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

Haiquan Xu, Yanping Li, Xianwen Shang, Songming Du, Qian Zhang, Ailing Liu and Guansheng Ma
Additional contact information
Haiquan Xu: Institute of Food and Nutrition Development, Ministry of Agriculture and Rural Affairs, Beijing 100081, China
Yanping Li: Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA
Xianwen Shang: School of Behavioural and Health Sciences, Australian Catholic University, East Melbourne, VIC 3002, Australia
Songming Du: Chinese Nutrition Society, Beijing 100022, China
Qian Zhang: National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
Ailing Liu: National Institute for Nutrition and Health, Chinese Centre for Disease Control and Prevention, Beijing 100050, China
Guansheng Ma: Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China

IJERPH, 2020, vol. 17, issue 23, 1-12

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.

Keywords: children; obesity; comprehensive intervention; nutrition education; physical activity; blood pressure; high blood pressure; hypertension (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/23/8944/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/23/8944/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:23:p:8944-:d:454549

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().