Prevalence of overweight and obesity and their associations with blood pressure among children and adolescents in Shandong, China

Obesity and high blood pressure (BP) are public health problems all over the world. Some studies have reported a positive association between them in children and adolescents. The purpose of this study was to assess the prevalence of overweight and obesity and their associations with BP among school...

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Published in:BMC public health 2014-10, Vol.14 (1), p.1080-1080, Article 1080
Main Authors: Dong, Jing, Guo, Xiao-Lei, Lu, Zi-Long, Cai, Xiao-Ning, Wang, Hui-Cheng, Zhang, Ji-Yu, Yan, Liu-Xia, Xu, Ai-Qiang
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Age
Age groups
Blood pressure
Blood Pressure - physiology
Body Mass Index
Body size
Body Weight
Child
Children
Children & youth
China - epidemiology
Chronic illnesses
Cross-Sectional Studies
Disease control
Disease prevention
Epidemics
Female
Gender
Girls
Health problems
Humans
Hypertension
Hypertension - epidemiology
Male
Obesity
Odds Ratio
Overweight
Overweight - epidemiology
Pediatric Obesity - epidemiology
Polls & surveys
Prevalence
Public health
Risk analysis
Risk Factors
Secondary schools
Students
Teenagers
Urban areas
Yu Zhang
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Yan, Liu-Xia
Xu, Ai-Qiang
description Obesity and high blood pressure (BP) are public health problems all over the world. Some studies have reported a positive association between them in children and adolescents. The purpose of this study was to assess the prevalence of overweight and obesity and their associations with BP among school children and adolescents in Shandong, an important province in eastern China. In 2011, we conducted a cross-sectional population-representative survey in Shandong, China. A total of 4 898 children and adolescents aged 6-17 years were randomly selected from 140 counties/districts using a multistage random cluster sampling. Weight, height and BP were measured by a trained physician or pediatrician, and information about age, gender and place of residence was obtained using questionnaires. Obesity and high BP were defined according to age- and gender-specific Chinese reference data for children. A total of 4 898 (100%) children and adolescents provided complete information. The prevalence of overweight, obesity and overweight plus obesity were 10.9%, 8.7% and 19.6%, respectively. Boys were more likely to be overweight or obese than girls (P 
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Some studies have reported a positive association between them in children and adolescents. The purpose of this study was to assess the prevalence of overweight and obesity and their associations with BP among school children and adolescents in Shandong, an important province in eastern China. In 2011, we conducted a cross-sectional population-representative survey in Shandong, China. A total of 4 898 children and adolescents aged 6-17 years were randomly selected from 140 counties/districts using a multistage random cluster sampling. Weight, height and BP were measured by a trained physician or pediatrician, and information about age, gender and place of residence was obtained using questionnaires. Obesity and high BP were defined according to age- and gender-specific Chinese reference data for children. A total of 4 898 (100%) children and adolescents provided complete information. The prevalence of overweight, obesity and overweight plus obesity were 10.9%, 8.7% and 19.6%, respectively. Boys were more likely to be overweight or obese than girls (P &lt; 0.05 for overweight; P &lt; 0.001 for obesity). The prevalence of overweight plus obesity was highest among children aged 6-11 years (22.3%). BP and the prevalence of high BP increased with increasing body mass index (BMI). With age and sex adjusted, odds ratios (ORs) for high BP were [OR 2.2;95% CI 1.7-2.8) in overweight and [OR 3.6;95% CI 2.6-4.9] in obese children. The representative survey confirms high prevalence of overweight and obesity among children and adolescents in Shandong. Childhood obesity is a strong risk factor for high BP. Intervention programs should be implemented to combat the growing obesity epidemic.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/1471-2458-14-1080</identifier><identifier>PMID: 25326029</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adolescents ; Age ; Age groups ; Blood pressure ; Blood Pressure - physiology ; Body Mass Index ; Body size ; Body Weight ; Child ; Children ; Children &amp; youth ; China - epidemiology ; Chronic illnesses ; Cross-Sectional Studies ; Disease control ; Disease prevention ; Epidemics ; Female ; Gender ; Girls ; Health problems ; Humans ; Hypertension ; Hypertension - epidemiology ; Male ; Obesity ; Odds Ratio ; Overweight ; Overweight - epidemiology ; Pediatric Obesity - epidemiology ; Polls &amp; surveys ; Prevalence ; Public health ; Risk analysis ; Risk Factors ; Secondary schools ; Students ; Teenagers ; Urban areas ; Yu Zhang</subject><ispartof>BMC public health, 2014-10, Vol.14 (1), p.1080-1080, Article 1080</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Dong et al.; licensee BioMed Central Ltd. 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subjects Adolescent
Adolescents
Age
Age groups
Blood pressure
Blood Pressure - physiology
Body Mass Index
Body size
Body Weight
Child
Children
Children & youth
China - epidemiology
Chronic illnesses
Cross-Sectional Studies
Disease control
Disease prevention
Epidemics
Female
Gender
Girls
Health problems
Humans
Hypertension
Hypertension - epidemiology
Male
Obesity
Odds Ratio
Overweight
Overweight - epidemiology
Pediatric Obesity - epidemiology
Polls & surveys
Prevalence
Public health
Risk analysis
Risk Factors
Secondary schools
Students
Teenagers
Urban areas
Yu Zhang
title Prevalence of overweight and obesity and their associations with blood pressure among children and adolescents in Shandong, China
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