Effect of comprehensive interventions including nutrition education and physical activity on high blood pressure among children : Evidence from school-based cluster randomized control trial in China

Journal article


Xu, Haiquan, Li, Yanping, Shang, Xianwen, Du, Songming, Zhang, Qian, Liu, Ailing and Ma, Guansheng. (2020). Effect of comprehensive interventions including nutrition education and physical activity on high blood pressure among children : Evidence from school-based cluster randomized control trial in China. International Journal of Environmental Research and Public Health. 17(23), p. 8944. https://doi.org/10.3390/ijerph17238944
AuthorsXu, Haiquan, Li, Yanping, Shang, Xianwen, Du, Songming, Zhang, Qian, Liu, Ailing and Ma, Guansheng
Abstract

Childhood hypertension has increasingly become a public health problem globally. However, limited literature research examined the effect of comprehensive interventions including nutrition education and physical activity on blood pressure among children. A total of 6764 children aged 7–13 years were analyzed based on a multicenter randomized controlled trial for comprehensive interventions in 30 primary schools in China to evaluate the effects on blood pressure, which lasted for two semesters. The standards used for the diagnosis of high blood pressure were the cut-off points based on age and sex for Chinese children. Compared with the control group, the intervention effects were −0.5 mm Hg (95% confidence interval (CI): −1.1, 0; p = 0.064) for diastolic blood pressure and −0.9 mmHg (95% CI: −1.5, −0.3; p = 0.005) for systolic blood pressure. For the incidence of high blood pressure, the changes were −1.4% in the intervention group and 0.4% in the control group (1.8% difference between the two groups, p = 0.015) after trial. The school-based comprehensive interventions appeared to have moderate effects on high blood pressure prevention among children in China.

Keywordschildren; obesity; comprehensive intervention; nutrition education; physical activity; blood pressure; high blood pressure; hypertension
Year2020
JournalInternational Journal of Environmental Research and Public Health
Journal citation17 (23), p. 8944
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN1660-4601
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph17238944
Scopus EID2-s2.0-85097124467
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-12
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online01 Dec 2020
Publication process dates
Accepted30 Nov 2020
Deposited01 Jul 2021
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