Papandreou D, Stamou M, Malindretos P, Rousso I, Mavromichalis I
2nd Pediatric Department, Renal Unit, Aristotle University of Thessaloniki, School of Medicine, AHEPA Hospital, Thessaloniki, Greece.
Ann Nutr Metab. 2007;51(5):471-6. doi: 10.1159/000111169. Epub 2007 Nov 20.
Pediatric hypertension is urgently increasing in Greece. The purpose of this study is to record the prevalence of hypertension in schoolchildren and to relate dietary minerals to blood pressure (BP).
308 males and 298 females, aged 7-15 years, from 10 schools in Northern Greece participated in the study. BP and dietary minerals were measured in all children. Twenty-seven and 12.3% of boys and 21.2 and 15.1% of girls were diagnosed with prehypertension systolic BP and systolic hypertension, respectively. For diastolic BP, 19 and 13.3% of boys and 21.5 and 15.1% of girls were diagnosed with prehypertension diastolic BP and diastolic hypertension, respectively. Systolic BP was significantly positively associated with age (beta: 0.283, 95% CI: 1.440-2.484, p < 0.001), BMI (beta: 0.267, 95% CI: 0.830-1.489, p < 0.001) and potassium (beta: 0.139, 95% CI: 0.001-0.005, p < 0.001) and negatively related to Ca (beta: -0.160, 95% CI: -0.012 to 0.002, p = 0.007). Diastolic BP was positively related only to BMI (beta: 0.194, 95% CI: 0.380-0.968, p < 0.001).
The current study tried to estimate the prevalence of hypertension among children in Northern Greece. Early prevention through nutrition education programs on BP that include diet and exercise modifications is urgently needed in order to avoid certain chronic risk factors in early life.
希腊儿童高血压患病率正在急剧上升。本研究旨在记录学童高血压的患病率,并探讨膳食矿物质与血压(BP)之间的关系。
来自希腊北部10所学校的308名男性和298名女性,年龄在7至15岁之间,参与了本研究。测量了所有儿童的血压和膳食矿物质。分别有27%和12.3%的男孩以及21.2%和15.1%的女孩被诊断为收缩压前期和收缩期高血压。对于舒张压,分别有19%和13.3%的男孩以及21.5%和15.1%的女孩被诊断为舒张压前期和舒张期高血压。收缩压与年龄(β:0.283,95%可信区间:1.440 - 2.484,p < 0.001)、体重指数(BMI)(β:0.267,95%可信区间:0.830 - 1.489,p < 0.001)和钾(β:0.139,95%可信区间:0.001 - 0.005,p < 0.001)呈显著正相关,与钙(β: - 0.160,95%可信区间: - 0.012至0.002,p = 0.007)呈负相关。舒张压仅与BMI呈正相关(β:0.194,95%可信区间:0.380 - 0.968,p < 0.001)。
本研究试图估计希腊北部儿童高血压的患病率。迫切需要通过包括饮食和运动调整在内的血压营养教育计划进行早期预防,以避免早期生活中的某些慢性风险因素。