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Relationship Between Dietary Intakes and Elevated Diastolic Blood Pressure Among Children: A Cross-Sectional Study
Kukiat Tudpor1,2, Panthicha Chinnakhot1, Montira Boonsorn1
1Faculty of Public Health, Mahasarakham University, Maha Sarakham, Thailand.
Insights
Childhood high diastolic blood pressure is linked to diet, not parental blood pressure. High saturated fat, copper, and vitamin B12 intake increase risk. Early dietary changes can prevent adult hypertension.
Area of Science:
- Pediatric Health
- Cardiovascular Research
- Nutritional Science
Background:
- Elevated systolic blood pressure (SBP) and diastolic blood pressure (DBP) impact cardiovascular health.
- Childhood elevated blood pressure (EBP) predicts adult hypertension.
- Blood pressure is influenced by modifiable and non-modifiable factors.
Purpose of the Study:
- Investigate modifiable risk factors for blood pressure in children aged 3-12.
- Analyze the relationship between diet, parental blood pressure, and childhood EBP.
Main Methods:
- Cross-sectional study design.
- Utilized wearable devices for blood pressure monitoring in 45 children.
- Analyzed data alongside parental blood pressure from electronic medical records.
Main Results:
- Childhood EBP was not associated with parental blood pressure phenotypes.
- High saturated fat, copper, and vitamin B12 intake correlated with increased DBP.
- No significant difference in daily sodium intake between normal and hypertensive DBP groups.
Conclusions:
- Dietary factors (saturated fat, copper, vitamin B12) significantly influence childhood DBP.
- Parental blood pressure status is not a determinant of childhood DBP.
- Early dietary interventions are crucial for preventing adult hypertension.
Background:
Elevating systolic blood pressure (SBP) and diastolic blood pressure (DBP) independently influences clinical outcomes and adverse cardiovascular events. Blood pressure can be affected by modifiable (such as diets and physical activities) and non-modifiable factors (such as age and gender). Elevated blood pressure (EBP or formerly prehypertension) during childhood is associated with hypertension incidence in later adulthood.
Objectives:
This cross- sectional study investigated modifiable risk factors for blood pressure among children (aged 3-12).
Methods:
We employed wearable devices to monitor the blood pressure of 45 preschool and primary school children and analyze this data with secondary blood pressure data of their parents from electronic medical records.
Results:
EBP phenotypes in children (offspring) were not related to their parent's blood pressure phenotypes (P = 0.15 and 0.19 for SBP). Consumption of high saturated fat (P = 0.032), copper (P = 0.026), and vitamin B12 (P = 0.032) was associated with a significant increase in DBP. Daily sodium intakes between normal and DBP hypertensive groups were not significantly different (P = 0.75).
Conclusion:
This study indicates that dietary intakes of high saturated fat, copper, and vitamin B12, but not parental blood pressure statuses, determine high diastolic blood pressure among children regardless of daily sodium intake. Early dietary consumption behavioral adaptation should be considered to prevent further hypertension in adulthood.
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