Effect of Comprehensive Interventions Including Nutrition Education and Physical Activity on High Blood Pressure among Children: Evidence from School-Based Cluster Randomized Control Trial in China

International Journal of Environmental Research and Public Health

Songming Du¹  Guansheng Ma²  Yanping Li³  Haiquan Xu⁴  Ailing Liu⁵  Qian Zhang⁵  Xianwen Shang⁶ 

[1] Chinese Nutrition Society, Beijing 100022, China;Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China;Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA;Institute of Food and Nutrition Development, Ministry of Agriculture and Rural Affairs, Beijing 100081, China;National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China;School of Behavioural and Health Sciences, Australian Catholic University, East Melbourne, VIC 3002, Australia;

关键词: children;    obesity;    comprehensive intervention;    nutrition education;    physical activity;    blood pressure;   

DOI  :  10.3390/ijerph17238944

来源: DOAJ

【 摘 要 】

Childhood hypertension has increasingly become a public health problem globally. However, limited literature research examined the effect of comprehensive interventions including nutrition education and physical activity on blood pressure among children. A total of 6764 children aged 7–13 years were analyzed based on a multicenter randomized controlled trial for comprehensive interventions in 30 primary schools in China to evaluate the effects on blood pressure, which lasted for two semesters. The standards used for the diagnosis of high blood pressure were the cut-off points based on age and sex for Chinese children. Compared with the control group, the intervention effects were −0.5 mm Hg (95% confidence interval (CI): −1.1, 0; p = 0.064) for diastolic blood pressure and −0.9 mmHg (95% CI: −1.5, −0.3; p = 0.005) for systolic blood pressure. For the incidence of high blood pressure, the changes were −1.4% in the intervention group and 0.4% in the control group (1.8% difference between the two groups, p = 0.015) after trial. The school-based comprehensive interventions appeared to have moderate effects on high blood pressure prevention among children in China.

【 授权许可】

Unknown