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Predictors of blood pressure at 7-13 years: The "new millennium baby" study

P Brambilla1, G Bedogni2, A Pietrobelli3

  • 1Azienda Sanitaria Locale 2, Melegnano, Milan, Italy.

Nutrition, Metabolism, and Cardiovascular Diseases : NMCD
|April 7, 2016
PubMed

Insights

Introducing complementary feeding (CF) between 5-6 months is linked to lower blood pressure (BP) in children. This association appears independent of body mass index (BMI), suggesting early nutrition impacts long-term cardiovascular health.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutritional Science

Background:

  • Childhood blood pressure (BP) is influenced by various factors.
  • Understanding early life determinants of BP is crucial for preventing noncommunicable diseases.
  • Body Mass Index (BMI), early feeding practices, lifestyle, and parental factors are potential influences.

Purpose of the Study:

  • To investigate the association between blood pressure (BP) in children aged 7-13 years.
  • To examine the roles of body mass index (BMI), early feeding, lifestyle, and parental characteristics in BP.
  • To explore potential mediation effects of BMI on the relationship between early feeding and BP.

Main Methods:

  • A retrospective and cross-sectional cohort study of 1294 children born between 2000-2004.
  • Data collected included breast-feeding duration, complementary feeding (CF) introduction, screen time, sports activity, parental education, smoking, and obesity.
  • Statistical analyses included multivariable linear regression and mediation analysis.

Main Results:

  • Complementary feeding (CF) introduction at 5-6 months was a negative predictor of systolic and diastolic BP (p < 0.001).
  • Higher Body Mass Index (BMI) was a positive predictor of BP (p < 0.001), while parental hypertension predicted diastolic BP (p < 0.05).
  • Predictors of BMI included birth weight, screen time, and parental obesity/smoking (p < 0.001); breast-feeding had no effect on BP or BMI.

Conclusions:

  • Introducing complementary feeding (CF) between 5-6 months may be associated with lower childhood BP.
  • The effect of CF on BP appears independent of BMI.
  • Low screen time is linked to lower BMI, and CF timing may influence noncommunicable disease risk.
Abstract

Keywords:
Blood pressureBody mass indexBreast-feedingComplementary feedingFamily historyLifestyle

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