Distinct determinants of systolic and diastolic blood pressure in obese children: A multivariate cluster analysis.

IF 2.6 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-09-24 DOI:10.1016/j.clnesp.2025.09.024

Sevde Kahraman, Yusuf Celik, Serra Gonce, Cagla Kara, Ayse Altuntop, Hatice Iktimur, Fatma Celik

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引用次数: 0

Abstract

Background & aims: This study evaluated the nutritional status and blood pressure of obese children aged 6-15 using multivariate cluster analysis to reveal distinct risk patterns for systolic and diastolic hypertension.

Methods: A total of 240 obese children were assessed using anthropometric measurements, 24-h dietary recalls, Mediterranean dietary adherence scale (KIDMED) scores, and blood pressure values. Multivariate cluster analysis, which evaluates all variables collectively, was used to detect interrelated subgroups.

Results: The study included 240 obese children (mean age 11.3 ± 2.2 years; 51.7 % female). Mean systolic and diastolic blood pressure values were 114.1 ± 13.1 and 69.8 ± 12.0 mmHg, respectively. Among children aged 13-15 years, 17.9 % had elevated systolic and 23.9 % had elevated diastolic blood pressure. The mean KIDMED score was 7.1 ± 3.0, with 46.3 % showing optimal adherence to the Mediterranean diet. Average daily intake was 2132 ± 502 kcal, 206.5 ± 74.5 g carbohydrates, 85.4 ± 14.3 g protein, and 110.3 ± 23.4 g fat. Cluster analysis revealed that systolic blood pressure clustered with BMI, waist and neck circumferences, while diastolic blood pressure was associated with protein intake and sleep duration.

Conclusion: Multivariate cluster analysis enabled a whole-system view, identifying tailored clinical targets. By differentiating the factors affecting systolic and diastolic pressure, this approach offers a new perspective for personalized interventions in obese children.

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肥胖儿童收缩压和舒张压的不同决定因素：多变量聚类分析。

背景与目的：本研究通过多变量聚类分析来评估6-15岁肥胖儿童的营养状况和血压，以揭示收缩期和舒张期高血压的不同风险模式。方法：采用人体测量、24小时饮食回忆、地中海饮食依从性量表（KIDMED）评分和血压值对240名肥胖儿童进行评估。多变量聚类分析，对所有变量进行集体评估，用于检测相关的亚组。结果：纳入肥胖儿童240例（平均年龄11.3±2.2岁，女性51.7%）。平均收缩压和舒张压分别为114.1±13.1和69.8±12.0 mmHg。在13-15岁的儿童中，17.9%有收缩压升高，23.9%有舒张压升高。平均KIDMED评分为7.1±3.0,46.3%的人表现出对地中海饮食的最佳依从性。平均每日摄入热量为2132±502千卡，碳水化合物206.5±74.5克，蛋白质85.4±14.3克，脂肪110.3±23.4克。聚类分析显示，收缩压与BMI、腰围和颈部围围聚集在一起，而舒张压与蛋白质摄入量和睡眠时间有关。结论：多变量聚类分析可以实现全系统视图，确定量身定制的临床靶点。通过区分影响收缩压和舒张压的因素，该方法为肥胖儿童的个性化干预提供了新的视角。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.