Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2018 Aug;72(2):298-305.
doi: 10.1161/HYPERTENSIONAHA.118.11291. Epub 2018 Jun 4.

Secular Trends in Blood Pressure and Overweight and Obesity in Chinese Boys and Girls Aged 7 to 17 Years From 1995 to 2014

Yanhui Dong  1 , Jun Ma  2 , Yi Song  1   3 , Yinghua Ma  1 , Bin Dong  1 , Zhiyong Zou  1 , Judith J Prochaska  3
Affiliations
Multicenter Study

Secular Trends in Blood Pressure and Overweight and Obesity in Chinese Boys and Girls Aged 7 to 17 Years From 1995 to 2014

Yanhui Dong et al. Hypertension. 2018 Aug.

Abstract

The current study aimed to assess the secular trends in overweight and obesity status and high blood pressure (HBP) in Chinese children and adolescents for 2 decades. Data on 943 128 participants aged 7 to 17 years were obtained from the Chinese National Survey on Students' Constitution and Health from 1995 to 2014. The population attributable risk of overweight status for HBP was calculated. The prevalence of overweight increased from 4.3% in 1995 to 18.4% in 2014, whereas HBP prevalence fluctuated in the range of 4.4% to 6.4% during the same time period, the lowest in 2005. Within each survey year, blood pressure levels and HBP prevalence increased with higher body mass index. Notably, the population attributable risk of HBP because of being overweight steadily increased from 6.3% in 1995 to 19.2% in 2014. The same trends of linear growth for obesity, fluctuating blood pressure, and its sustained increasing population attributable risk for overweight also occurred among the domestic 29 provinces. Despite dramatic increases in overweight prevalence among Chinese children from 1995 to 2014, the HBP prevalence remained relatively stable, suggesting that other independent factors are affecting HBP trends to a greater extent. Yet, over time, the magnitude of the impact of being overweight or obese on HBP increased sharply, predicting looming heavy burden of HBP. Reductions in overweight status may aid in preventing HBP so as to prevent coronary risk in adulthood.

Keywords: blood pressure; child; hypertension; obesity; overweight.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Trends in the prevalence of HBP, SHBP, DHBP, and OB&OW in Chinese boys and girls aged 7-17 years from 1995 to 2014.
Figure 2
Figure 2
Trends in average SBP and DBP levels in different BMI groups in Chinese boys and girls aged 7-17 years from 1995 to 2014.
Figure 3
Figure 3
Trends in the prevalence of HBP, SHBP and DHBP for different BMI groups in Chinese boys and girls aged 7-17 years from 1995 to 2014.
Figure 4
Figure 4
The change in PAR for HBP, SHBP and DHBP due to overweight and obesity in Chines youth by province between 1995 and 2014.
See this image and copyright information in PMC

References

    1. Lim SS, Vos T, Flaxman AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224–2260. - PMC - PubMed
    1. Li Y, Wang DD, Ley SH, Howard AG, He Y, Lu Y, Danaei G, Hu FB. Potential Impact of Time Trend of Life-Style Factors on Cardiovascular Disease Burden in China. Journal of the American College of Cardiology. 2016;68:818–833. - PMC - PubMed
    1. NCD. Risk Factor Collaboration. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet. 2017;390:2627–2642. - PMC - PubMed
    1. Ingelfinger JR. The child or adolescent with elevated blood pressure. The New England journal of medicine. 2014;370:2316–2325. - PubMed
    1. Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation. 2008;117:3171–3180. - PMC - PubMed

Publication types