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
Permalink -

https://acuresearchbank.acu.edu.au/item/8w4wy/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

Download files


Publisher's version
  • 93
    total views
  • 48
    total downloads
  • 2
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Associations of vision impairment and eye diseases with memory decline over 4 years in China and the United States
Shang, Xianwen, Zhu, Zhuoting, Wang, Wei and He, Mingguang. (2021). Associations of vision impairment and eye diseases with memory decline over 4 years in China and the United States. American Journal of Ophthalmology. 228, pp. 16-26. https://doi.org/10.1016/j.ajo.2021.03.021
Energy and macronutrient intakes at breakfast and cognitive declines in community-dwelling older adults : A 9-year follow-up cohort study
Xianwen Shang, Hill, Edward, Li, Yanping and He, Mingguang. (2021). Energy and macronutrient intakes at breakfast and cognitive declines in community-dwelling older adults : A 9-year follow-up cohort study. American Journal of Clinical Nutrition. 113(5), pp. 1093-1103. https://doi.org/10.1093/ajcn/nqaa403
Independent and interactive associations of fitness and fatness with changes in cardiometabolic risk in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Hu, Xiaoqi, Liu, Ailing, Du, Songming, Li, Tingyu, Guo, Hongwei, Li, Ying, Xu, Guifa, Liu, Weijia, Ma, Jun and Ma, Guansheng. (2020). Independent and interactive associations of fitness and fatness with changes in cardiometabolic risk in children : A longitudinal analysis. Frontiers in Endocrinology. 11, p. 342. https://doi.org/10.3389/fendo.2020.00342
Are leading risk factors for cancer and mental disorders multimorbidity shared by these two individual conditions in community-dwelling middle-aged adults?
Shang, Xianwen, Hodge, Allison M., Peng, Wei, He, Mingguang and Zhang, Lei. (2020). Are leading risk factors for cancer and mental disorders multimorbidity shared by these two individual conditions in community-dwelling middle-aged adults? Cancers. 12(6), pp. 1-15. https://doi.org/10.3390/cancers12061700
The clustering of low diet quality, low physical fitness, and unhealthy sleep pattern and its association with changes in cardiometabolic risk factors in children
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing and Ma, Guansheng. (2020). The clustering of low diet quality, low physical fitness, and unhealthy sleep pattern and its association with changes in cardiometabolic risk factors in children. Nutrients. 12(2), p. 591. https://doi.org/10.3390/nu12020591
Meal patterns and changes in cardiometabolic risk factors in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing, Du, Songming and Ma, Guansheng. (2020). Meal patterns and changes in cardiometabolic risk factors in children : A longitudinal analysis. Nutrients. 12(3), pp. 1-13. https://doi.org/10.3390/nu12030799
Leading dietary determinants identified using machine learning techniques and a healthy diet score for changes in cardiometabolic risk factors in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing, Du, Songming, Guo, Hongwei and Ma, Guansheng. (2020). Leading dietary determinants identified using machine learning techniques and a healthy diet score for changes in cardiometabolic risk factors in children : A longitudinal analysis. Nutrition Journal. 19(1), p. 105. https://doi.org/10.1186/s12937-020-00611-2
Leading determinants for multimorbidity in middle-aged Australian men and women : A nine-year follow-up cohort study
Shang, Xianwen, Peng, Wei, Wu, Jinrong, He, Mingguang and Zhang, Lei. (2020). Leading determinants for multimorbidity in middle-aged Australian men and women : A nine-year follow-up cohort study. Preventive Medicine. 141, p. 106260. https://doi.org/10.1016/j.ypmed.2020.106260
Healthy breakfast habits and changes in obesity-related cardiometabolic markers in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Hu, Xiaoqi, Liu, Ailing, Du, Songming, Li, Tingyu, Guo, Hongwei, Li, Ying, Xu, Guifa, Liu, Weijia, Ma, Jun and Ma, Guansheng. (2020). Healthy breakfast habits and changes in obesity-related cardiometabolic markers in children : A longitudinal analysis. European Journal of Clinical Nutrition. 74(12), pp. 1685-1697. https://doi.org/10.1038/s41430-020-0614-7
Leading determinants for disease-free status in community-dwelling middle-aged men and women : A 9-year follow-up cohort study
Shang, Xianwen, Wang, Wei, Keel, Stuart, Wu, Jinrong, He, Mingguang and Zhang, Lei. (2019). Leading determinants for disease-free status in community-dwelling middle-aged men and women : A 9-year follow-up cohort study. Frontiers in Public Health. 7, p. 320. https://doi.org/10.3389/fpubh.2019.00320
Dietary protein from different food sources, incident metabolic syndrome and changes in its components: an 11-year longitudinal study in healthy community-dwelling adults
Shang, Xianwen, Scott, David, Hodge, Allison, English, Dallas, Giles, Graham G., Ebeling, Peter and Sanders, Kerrie. (2017). Dietary protein from different food sources, incident metabolic syndrome and changes in its components: an 11-year longitudinal study in healthy community-dwelling adults. Clinical Nutrition. 36(6), pp. 1540 - 1548. https://doi.org/10.1016/j.clnu.2016.09.024
Dietary quality is associated with abdominal aortic calcification: a mean of 18-year longitudinal study in community-dwelling older adults
Shang, Xianwen, Scott, David, Hodge, Allison, Khan, Belal, Khan, Nayab, English, Dallas, Giles, Graham G., Ebeling, Peter and Sanders, Kerrie. (2017). Dietary quality is associated with abdominal aortic calcification: a mean of 18-year longitudinal study in community-dwelling older adults. Journal of Nutrition, Health and Aging. 21(2), pp. 147 - 151. https://doi.org/10.1007/s12603-016-0738-6
Dietary protein intake and risk of type 2 diabetes: Results from the Melbourne Collaborative Cohort Study and a meta-analysis of prospective studies
Shang, Xianwen, Scott, David, Hodge, Allison M., English, Dallas R., Giles, Graham G., Ebeling, Peter R. and Sanders, Kerrie M.. (2016). Dietary protein intake and risk of type 2 diabetes: Results from the Melbourne Collaborative Cohort Study and a meta-analysis of prospective studies. American Journal of Clinical Nutrition. 104(5), pp. 1352 - 1365. https://doi.org/10.3945/ajcn.116.140954
Dietary a-linolenic acid and total omega-3 fatty acids are inversely associated with abdominal aortic calcification in older women, but not in older men
Shang, Xianwen, Sanders, Kerrie, Scott, David, Khan, Belal, Hodge, Allison, Khan, Nayab, English, Dallas, Giles, Graham and Ebeling, Peter. (2015). Dietary a-linolenic acid and total omega-3 fatty acids are inversely associated with abdominal aortic calcification in older women, but not in older men. The Journal of Nutrition. 145(8), pp. 1778 - 1786. https://doi.org/10.3945/jn.115.211789