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Long-Term Predictors of Blood Pressure Among Adolescents During an 18-Month School-Based Obesity Prevention Intervention

Title
Long-Term Predictors of Blood Pressure Among Adolescents During an 18-Month School-Based Obesity Prevention Intervention
Authors
Kim, NayoungSeo, Dong-ChulKing, Mindy H.Lederer, Alyssa M.Sovinski, Danielle
Ewha Authors
서동철
SCOPUS Author ID
서동철scopus
Issue Date
2014
Journal Title
JOURNAL OF ADOLESCENT HEALTH
ISSN
1054-139XJCR Link1879-1972JCR Link
Citation
vol. 55, no. 4, pp. 521 - 527
Keywords
Blood pressureSchool healthLongitudinal cohortObesity intervention
Publisher
ELSEVIER SCIENCE INC
Indexed
SCI; SCIE; SSCI; SCOPUS WOS scopus
Abstract
Purpose: To evaluate the effectiveness of the HEROES (Healthy, Energetic, Ready, Outstanding, Enthusiastic Schools) initiative, a multicomponent school-based obesity prevention intervention based on the Centers for Disease Control and Prevention's coordinated school health approach, on the improvement of blood pressure (BP) and to determine long-term predictors of systolic and diastolic BP changes among high school students who were exposed to the intervention. Methods: Biometric and behavioral data from high school students were analyzed at baseline, 6, 12, and 18 months (N = 847, three schools). The attrition rate at 18 months was 26.1%. Sequential generalized estimating equation models were fit to the data using SAS 9.3, taking into account clustering effects within the same school and correlations within repeated measures. Results: A significant downward trend was observed in systolic BP (p = .0006) and diastolic BP (p < .0001) among the students who were exposed to the HEROES initiative. The prevalence of hypertension decreased from 17.1% at baseline to 12.8% at 6 months (p < .0001), 12.0% at 12 months (p < .0001), and 15.0% (p = .0024) at 18 months. Baseline body mass index, increases in body mass index percentiles, and increases of television-viewing hours were associated with BP increases. Increases in frequencies of eating french fries or chips, skipping breakfast, and consuming supersize meals when eating fast food were predictive of systolic BP changes, not of diastolic BP changes. Conclusions: An 18-month multicomponent school-based obesity intervention program may be effectively used to decrease rates of high BP among adolescents. (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.
DOI
10.1016/j.jadohealth.2014.04.011
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신산업융합대학 > 융합보건학과 > Journal papers
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