TY - JOUR
T1 - Cardiovascular risk assessment in children
T2 - Role of physical activity, family history and parental smoking on BMI and blood pressure
AU - Giussani, Marco
AU - Antolini, Laura
AU - Brambilla, Paolo
AU - Pagani, Massimo
AU - Zuccotti, Gianvincenzo
AU - Valsecchi, Maria G.
AU - Lucini, Daniela
AU - Genovesi, Simonetta
PY - 2013/5
Y1 - 2013/5
N2 - OBJECTIVE: Aim of the study was to assess the role of family history, physical activity and parental smoking in the prediction of BMI, SBP and hypertension risk in children. PARTICIPANTS AND METHODS: In a paediatric primary care setting, a sample of 1310 children aged 5-14 years was systematically selected by 48 family paediatricians in northern Italy. BMI, waist circumference-to-height ratio (WtHr), SBP and DBP were measured and the information on the presence of small birth weight for gestational age (SGA) and early adiposity rebound (EAR) was collected. Data concerning exercise, video time, family history for cardiovascular diseases and parental smoking were derived from parental interview. Data were collected using an 'ad hoc designed' electronic sheet available online. RESULTS: Multiple linear regression showed that the presence of EAR, low exercise (2 h/day TV/videogames/computer) and parental smoking were associated to higher BMI (z-score; P <0.005). Age, BMI (z-score), WtHr, presence of SGA, low exercise, high video time and family history of cardiovascular diseases were associated to SBP values (P <0.03). Logistic regression analysis showed that factors related to risk of hypertension and prehypertension were BMI (z-score; odds ratio, OR 2.63; 95% confidence interval, CI 2.12-3.28), WtHr (OR 1.13; 95% CI 1.10-3.28) and low exercise (OR 1.58; 95% CI 1.12-2.24; P
AB - OBJECTIVE: Aim of the study was to assess the role of family history, physical activity and parental smoking in the prediction of BMI, SBP and hypertension risk in children. PARTICIPANTS AND METHODS: In a paediatric primary care setting, a sample of 1310 children aged 5-14 years was systematically selected by 48 family paediatricians in northern Italy. BMI, waist circumference-to-height ratio (WtHr), SBP and DBP were measured and the information on the presence of small birth weight for gestational age (SGA) and early adiposity rebound (EAR) was collected. Data concerning exercise, video time, family history for cardiovascular diseases and parental smoking were derived from parental interview. Data were collected using an 'ad hoc designed' electronic sheet available online. RESULTS: Multiple linear regression showed that the presence of EAR, low exercise (2 h/day TV/videogames/computer) and parental smoking were associated to higher BMI (z-score; P <0.005). Age, BMI (z-score), WtHr, presence of SGA, low exercise, high video time and family history of cardiovascular diseases were associated to SBP values (P <0.03). Logistic regression analysis showed that factors related to risk of hypertension and prehypertension were BMI (z-score; odds ratio, OR 2.63; 95% confidence interval, CI 2.12-3.28), WtHr (OR 1.13; 95% CI 1.10-3.28) and low exercise (OR 1.58; 95% CI 1.12-2.24; P
KW - cardiovascular risk
KW - children
KW - family history
KW - hypertension
KW - parental smoking
KW - physical activity
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U2 - 10.1097/HJH.0b013e32835f17c7
DO - 10.1097/HJH.0b013e32835f17c7
M3 - Article
C2 - 23425707
AN - SCOPUS:84876288926
VL - 31
SP - 983
EP - 992
JO - Journal of Hypertension
JF - Journal of Hypertension
SN - 0263-6352
IS - 5
ER -