The combined effects of overweight/obesity and dietary antioxidant quality score on hypertension in children and adolescents.
The combined effects of overweight/obesity and dietary antioxidant quality score on hypertension in children and adolescents.
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DOI：
10.1186/s12887-023-04397-0
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发表时间：
2023-11-21
期刊：
影响因子：
2.4
通讯作者：
Hu, Youfang
中科院分区：
文献类型：
--
作者：
Zhong, Ying;Zhang, Zhiqun;Hu, Youfang
本研究旨在评估超重/肥胖和DAQS对儿童和青少年高血压风险的综合影响。在这项横断面研究中，14316名受试者的数据来自国家健康和营养检查调查（NHANES）。采用多因素logistic回归分析探讨肥胖、DAQS与高血压风险的关系。评估超重/肥胖和DAQS对高血压风险的综合影响。年龄体重指数(BMI) < 85百分位数与儿童和青少年高血压风险降低相关[优势比(OR) = 0.48, 95%可信区间（CI）： 0.41-0.62]。调整混杂因素前后，DAQS≥3与高血压风险无显著相关性（P < 0.05）。年龄bmi < 85百分位且DAQS < 3的受试者与高血压风险降低相关（OR = 0.53, 95%CI: 0.35-0.79）。年龄bmi < 85百分位且DAQS≥3与高血压风险降低相关（OR = 0.52, 95%CI: 0.36-0.74）。亚组分析显示，在年龄≥12岁的受试者中，年龄bmi < 85百分位和DAQS < 3组（OR = 0.48, 95%CI: 0.31-0.73）以及年龄bmi < 85百分位和DAQS≥3组（OR = 0.47, 95%CI: 0.32-0.67）高血压风险降低。在男孩中，年龄bmi < 85百分位和DAQS < 3组（OR = 0.45, 95%CI: 0.25-0.81）以及年龄bmi < 85百分位和DAQS≥3组（OR = 0.40, 95%CI: 0.25-0.65）与高血压风险降低相关。超重/肥胖和DAQS对儿童和青少年高血压的风险有联合影响，这意味着对于体重正常的儿童和青少年，建议保持正常体重并结合高质量的饮食。
This study was to evaluate the combined effects of overweight/obesity and DAQS on the risk of hypertension in children and adolescents. In this cross-sectional study, the data of 14,316 subjects were extracted from the National Health and Nutrition Examination Survey (NHANES). Multivariate logistic regression analysis was used to explore the associations of obesity and DAQS with the risk of hypertension. The combined effect of overweight/obesity and DAQS on the risk of hypertension was evaluated. Body mass index (BMI)-for-age < 85th percentile was associated with reduced risk of hypertension in children and adolescents [odds ratio (OR) = 0.48, 95% confidence interval (CI): 0.41–0.62]. No significant association between DAQS ≥ 3 and the risk of hypertension before and after the adjustment of confounders (P > 0.05). Subjects with BMI-for-age of < 85th percentile and DAQS < 3 was associated with decreased risk of hypertension (OR = 0.53, 95%CI: 0.35–0.79). People with BMI-for-age of < 85th percentile and DAQS ≥ 3 was correlated with decreased risk of hypertension (OR = 0.52, 95%CI: 0.36–0.74). Subgroup analysis revealed that in subjects aged ≥ 12 years, decreased risk of hypertension was observed in BMI-for-age < 85th percentile and DAQS < 3 group (OR = 0.48, 95%CI: 0.31–0.73) as well as BMI-for-age < 85th percentile and DAQS ≥ 3 group (OR = 0.47, 95%CI: 0.32–0.67). In boys, BMI-for-age < 85th percentile and DAQS < 3 group (OR = 0.45, 95%CI: 0.25–0.81) as well as BMI-for-age < 85th percentile and DAQS ≥ 3 group (OR = 0.40, 95%CI: 0.25–0.65) were correlated with decreased risk of hypertension. Overweight/obesity and DAQS had combined effects on the risk of hypertension in children and adolescents, which implied that for children and adolescents with normal weight, to keep normal weight combined with high quality of diet might be recommended.
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影响因子：
3.9
作者：
Shahavandi M;Shahinfar H;Payande N;Sheikhhossein F;Djafarian K;Shab-Bidar S
通讯作者：
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影响因子：
39.3
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10.1080/09637486.2019.1680958
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2019-10-24
影响因子：
3.9
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通讯作者：
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