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Undernutrition in childhood resulted in bad dietary behaviors and the increased risk of hypertension in a middle-aged Chinese population

Published online by Cambridge University Press:  01 June 2018

L. Zhang ,
J. Sheng ,
Y. Xuan ,
P. Xuan ,
J. Zhou ,
Y. Fan ,
X. Zhu ,
K. Liu ,
L. Yang  and
F. Tao
...Show all authors
L. Zhang
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China
J. Sheng
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China
Y. Xuan
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China
P. Xuan
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China
J. Zhou
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China
Y. Fan
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China
X. Zhu
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China
K. Liu
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China
L. Yang
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China
F. Tao
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China
S. Wang*
Affiliation:
School of Public Health, Anhui Medical University, Hefei, Anhui, P. R. China Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China
*
Address for correspondence: S. Wang, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui Province, China. E-mail: [email protected]
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Abstract

This study was designed to explore the association between undernutrition in the growth period and cardiovascular risk factors in a middle-aged Chinese population. A total of 1756 subjects, aged 45–60 years, were invited to participate in the Hefei Nutrition and Health Study and divided into three groups according to their self-reported animal food intake in the growth period. Group 1, Group 2 and Group 3 were defined as undernutrition, nutritional improvement and the good nutrition group, respectively. In the three groups, the subjects in Groups 1 and 2 had more oil and salt intake (P<0.001), and less eggs and milk intake (P<0.001), when compared with the subjects in Group 3. After adjusting for age, education, smoking status and other confounding factors, it was found that male participants who experienced nutritional improvement before age 18 had higher risk of hypertension [odds ratio (OR)=1.68; 95% confidence intervals (CI): 1.05, 2.69] than those with good nutrition, and female participants with undernutrition (OR=1.52; 95% CI: 1.01, 2.29) and nutritional improvement (OR=1.68; 95% CI: 1.04, 2.69) before age 18 had a higher risk of hypertension than those with good nutrition. For diabetes, obesity, hypercholesterolemia and hypertriglyceridemia, our results did not found difference among the three groups both in male and female. Our findings indicated that nutritional deficiency in childhood was associated with bad dietary behaviors and a significantly increased risk of hypertension in middle age. Therefore, early adequate nutrition is very important for the prevention of non-communicable diseases later.

Keywords

childhooddietary behaviorshypertension; middle-agedundernutrition
Type
Original Article
Information
Journal of Developmental Origins of Health and Disease , Volume 9 , Issue 5 , October 2018 , pp. 544 - 551
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2018 

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