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Association between body size and blood pressure in children from different ethnic origins.
Cardiovasc Diabetol. 2012 Nov 05; 11:136.CD

Abstract

OBJECTIVE

To assess associations between body size and blood pressure in children (5-6 years) from different ethnic origins.

METHOD

Five ethnic groups of the ABCD cohort were examined: Dutch (n=1 923), Turkish (n=99), Moroccan (n=187), Black-African (n=67) and Black-Caribbean (n=121). Data on body-mass-index (BMI), waist-to-height ratio (WHtR), fat-mass-index (FMI), and systolic blood pressure (SBP) and diastolic blood pressure (DBP), were collected. Linear regression analysis with restricted cubic splines was used to examine non-linear associations between body size and blood pressure, adjusted for age, sex, height and birth weight.

RESULTS

Ethnic differences were found in associations of BMI with SBP and DBP (SBP: p=0.001 and DBP: p=0.01) and FMI with SBP (p=0.03). BMI and FMI had a relatively large positive association with SBP in Turkish children (BMI: β=2.46mmHg; 95%CI:1.20-3.72; FMI: β=2.41mmHg; 95%CI:1.09-3.73) compared to Dutch (BMI: β=1.31mmHg; 95%CI:0.71-1.92; FMI: β=0.84mmHg; 95%CI:0.23-1.45). Black-Caribbean and Moroccan children showed high blood pressure with low BMI and FMI. Moroccan children showed higher SBP with high BMI and FMI. WHtR was positively associated with SBP and DBP, similar in all ethnic groups. Generally, strongest associations with blood pressure were found for BMI in all ethnic groups.

CONCLUSION

Ethnic-specific associations between BMI, and FMI and blood pressure are present at young age, with Turkish children showing the highest increase in blood pressure with increasing body size. The higher blood pressure in the Black-Caribbean and Moroccan children with low BMI needs further research. WHtR or FMI do not seem to be associated more strongly to blood pressure than BMI in any ethnic group.

Authors+Show Affiliations

Department of Public Health, Academic Medical Centre, University of Amsterdam, P,O, Box 22660, 1100 DD, Amsterdam, the Netherlands. m.l.dehoog@amc.uva.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23126496

Citation

LA de Hoog, Marieke, et al. "Association Between Body Size and Blood Pressure in Children From Different Ethnic Origins." Cardiovascular Diabetology, vol. 11, 2012, p. 136.
LA de Hoog M, van Eijsden M, Stronks K, et al. Association between body size and blood pressure in children from different ethnic origins. Cardiovasc Diabetol. 2012;11:136.
LA de Hoog, M., van Eijsden, M., Stronks, K., Gemke, R. J., & Vrijkotte, T. G. (2012). Association between body size and blood pressure in children from different ethnic origins. Cardiovascular Diabetology, 11, 136. https://doi.org/10.1186/1475-2840-11-136
LA de Hoog M, et al. Association Between Body Size and Blood Pressure in Children From Different Ethnic Origins. Cardiovasc Diabetol. 2012 Nov 5;11:136. PubMed PMID: 23126496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between body size and blood pressure in children from different ethnic origins. AU - LA de Hoog,Marieke, AU - van Eijsden,Manon, AU - Stronks,Karien, AU - Gemke,Reinoud J B J, AU - Vrijkotte,Tanja G M, Y1 - 2012/11/05/ PY - 2012/07/16/received PY - 2012/10/26/accepted PY - 2012/11/7/entrez PY - 2012/11/7/pubmed PY - 2013/3/21/medline SP - 136 EP - 136 JF - Cardiovascular diabetology JO - Cardiovasc Diabetol VL - 11 N2 - OBJECTIVE: To assess associations between body size and blood pressure in children (5-6 years) from different ethnic origins. METHOD: Five ethnic groups of the ABCD cohort were examined: Dutch (n=1 923), Turkish (n=99), Moroccan (n=187), Black-African (n=67) and Black-Caribbean (n=121). Data on body-mass-index (BMI), waist-to-height ratio (WHtR), fat-mass-index (FMI), and systolic blood pressure (SBP) and diastolic blood pressure (DBP), were collected. Linear regression analysis with restricted cubic splines was used to examine non-linear associations between body size and blood pressure, adjusted for age, sex, height and birth weight. RESULTS: Ethnic differences were found in associations of BMI with SBP and DBP (SBP: p=0.001 and DBP: p=0.01) and FMI with SBP (p=0.03). BMI and FMI had a relatively large positive association with SBP in Turkish children (BMI: β=2.46mmHg; 95%CI:1.20-3.72; FMI: β=2.41mmHg; 95%CI:1.09-3.73) compared to Dutch (BMI: β=1.31mmHg; 95%CI:0.71-1.92; FMI: β=0.84mmHg; 95%CI:0.23-1.45). Black-Caribbean and Moroccan children showed high blood pressure with low BMI and FMI. Moroccan children showed higher SBP with high BMI and FMI. WHtR was positively associated with SBP and DBP, similar in all ethnic groups. Generally, strongest associations with blood pressure were found for BMI in all ethnic groups. CONCLUSION: Ethnic-specific associations between BMI, and FMI and blood pressure are present at young age, with Turkish children showing the highest increase in blood pressure with increasing body size. The higher blood pressure in the Black-Caribbean and Moroccan children with low BMI needs further research. WHtR or FMI do not seem to be associated more strongly to blood pressure than BMI in any ethnic group. SN - 1475-2840 UR - https://www.unboundmedicine.com/medline/citation/23126496/Association_between_body_size_and_blood_pressure_in_children_from_different_ethnic_origins_ L2 - https://cardiab.biomedcentral.com/articles/10.1186/1475-2840-11-136 DB - PRIME DP - Unbound Medicine ER -