IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i23p8926-d454250.html
   My bibliography  Save this article

The Relationship between Under-Nutrition and Hypertension among Ellisras Children and Adolescents Aged 9 to 17 Years

Author

Listed:
  • Tumisho Praise Mphahlele

    (Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa)

  • Kotsedi Daniel Monyeki

    (Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa)

  • Winnie Maletladi Dibakwane

    (Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa)

  • Sekgothe Mokgoatšana

    (Department of Cultural and Political Studies, School of Social Sciences, University of Limpopo, Sovenga 0727, South Africa)

Abstract

Background : Globally, under-nutrition and hypertension in children has been associated with the risk of developing cardiovascular disease (CVD) in adulthood. The main objective of this study was to investigate the relationship between under-nutrition and hypertension, furthermore, to determine the risk of developing hypertension due to under-nutrition. Methods : The study comprised of 1701 participants (874 boys and 827 girls) between the ages of 9 and 17 years old. All anthropometric and blood pressure measurements were taken according to standard procedures. Mid-upper arm circumference (MUAC), body mass index (BMI), upper arm fat area (UFA), total upper arm area (TUAA) and upper arm muscle area (UMA) of Ellisras children were compared with the National Health and Nutrition Examination Survey III reference population. The linear regression models were used to determine the relationship between under-nutrition with hypertension for unadjusted and then adjusted for age and gender. The logistic regression model was used to determine the risk of under-nutrition on developing hypertension for unadjusted and adjusted for age and gender. Results : There was a positive significant ( p < 0.0001) association between all under-nutrition variables (MUAC, BMI, UFA, TUAA and UMA) and systolic blood pressure (SBP; beta ranges between 0.84 and 2.78), and diastolic blood pressure (DBP; beta ranges between 0.3 and 1.08 before adjusting and after adjusting for age and gender (SBP, beta ranges between 0.59 and 2.00 and DBP (beta ranges between 0.24 and 0.80. Conclusion: The prevalence of under-nutrition was high while the prevalence of hypertension was low in this study. The mean under-nutrition variables (BMI, UFA, UMA and MUAC) of Ellisras children were far lower compared to the NHANES III reference population. Hypertension was significantly associated with under-nutrition in this study.

Suggested Citation

  • Tumisho Praise Mphahlele & Kotsedi Daniel Monyeki & Winnie Maletladi Dibakwane & Sekgothe Mokgoatšana, 2020. "The Relationship between Under-Nutrition and Hypertension among Ellisras Children and Adolescents Aged 9 to 17 Years," IJERPH, MDPI, vol. 17(23), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8926-:d:454250
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/23/8926/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/23/8926/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kotsedi Monyeki & Han Kemper & Alfred Mogale & Leon Hay & Machoene Sekgala & Tshephang Mashiane & Suzan Monyeki & Betty Sebati, 2017. "Association between Blood Pressure and Birth Weight among Rural South African Children: Ellisras Longitudinal Study," IJERPH, MDPI, vol. 14(9), pages 1-9, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8926-:d:454250. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.