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:	Yi-de Yang, Ming Xie, Yuan Zeng, Shuqian Yuan, Haokai Tang, Yanhui Dong, Zhiyong Zou, Bin Dong, Zhenghe Wang, Xiangli Ye, Xiuqin Hong, Qiu Xiao, Jun Ma
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/051d1b8c28244cb19f8062998492ca12
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spelling	oai:doaj.org-article:051d1b8c28244cb19f8062998492ca122021-12-02T20:08:20ZImpact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China.1932-620310.1371/journal.pone.0257144https://doaj.org/article/051d1b8c28244cb19f8062998492ca122021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257144https://doaj.org/toc/1932-6203This 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/m2 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.Yi-de YangMing XieYuan ZengShuqian YuanHaokai TangYanhui DongZhiyong ZouBin DongZhenghe WangXiangli YeXiuqin HongQiu XiaoJun MaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257144 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yi-de Yang Ming Xie Yuan Zeng Shuqian Yuan Haokai Tang Yanhui Dong Zhiyong Zou Bin Dong Zhenghe Wang Xiangli Ye Xiuqin Hong Qiu Xiao Jun Ma Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China.
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/m2 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.
format	article
author	Yi-de Yang Ming Xie Yuan Zeng Shuqian Yuan Haokai Tang Yanhui Dong Zhiyong Zou Bin Dong Zhenghe Wang Xiangli Ye Xiuqin Hong Qiu Xiao Jun Ma
author_facet	Yi-de Yang Ming Xie Yuan Zeng Shuqian Yuan Haokai Tang Yanhui Dong Zhiyong Zou Bin Dong Zhenghe Wang Xiangli Ye Xiuqin Hong Qiu Xiao Jun Ma
author_sort	Yi-de Yang
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_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_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_sort	impact of short-term change of adiposity on risk of high blood pressure in children: results from a follow-up study in china.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/051d1b8c28244cb19f8062998492ca12
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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.

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