Zou, Zhiyong, Dong, Bin, Wang, Zhenghe, Ye, Xiangli, Hong, Xiuqin, Xiao, Qiu, Ma, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432865/
https://www.ncbi.nlm.nih.gov/pubmed/34506546
http://dx.doi.org/10.1371/journal.pone.0257144
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author Yang, Yi-de
Xie, Ming
Zeng, Yuan
Yuan, Shuqian
Tang, Haokai
Dong, Yanhui
Zou, Zhiyong
Dong, Bin
Wang, Zhenghe
Ye, Xiangli
Hong, Xiuqin
Xiao, Qiu
Ma, Jun
author_facet Yang, Yi-de
Xie, Ming
Zeng, Yuan
Yuan, Shuqian
Tang, Haokai
Dong, Yanhui
Zou, Zhiyong
Dong, Bin
Wang, Zhenghe
Ye, Xiangli
Hong, Xiuqin
Xiao, Qiu
Ma, Jun
author_sort Yang, Yi-de
collection PubMed
description This study aimed to examine the impact of short-term adiposity change on risk of high blood pressure (HBP), and to assess the low limit range of body mass index (BMI) and waist-to-height ratio (WHtR) reduction proposed to decrease the HBP risk in children. Children were longitudinally surveyed at baseline and after a short-term follow-up. General obesity (GOB) is categorized by age and gender-specific BMI cut-off points, abdominal obesity (AOB) by WHtR. Logistic regression model was used to estimate relations between adiposity change and HBP risk with adjustment of covariates. A total of 28,288 children (median of baseline age:10 years) were involved with follow-up of 6.88±1.20 months. After the follow-up, 9.4% of the children had persistent general obesity (GOB), 2.8% converted from GOB to non-GOB, 0.9% had newly developed GOB. When compared with children remained non-GOB, children with continuous GOB status, newly developed GOB, converting from GOB to non-GOB had 5.03-fold (95%CI: 4.32~5.86), 3.35-fold (95%CI: 1.99~5.65), 2.72-fold (2.03~3.63) HBP risk, respectively. Similar findings were observed for abdominal obesity (AOB). Reduction of 0.21–0.88 kg/m(2) of baseline BMI (0.86–3.59%) or 0.009–0.024 of baseline WHtR (1.66–4.42%) in GOB or AOB children, respectively, was associated with significant decrease in HBP risk. Children with persistent obesity, newly developed obesity, or converting from obese to non-obese had significantly higher HBP risk. For children with GOB or AOB, reduction of <3.6% in BMI or <4.5% in WHtR could decrease the HBP risk.
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spelling pubmed-84328652021-09-11 Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China Yang, Yi-de Xie, Ming Zeng, Yuan Yuan, Shuqian Tang, Haokai Dong, Yanhui Zou, Zhiyong Dong, Bin Wang, Zhenghe Ye, Xiangli Hong, Xiuqin Xiao, Qiu Ma, Jun PLoS One Research Article This study aimed to examine the impact of short-term adiposity change on risk of high blood pressure (HBP), and to assess the low limit range of body mass index (BMI) and waist-to-height ratio (WHtR) reduction proposed to decrease the HBP risk in children. Children were longitudinally surveyed at baseline and after a short-term follow-up. General obesity (GOB) is categorized by age and gender-specific BMI cut-off points, abdominal obesity (AOB) by WHtR. Logistic regression model was used to estimate relations between adiposity change and HBP risk with adjustment of covariates. A total of 28,288 children (median of baseline age:10 years) were involved with follow-up of 6.88±1.20 months. After the follow-up, 9.4% of the children had persistent general obesity (GOB), 2.8% converted from GOB to non-GOB, 0.9% had newly developed GOB. When compared with children remained non-GOB, children with continuous GOB status, newly developed GOB, converting from GOB to non-GOB had 5.03-fold (95%CI: 4.32~5.86), 3.35-fold (95%CI: 1.99~5.65), 2.72-fold (2.03~3.63) HBP risk, respectively. Similar findings were observed for abdominal obesity (AOB). Reduction of 0.21–0.88 kg/m(2) of baseline BMI (0.86–3.59%) or 0.009–0.024 of baseline WHtR (1.66–4.42%) in GOB or AOB children, respectively, was associated with significant decrease in HBP risk. Children with persistent obesity, newly developed obesity, or converting from obese to non-obese had significantly higher HBP risk. For children with GOB or AOB, reduction of <3.6% in BMI or <4.5% in WHtR could decrease the HBP risk. Public Library of Science 2021-09-10 /pmc/articles/PMC8432865/ /pubmed/34506546 http://dx.doi.org/10.1371/journal.pone.0257144 Text en © 2021 Yang et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Yang, Yi-de
Xie, Ming
Zeng, Yuan
Yuan, Shuqian
Tang, Haokai
Dong, Yanhui
Zou, Zhiyong
Dong, Bin
Wang, Zhenghe
Ye, Xiangli
Hong, Xiuqin
Xiao, Qiu
Ma, Jun
Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China
title Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China
title_full Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China
title_fullStr Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China
title_full_unstemmed Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China
title_short Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China
title_sort impact of short-term change of adiposity on risk of high blood pressure in children: results from a follow-up study in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432865/
https://www.ncbi.nlm.nih.gov/pubmed/34506546
http://dx.doi.org/10.1371/journal.pone.0257144
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