Physical activity and eating behaviors patterns associated with high blood pressure among Chinese children and adolescents

BMC Public Health

Research

Wenxiu Li¹  Ya Zhang¹  Xingwang Peng¹  Ruiyao Cao¹  Lianguo Fu¹  Juan Zhang¹  Jiaoyan Chen¹  Yuanyuan Wang¹  Keke Liu¹  Mei Han¹ 

[1] Department of child and adolescent health, School of public health, Bengbu Medical College, 2600 East Sea Avenue, Bengbu Anhui, 233030, Bengbu, Anhui, PR China;

关键词: Physical activities pattern;    Eating behaviors pattern;    Pediatric hypertension;    Children;    Adolescents;   

DOI  :  10.1186/s12889-023-16331-1

 received in 2022-10-16, accepted in 2023-07-18,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPhysical activity and eating behavior are associated with hypertension in children and adolescents. Revealing the associations between physical activity patterns, eating behavior patterns and high blood pressure (HBP) could help improve the problem of hypertension from the actual children’s physical activities and eating behaviors.MethodsA total of 687 students aged 8–15 years were selected from two nine-year primary and secondary schools using stratified cluster random sampling method. The students’ body height, weight, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured, and their physical activity time and eating behaviors were surveyed by using CLASS questionnaire and self-made eating behavior questionnaire, respectively. Exploratory factor analysis (EFA) was used to extract moderate to vigorous physical activity factor (MVPAF), sedentary activity factor (SAF), healthy eating behavior factor (HEBF), unhealthy eating behavior factor (UHEBF). MVPAF ≥ SAF was defined as moderate to vigorous physical activity pattern (MVPAP), MVPAF < SAF was defined as sedentary activity pattern (SAP). HEBF ≥ UHEBF was defined as healthy eating behavior pattern (HEBP), while the opposite was defined as unhealthy eating behavior pattern (UHEBP). Lifestyles includes physical activity patterns and eating behavior patterns.ResultsThe overall prevalence of hypertension was 5.8% (40/687), and was 5.69% (21/369) in boys and 5.97% (19/318) in girls, respectively. The MVPAF and UHEBF in boys were significantly higher than those in girls (P < 0.01), while the SAF in girls was significantly higher than that in boys (P < 0.05). The SAF was positively correlated with SBP in girls (β(SE) = 0.14 (0.50), P = 0.016), and was positively correlated with SBP (β(SE) = 0.21 (1.22), P = 0.000 and DBP (β(SE) = 0.14 (0.49), P = 0.006) in boys. The MVPAF was negatively correlated with DBP (β(SE)=-0.11 (0.40), P = 0.022) in boys. In boys, the SAP increased the risks of HBP (OR (95% CI):3.34 (1.30–8.63)) and high DBP (OR (95% CI):3.08 (1.02–9.34)) compared with MVPAP.ConclusionCompared with the boys with MVPAP, boys with SAP may increase the risks of HBP and high DBP. The SAF may be positively associated with SBP in boys and girls, while the MVPAF may be negatively associated with DBP in boys.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023