Epidemiology of elevated blood pressure and associated risk factors in Chinese children

The SNEC study

Y. Zhou, Z. Qian, Michael George Vaughn, B. B. Boutwell, M. Yang, X. W. Zeng, R. Q. Liu, X. D. Qin, Y. Zhu, G. H. Dong

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Despite the association of childhood blood pressure (BP) with hypertension later in the life course, there remains dearth of information regarding the prevalence and emergence of hypertension in children, especially in China. To investigate the current status of BP, prevalence of elevated BP and related factors in Chinese children, a cross-sectional survey in a representative sample of 9354 Chinese children 5-17 years old was conducted in seven cities in Northeastern China during 2011 and 2012. BP measurements were taken by mercury sphygmomanometer. Elevated BP in children was defined as an average diastolic BP or systolic BP that is in the 95th percentile or higher for their gender, age and height. Overall, total prevalence of elevated BP was 13.8%, and no significant difference between males and females was identified. Multivariate analyses revealed that children having a higher area of residence had a lower of elevated BP. Increased odds for elevated BP were found for individuals who were lean (odds ratio (OR)=2.12; 95% confidence interval (CI): 1.67-2.69), overweight (OR=2.05; 95% CI: 1.74-2.42), obese (OR=3.15; 95% CI: 2.70-3.68), were born with low birth weight (OR=1.26; 95%CI: 1.01-1.63), premature birth (OR=1.46; 95%CI: 1.13-1.88), and were with home coal use (OR=1.24; 95%CI: 1.02-1.52). In conclusion, elevated BP was found to be prevalent in children in urban areas of Northeast China. These results underscore the importance of implementing a package of measures aimed at reducing malleable risk for this cardiovascular condition in school-aged children in Northeast China.

Original languageEnglish
Pages (from-to)231-236
Number of pages6
JournalJournal of Human Hypertension
Volume30
Issue number4
DOIs
Publication statusPublished - 2016 Apr 1

Fingerprint

Epidemiology
Blood Pressure
Odds Ratio
Confidence Intervals
China
Sphygmomanometers
Hypertension
Coal
Premature Birth
Low Birth Weight Infant
Mercury
Multivariate Analysis
Cross-Sectional Studies

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

Zhou, Y. ; Qian, Z. ; Vaughn, Michael George ; Boutwell, B. B. ; Yang, M. ; Zeng, X. W. ; Liu, R. Q. ; Qin, X. D. ; Zhu, Y. ; Dong, G. H. / Epidemiology of elevated blood pressure and associated risk factors in Chinese children : The SNEC study. In: Journal of Human Hypertension. 2016 ; Vol. 30, No. 4. pp. 231-236.
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abstract = "Despite the association of childhood blood pressure (BP) with hypertension later in the life course, there remains dearth of information regarding the prevalence and emergence of hypertension in children, especially in China. To investigate the current status of BP, prevalence of elevated BP and related factors in Chinese children, a cross-sectional survey in a representative sample of 9354 Chinese children 5-17 years old was conducted in seven cities in Northeastern China during 2011 and 2012. BP measurements were taken by mercury sphygmomanometer. Elevated BP in children was defined as an average diastolic BP or systolic BP that is in the 95th percentile or higher for their gender, age and height. Overall, total prevalence of elevated BP was 13.8{\%}, and no significant difference between males and females was identified. Multivariate analyses revealed that children having a higher area of residence had a lower of elevated BP. Increased odds for elevated BP were found for individuals who were lean (odds ratio (OR)=2.12; 95{\%} confidence interval (CI): 1.67-2.69), overweight (OR=2.05; 95{\%} CI: 1.74-2.42), obese (OR=3.15; 95{\%} CI: 2.70-3.68), were born with low birth weight (OR=1.26; 95{\%}CI: 1.01-1.63), premature birth (OR=1.46; 95{\%}CI: 1.13-1.88), and were with home coal use (OR=1.24; 95{\%}CI: 1.02-1.52). In conclusion, elevated BP was found to be prevalent in children in urban areas of Northeast China. These results underscore the importance of implementing a package of measures aimed at reducing malleable risk for this cardiovascular condition in school-aged children in Northeast China.",
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Zhou, Y, Qian, Z, Vaughn, MG, Boutwell, BB, Yang, M, Zeng, XW, Liu, RQ, Qin, XD, Zhu, Y & Dong, GH 2016, 'Epidemiology of elevated blood pressure and associated risk factors in Chinese children: The SNEC study', Journal of Human Hypertension, vol. 30, no. 4, pp. 231-236. https://doi.org/10.1038/jhh.2015.104

Epidemiology of elevated blood pressure and associated risk factors in Chinese children : The SNEC study. / Zhou, Y.; Qian, Z.; Vaughn, Michael George; Boutwell, B. B.; Yang, M.; Zeng, X. W.; Liu, R. Q.; Qin, X. D.; Zhu, Y.; Dong, G. H.

In: Journal of Human Hypertension, Vol. 30, No. 4, 01.04.2016, p. 231-236.

Research output: Contribution to journalArticle

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AU - Zhou, Y.

AU - Qian, Z.

AU - Vaughn, Michael George

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AU - Zeng, X. W.

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AU - Dong, G. H.

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