1 / 19

Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years. Eloisa Colín-Ramírez, MSc: Instituto Nacional de Ciencias Médicas y Nutrición SZ (INCMNSZ) Asociación Mexicana para la Prevención de Insuficiencia Cardiaca A.C. (AMEPPIC)

tasha
Télécharger la présentation

Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Eloisa Colín-Ramírez, MSc: Instituto Nacional de Ciencias Médicas y Nutrición SZ (INCMNSZ) Asociación Mexicana para la Prevención de Insuficiencia Cardiaca A.C. (AMEPPIC) Lilia Castillo-Martínez, MSc.: INCMNSZ, AMEPPIC Arturo Orea-Tejeda, MD: INCMNSZ, AMEPPIC Antonio R Villa Romero, MD: INCMNSZ Arely Vergara Castañeda, MSc.: AMEPPIC Enrique Asensio Lafuente, MD: INCMNSZ JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al.J Am Diet Assoc. 2009; 109 (June).

  2. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Background • Elevated blood pressure at a young age predicts blood pressure elevation later in life and is associated with being overweight • at all ages. • There are other factors related to hypertension in childhood. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  3. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Objective • To determine the anthropometric, physical activity and dietary factors associated with both systolic and diastolic hypertension in a group of Mexican school-aged children. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  4. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Design • In this cross-sectional descriptive study, blood pressure, anthropometric, physical activity and dietary intake (assessed with a multiple-pass 24-hour dietary recall) evaluations were performed on school-aged children from September, 2005 to July, 2006. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  5. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Subjects • Children aged 8-10 years (626 males and 613 females) from a convenience sample of 23 public schools of low socioeconomic status in Mexico City were included. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  6. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Statistical Analysis • Descriptive statistics, X2 tests, analysis of variance, post hoc analysis with Bonferroni method, and logistic regression analysis were performed. • Continuous variables are presented as mean ± standard deviation, categorical variables as percentages, and the association measures as adjusted odds ratios (OR). • A p-value <0.05 was considered statistically significant, and 95% confidence intervals (CI95%) were calculated for adjusted OR. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al.J Am Diet Assoc. 2009; 109 (June).

  7. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results • Dietary assessment showed that both boys and girls had a low fiber intake (<25 g/d) as well as an excessive mean consumption of total and saturated fat (>35.0% and >10.0% of the daily energy, respectively). • Based on the total cohort, 3.6% had systolic hypertension, 14.2% diastolic hypertension, and 22.8% mixed hypertension. • The higher values of weight, body mass index (BMI), waist circumference, and prevalence of overweight and obesity, were more common among children with mixed hypertension, followed by children in the systolic group. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  8. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results • Subjects with diastolic and mixed hypertension reported increased intake of dietary total fat (37.7% and 38.2% of the daily energy intake, respectively). • Adjusted OR=1.06 (CI95% 1.01 - 1.11) for systolic hypertension per increase of 1 cm in waist diameter • Total fat intake >35.0% of the daily energy (kcal) showed an adjusted OR=2.61 (CI95% 1.27 - 5.36) for diastolic hypertension. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  9. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Anthropometric and blood pressure variables according to gender for Mexican children aged 8-10 years JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  10. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Dietary intake variables assessed with a single 24-hour recall according to gender for Mexican children aged 8-10 years JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June). a.Excluding salt used in cooking

  11. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Anthropometric and blood pressure variables according to type of hypertension for Mexican children aged 8-10 years a.After post hoc analysis using the Bonferroni method for variables with p<0.05 in analysis of variance for continuous variables. b.Based on Pearson’s Chi2 test for categorical variables. c.Mean difference based on analysis of variance. d.Difference between normal and diastolic hypertension groups. e.Difference between systolic and diastolic hypertension groups. f.Difference between diastolic and mixed hypertension groups. g.Difference between normal and systolic hypertension groups. h.Difference between normal and mixed hypertension groups. i.Difference between systolic and mixed hypertension groups. *Statistically significant difference at p<0.05 **Statistically significant difference at p<0.01 ***Statistically significant difference at p<0.001 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  12. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Dietary intake variables according to type of hypertension for Mexican children aged 8-10 years a.After post hoc analysis using the Bonferroni method for variables with p<0.05 in analysis of variance. b.Mean difference based on analysis of variance. c.Difference between systolic and mixed hypertension groups. d.Excluding salt used in cooking. e.Difference between normal and mixed hypertension groups. f.Difference between diastolic and mixed hypertension groups. *Statistically significant difference at p<0.05 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  13. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Logistic regression analysis of the association of systolic hypertension with overweight status and diet for Mexican children aged 8-10 years a.Beta coefficient b.Standard error c.Degree of freedom d.Odds ratio for the association with the presence of systolic hypertension. e.Confidence interval *Statistically significant difference at p<0.05 ***Statistically significant difference at p<0.001 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  14. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Logistic regression analysis of the association of systolic hypertension with overweight status and diet for Mexican children aged 8-10 years (cont’d) a.Beta coefficient b.Standard error c.Degree of freedom d.Odds ratio for the association with the presence of systolic hypertension. e.Confidence interval *Statistically significant difference at p<0.05 ***Statistically significant difference at p<0.001 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  15. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Logistic regression analysis of the association of diastolic hypertension with overweight status and diet for Mexican children aged 8-10 years a. Beta coefficient b.Standard error c.Degree of freedom d.Odds ratio for the association with the presence of systolic hypertension. e.Confidence interval *Statistically significant difference at p<0.05 ***Statistically significant difference at p<0.001 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  16. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Logistic regression analysis of the association of diastolic hypertension with overweight status and diet for Mexican children aged 8-10 years (cont’d) a.Beta coefficient b.Standard error c.Degree of freedom d.Odds ratio for the association with the presence of systolic hypertension. e.Confidence interval *Statistically significant difference at p<0.05 ***Statistically significant difference at p<0.001 JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  17. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Prevalence of overweight and obesity in Mexican children aged 8-10 years JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  18. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Results: Prevalence of hypertension in Mexican children aged 8-10 years SH=Systolic hypertension, DH=Diastolic hypertension, SDH=Systolic and diastolic hypertension. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

  19. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8-10 years Conclusions • In a sample of Mexican children of low socioeconomic status, the prevalence of hypertension was high. • Waist circumference was the main factor associated with systolic hypertension, and higher intake of total fat was related to diastolic hypertension. JOURNAL OF THEAMERICAN DIETETICASSOCIATION Colín-Ramírez E, et al. J Am Diet Assoc. 2009; 109 (June).

More Related