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军人家庭学龄儿童肥胖和高血压的流行病学:本地区最大规模报告。

Epidemiology of obesity and high blood pressure among school-age children from military families: the largest report from our region.

机构信息

Department of Pediatric, AJA University of medical sciences, Tehran, Iran.

AJA University of Medical Sciences, Tehran, Iran.

出版信息

BMC Pediatr. 2023 Jan 23;23(1):37. doi: 10.1186/s12887-023-03839-z.

DOI:10.1186/s12887-023-03839-z
PMID:36683049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9868491/
Abstract

BACKGROUND

For the first time, we aimed to determine the epidemiology and associated factors of obesity and hypertension among children of military families in our region.

METHODS

In this multi-centered study, children between the ages of 5 to 12 years old, entered the study. Data on baseline and clinical characteristics, history of disease and anthropometric measurements, were collected.

RESULTS

Among 504 children, 44.2% were males. Mean (SD) age of participants was 7.9 ± 1.9 years. Overall, 5% were obese and 9.9% were overweight. In total, 16.3% had elevated BP, 12.5% had stage one and 0.2% had stage two hypertension. Age (beta = 0.306, OR = 1.35, 95% CI:1.14-1.61), obesity/overweight (OR = 5.58, 95% CI:2.59-12.0), history of hypertension in mother (OR = 43.24, 95% CI:5.99-312.11), low birth weight (OR = 7.96, 95% CI:2.59-12.0), physical activity (OR = 0.27, 95% CI:0.10-0.72), and consumption of fast food more than once a week (OR = 3.36, 95% CI:1.82-6.19), were associated with risk of hypertension. Furthermore, age (beta = 0.346, OR = 1.41, 95% CI:1.21-1.64), history of childhood obesity in the father (OR = 3.78, 95% CI: 1.77-8.06) and mother (OR = 2.44, 95% CI:1.07-5.56), and physical activity (OR = 0.27, 95% CI:0.11-0.66), were associated with obesity.

CONCLUSION

Age, obesity/overweight, history of hypertension in the mother, birth weight, physical activity, and consumption of fast food, were associated with risk of hypertension. Moreover, age, history of childhood obesity in parents, and physical activity, were associated with obesity. Furthermore, we found that school-age children in military families have higher rates of hypertension and overweight compared to other reports from our region.

摘要

背景

我们首次旨在确定本地区军人家庭儿童肥胖和高血压的流行病学和相关因素。

方法

在这项多中心研究中,纳入了年龄在 5 至 12 岁之间的儿童。收集了基线和临床特征、疾病史和人体测量数据。

结果

在 504 名儿童中,44.2%为男性。参与者的平均(SD)年龄为 7.9±1.9 岁。总体而言,5%为肥胖,9.9%为超重。共有 16.3%的儿童血压升高,12.5%为 1 期高血压,0.2%为 2 期高血压。年龄(β=0.306,OR=1.35,95%CI:1.14-1.61)、肥胖/超重(OR=5.58,95%CI:2.59-12.0)、母亲高血压病史(OR=43.24,95%CI:5.99-312.11)、低出生体重(OR=7.96,95%CI:2.59-12.0)、身体活动(OR=0.27,95%CI:0.10-0.72)和每周食用快餐超过一次(OR=3.36,95%CI:1.82-6.19)与高血压风险相关。此外,年龄(β=0.346,OR=1.41,95%CI:1.21-1.64)、父亲(OR=3.78,95%CI:1.77-8.06)和母亲(OR=2.44,95%CI:1.07-5.56)儿童肥胖史以及身体活动(OR=0.27,95%CI:0.11-0.66)与肥胖相关。

结论

年龄、肥胖/超重、母亲高血压病史、出生体重、身体活动和快餐消费与高血压风险相关。此外,父母的儿童肥胖史和身体活动与肥胖相关。此外,我们发现军人家庭的学龄儿童高血压和超重的比例高于本地区其他报告。

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