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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: wangsufangdev@126.com
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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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References

1. Ibrahim, MM, Damasceno, A. Hypertension in developing countries. Lancet. 2012; 380, 611–619.Google Scholar
2. Chow, CK, Teo, KK, Rangarajan, S, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013; 310, 959–968.Google Scholar
3. Bhargava, SK, Sachdev, HS, Fall, CH, et al. Relation of serial changes in childhood body-mass index to impaired glucose tolerance in young adulthood. N Engl J Med. 2004; 350, 865–875.Google Scholar
4. Neunlist, M, Schemann, M. Nutrient-induced changes in the phenotype and function of the enteric nervous system. J Physiol. 2014; 592, 2959–2965.Google Scholar
5. Karlberg, J, Jalil, F, Lam, B, Low, L, Yeung, CY. Linear growth retardation in relation to the three phases of growth. Eur J Clin Nutr. 1994; 48(Suppl. 1), S25–S43, discussion S43–S44.Google Scholar
6. Barker, DJ. The developmental origins of adult disease. J Am Coll Nutr. 2004; 23(Suppl.), 588s–595s.Google Scholar
7. Rolland-Cachera, MF, Maillot, M, Deheeger, M, et al. Association of nutrition in early life with body fat and serum leptin at adult age. Int J Obes (Lond). 2013; 37, 1116–1122.Google Scholar
8. Ho, JY. Early-life environmental exposures and height, hypertension, and cardiovascular risk factors among older adults in India. Biodemography Soc Biol. 2015; 61, 121–146.Google Scholar
9. Wang, Z, Li, C, Yang, Z, Zou, Z, Ma, J. Infant exposure to Chinese famine increased the risk of hypertension in adulthood: results from the China Health and Retirement Longitudinal Study. BMC Public Health. 2016; 16, 435.Google Scholar
10. Li, LM, Rao, KQ, Kong, LZ, et al. [A description on the Chinese national nutrition and health survey in 2002]. Zhonghua Liu Xing Bing Xue Za Zhi. 2005; 26, 478–484.Google Scholar
11. Yang, F, Qian, D, Hu, D, et al. Prevalence of cardiovascular disease risk factor clustering in Chinese adults. Clin Trials Regul Sci Cardiol. 2016; 15, 1–6.Google Scholar
12. Wang, J, Thornton, JC, Bari, S, et al. Comparisons of waist circumferences measured at 4 sites. Am J Clin Nutr. 2003; 77, 379–384.Google Scholar
13. Berg, CM, Lappas, G, Strandhagen, E, et al. Food patterns and cardiovascular disease risk factors: the Swedish INTERGENE research program. Am J Clin Nutr. 2008; 88, 289–297.Google Scholar
14. Ainsworth, BE, Haskell, WL, Whitt, MC, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000; 32(Suppl.), S498–S504.Google Scholar
15. Whelton, PK, Carey, RM, Aronow, WS, et al. 2017; Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2017; https://doi.org/10.1016/j.jacc.2017.11.005.Google Scholar
16. Joint Committee for Developing Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. [Chinese guidelines on prevention and treatment of dyslipidemia in adults]. Zhonghua Xin Xue Guan Bing Za Zhi. 2007; 35, 390–419.Google Scholar
17. Vijan, S. Type 2 diabetes. Ann Intern Med. 2010; 152, ITC3-1–1.Google Scholar
18. Dwyer, JT, Coleman, KA. Insights into dietary recall from a longitudinal study: accuracy over four decades. Am J Clin Nutr. 1997; 65(Suppl.), 1153s–1158s.Google Scholar
19. Kesternich, I, Siflinger, B, Smith, JP, Winter, JK. Individual behaviour as a pathway between early-life shocks and adult health: evidence from hunger episodes in post-war Germany. Econ J. 2015; 125, F372–F393.Google Scholar
20. Ainuki, T, Akamatsu, R, Hayashi, F, Takemi, Y. Association of enjoyable childhood mealtimes with adult eating behaviors and subjective diet-related quality of life. J Nutr Educ Behav. 2013; 45, 274–278.Google Scholar
21. Miller, GE, Chen, E, Parker, KJ. Psychological stress in childhood and susceptibility to the chronic diseases of aging: moving towards a model of behavioral and biological mechanisms. Psychol Bull. 2011; 137, 959–997.Google Scholar
22. Beyerlein, A, Thiering, E, Pflueger, M, et al. Early infant growth is associated with the risk of islet autoimmunity in genetically susceptible children. Pediatr Diabetes. 2014; 15, 534–542.Google Scholar
23. Eriksson, JG. Early growth and coronary heart disease and type 2 diabetes: findings from the Helsinki Birth Cohort Study (HBCS). Am J Clin Nutr. 2011; 94(Suppl.), 1799s–1802s.Google Scholar
24. Sattar, N, McConnachie, A, O’Reilly, D, et al. Inverse association between birth weight and C-reactive protein concentrations in the MIDSPAN Family Study. Arterioscler Thromb Vasc Biol. 2004; 24, 583–587.Google Scholar
25. Luyckx, VA, Bertram, JF, Brenner, BM, et al. Effect of fetal and child health on kidney development and long-term risk of hypertension and kidney disease. Lancet. 2013; 382, 273–283.Google Scholar
26. Lee, YJ, Cho, S, Kim, SR. The association between serum adiponectin levels and nutritional status of hemodialysis patients. Ren Fail. 2011; 33, 506–511.Google Scholar
27. Kim, DH, Kim, C, Ding, EL, Townsend, MK, Lipsitz, LA. Adiponectin levels and the risk of hypertension: a systematic review and meta-analysis. Hypertension. 2013; 62, 27–32.Google Scholar
28. Ambroszkiewicz, J, Klemarczyk, W, Rowicka, G, et al. [Adipokines, body composition and bone mineral density in underweight children]. Pol Merkur Lekarski. 2015; 39, 18–22.Google Scholar
29. Huxley, RR, Shiell, AW, Law, CM. The role of size at birth and postnatal catch-up growth in determining systolic blood pressure: a systematic review of the literature. J Hypertens. 2000; 18, 815–831.Google Scholar
30. Vaiserman, AM. Early-life nutritional programming of type 2 diabetes: experimental and quasi-experimental evidence. Nutrients. 2017; 9, 236.Google Scholar
31. Stanner, SA, Bulmer, K, Andres, C, et al. Does malnutrition in utero determine diabetes and coronary heart disease in adulthood? Results from the Leningrad siege study, a cross sectional study. BMJ. 1997; 315, 1342–1348.Google Scholar
32. He, FJ, MacGregor, GA. Salt and sugar: their effects on blood pressure. Pflugers Arch. 2015; 467, 577–586.Google Scholar
33. Hoyer, J. [Salt restriction in people with hypertension and patients with cardiovascular disease: meaningfulness and extent]. Internist (Berl). 2015; 56, 784–790.Google Scholar