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Association of neck circumference and high blood pressure in children and adolescents: a case–control study

机译:儿童和青少年颈围与高血压的关联:病例对照研究

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Background High blood pressure (BP) is a serious, common and growing global public health problem. The aim of this study was to evaluate the associations between high NC (neck circumference) alone and in combinations with BMI (body mass index), WC (waist circumference), and high BP among Lithuanian children and adolescents aged 12 to 15?years. Methods An epidemiological case–control study was performed between May 2012 and November 2013. NC, WC, hip circumference (HC), mid-upper arm circumference (MUAC), body height, weight, and BP were measured. The participants with high BP (≥90th percentile) were screened on two separate occasions. Data on NC, WC, HC, MUAC, BMI, body adiposity index (BAI), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), and BP were analyzed in 1947 children and adolescents aged 12–15 years. Age- and sex-adjusted odds ratios (aORs) with 95?% confidence intervals (CI) for the associations were estimated using multivariate logistic regression models. Results The prevalence rates of prehypertension (BP ≥90th–? Conclusions High NC alone—but particularly in combinations with overweight/obesity and abdominal overweight/obesity—was associated with an increased risk of high BP.
机译:背景技术高血压(BP)是一个严重,普遍且不断增长的全球公共卫生问题。这项研究的目的是评估12至15岁的立陶宛儿童和青少年中单独的高NC(颈围)以及与BMI(体重指数),WC(腰围)和高BP之间的关联。方法在2012年5月至2013年11月之间进行了一项流行病学病例对照研究。测量了NC,WC,髋围(HC),上臂中围(MUAC),身高,体重和BP。两次单独筛查血压高(≥90%)的参与者。对1947年12岁的儿童和青少年的NC,WC,HC,MUAC,BMI,身体肥胖指数(BAI),腰围身高比(WHtR),腰围臀围比(WHR)和BP进行了数据分析-15年。使用多元logistic回归模型估算了年龄和性别校正后的可能性比(aOR),其关联的置信区间(CI)为95%。结果高血压前患病率(BP≥90th-?)结论单独高NC饮食(尤其是与超重/肥胖和腹部超重/肥胖结合使用)与高BP风险增加相关。

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