Dataset Information

Parental overweight and hypertension are associated with their children's blood pressure.

ABSTRACT:

Background

We evaluated the association between parental factors (overweight, history of hypertension, and education level) and children's blood pressure status. Further, we evaluated to what extent the potential association could be interpreted by children's adiposity indices.

Methods

The current study included 3316 Chinese school students (1579 girls and 1737 boys, aged 6-14?years) and their parents. Parents reported information on their height, body weight, history of hypertension, and the highest education level. Trained medical staff measured children's blood pressure, height, body weight, waist circumference (WC), and percentage of body fat (PBF, assessed by bio-impedance method). Z-score of all three indices were calculated and used in the analysis. We used generalized linear model to evaluate the association between parental information and z-score of children's blood pressure. Meditation analysis was used to evaluate the proportion contributed by z-score of children's adiposity indices (BMI, WC, and PBF).

Results

We found that parental overweight and hypertension, but not parental education level, were significantly associated with children's systolic and diastolic blood pressure (P?ConclusionsThe association between parental factors and children's blood pressure was mainly mediated by children's adiposity indices.

SUBMITTER: Xu R

PROVIDER: S-EPMC6537379 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Parental overweight and hypertension are associated with their children's blood pressure.

Xu Renying R Zhang Xiaomin X Zhou Yiquan Y Wan Yanping Y Gao Xiang X

Nutrition & metabolism 20190527

<h4>Background</h4>We evaluated the association between parental factors (overweight, history of hypertension, and education level) and children's blood pressure status. Further, we evaluated to what extent the potential association could be interpreted by children's adiposity indices.<h4>Methods</h4>The current study included 3316 Chinese school students (1579 girls and 1737 boys, aged 6-14 years) and their parents. Parents reported information on their height, body weight, history of hypertens ...[more]

PMID: 31149019

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Project description:Hypertension control for large populations remains a major challenge.To describe a large-scale hypertension program in Northern California and to compare rates of hypertension control in that program with statewide and national estimates.The Kaiser Permanente Northern California (KPNC) hypertension program included a multifaceted approach to blood pressure control. Patients identified as having hypertension within an integrated health care delivery system in Northern California from 2001-2009 were included. The comparison group comprised insured patients in California between 2006-2009 who were included in the Healthcare Effectiveness Data and Information Set (HEDIS) commercial measurement by California health insurance plans participating in the National Committee for Quality Assurance (NCQA) quality measure reporting process. A secondary comparison group was included to obtain the reported national mean NCQA HEDIS commercial rates of hypertension control between 2001-2009 from health plans that participated in the NCQA HEDIS quality measure reporting process.Hypertension control as defined by NCQA HEDIS.The KPNC hypertension registry included 349,937 patients when established in 2001 and increased to 652,763 by 2009. The NCQA HEDIS commercial measurement for hypertension control within KPNC increased from 43.6% (95% CI, 39.4%-48.6%) to 80.4% (95% CI, 75.6%-84.4%) during the study period (P?<?.001 for trend). In contrast, the national mean NCQA HEDIS commercial measurement increased from 55.4% to 64.1%. California mean NCQA HEDIS commercial rates of hypertension were similar to those reported nationally from 2006-2009 (63.4% to 69.4%).Among adults diagnosed with hypertension, implementation of a large-scale hypertension program was associated with a significant increase in hypertension control compared with state and national control rates. Key elements of the program included a comprehensive hypertension registry, development and sharing of performance metrics, evidence-based guidelines, medical assistant visits for blood pressure measurement, and single-pill combination pharmacotherapy.

Project description:Background and Aims: Weight-loss diets reduce body weight and improve blood pressure control in hypertensive patients. Intermittent energy restriction (IER) is an alternative to continuous energy restriction (CER) for weight reduction. We aimed to compare the effects of IER with those of CER on blood pressure control and weight loss in overweight and obese patients with hypertension during a 6-month period. Methods: Two hundred and five overweight or obese participants (BMI 28.7 kg/m2) with hypertension were randomized to IER (5:2 diet, a very-low-calorie diet for 2 days per week, 500 kcal/day for women and 600 kcal/day for men, along with 5 days of a habitual diet) compared to a moderate CER diet (1,000 kcal/day for women and 1,200 kcal/day for men) for 6 months. The primary outcomes of this study were changes in blood pressure and weight, and the secondary outcomes were changes in body composition, glycosylated hemoglobin A1c (HbA1c), and blood lipids. Results: Of the 205 randomized participants (118 women and 87 men; mean [SD] age, 50.2 [8.9] years; mean [SD] body mass index, 28.7 [2.6]; mean [SD] systolic blood pressure, 143 [10] mmHg; and mean [SD] diastolic blood pressure, 91 [9] mmHg), 173 completed the study. The intention-to-treat analysis demonstrated that IER and CER are equally effective for weight loss and blood pressure control: the mean (SEM) weight change with IER was -7.0 [0.6] kg vs. -6.8 [0.6] kg with CER, the mean (SEM) systolic blood pressure with IER was -7 [0.7] mmHg vs. -7 [0.6] mmHg with CER, and the mean (SEM) diastolic blood pressure with IER was -6 [0.5] mmHg vs. -5 [0.5] mmHg with CER, (diet by time P = 0.62, 0.39, and 0.41, respectively). There were favorable improvements in body composition, HbA1c, and blood lipid levels, with no differences between groups. Effects did not differ according to completer analysis. No severe hypoglycemia occurred in either group during the trial. Conclusions: Intermittent energy restriction is an effective alternative diet strategy for weight loss and blood pressure control and is comparable to CER in overweight and obese patients with hypertension. Clinical Trial Registration: http://www.chictr.org.cn, identifier: ChiCTR2000040468.

Dataset Information

Parental overweight and hypertension are associated with their children's blood pressure.

Background

Methods

Results

Publications

Parental overweight and hypertension are associated with their children's blood pressure.

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