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埃及索哈杰青少年的饮食模式与血压水平

Dietary pattern and blood pressure levels of adolescents in Sohag, Egypt.

作者信息

Tayel Dalia I, El-Sayed Noha A, El-Sayed Nawal A

机构信息

aNutrition Department, High Institute of Public Health, Alexandria University, EL-Hadrah, Alexandria bDepartment of Nutrition, Sohag Educational Hospital, Hospital of School Health Insurance, Sohag City, Egypt.

出版信息

J Egypt Public Health Assoc. 2013 Aug;88(2):97-103. doi: 10.1097/01.EPX.0000430963.78876.0a.

Abstract

BACKGROUND

Poor eating patterns formed early in life may lead to health problems in later years. These poor dietary habits are carried over into adolescence in Upper Egypt. The study aimed to assess the relationship between dietary pattern and blood pressure levels of adolescents in Sohag as one of Upper Egypt Governorates.

PARTICIPANTS AND METHODS

A comparative cross-sectional study was carried out on 300 school students of both sexes between 12 and 18 years of age in Sohag. Schools from one educational district were stratified into private or public and boys or girls sectors. From each stratum, about 35-40 students were selected from one class at random. Data on sociodemographic characteristics, medical history, lifestyle, and dietary habits and intake were collected from each student. Anthropometric measurements and both systolic blood pressure (SBP) and diastolic blood pressure (DBP) were taken at the time of the interview.

RESULTS

Hypertension was detected among 7.7% of the adolescents studied and prehypertension was detected among 34% of the adolescents. The entire studied sample consumed energy, protein, and sodium that exceeded their daily requirements, whereas their intake of potassium was less, with no statistically significant difference. The prehypertensive group consumed the highest daily intake of energy, macronutrients, sodium, and potassium. High BMI and low consumption of fruits and vegetables were associated with increased SBP and DBP. High consumption of chips was a predictor for increased SBP, whereas daily consumption of soft drinks was a predictor for increased DBP.

CONCLUSION AND RECOMMENDATION

The study revealed significant association between the unhealthy dietary pattern and the risk of hypertension and prehypertension among adolescents in Sohag. Changes in their eating habits and dietary intake are highly recommended. Implementing a comprehensive nutrition promotion program has the potential to decrease the risk of hypertension during adulthood.

摘要

背景

早年形成的不良饮食习惯可能会在日后引发健康问题。上埃及地区的这些不良饮食习惯会延续到青少年时期。本研究旨在评估作为上埃及省份之一的索哈杰地区青少年的饮食模式与血压水平之间的关系。

参与者与方法

对索哈杰地区300名12至18岁的男女在校学生进行了一项比较性横断面研究。将一个教育区的学校分为私立或公立以及男生或女生部门。从每个阶层中,随机从一个班级中选取约35 - 40名学生。收集了每个学生的社会人口学特征、病史、生活方式、饮食习惯和摄入量的数据。在访谈时进行人体测量以及收缩压(SBP)和舒张压(DBP)测量。

结果

在研究的青少年中,7.7%被检测出患有高血压,34%被检测出患有高血压前期。整个研究样本摄入的能量、蛋白质和钠超过了他们的每日需求量,而钾的摄入量较少,差异无统计学意义。高血压前期组的每日能量、常量营养素、钠和钾摄入量最高。高体重指数以及水果和蔬菜摄入量低与收缩压和舒张压升高有关。高薯片摄入量是收缩压升高的一个预测因素,而每日饮用软饮料是舒张压升高的一个预测因素。

结论与建议

该研究揭示了索哈杰地区青少年不健康的饮食模式与高血压和高血压前期风险之间存在显著关联。强烈建议改变他们的饮食习惯和饮食摄入量。实施全面的营养促进计划有可能降低成年期患高血压的风险。

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