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Sugar-sweetened beverages and school students’ hypertension in urban areas of Nanjing, China


Literature showed that sugar-sweetened beverages (SSBs) could increase the risk of developing hypertension in school students, but there is no reported evidence from China yet, so this study aims to investigate the association of the SSBs consumption and school students’ hypertension in urban areas of Nanjing, China. A cross-sectional survey was conducted among primary and junior high school students selected from 32 primary schools and 16 junior high schools using a multi-stage random sampling method, with a total number of 10,091 participants involved. The mean age of Grade 4 is 9.04 ± 0.38, while the mean age of Grade 7 is 12.03 ± 0.41. Blood pressure was measured and SSBs consumption was reported using a validated questionnaire. The overall prevalence of hypertension was 4.5% among the participants. After adjustment for school, parental education, physical activity, diet intake including meat and snacks, participants who had an experience of SSBs intake were at a higher risk of developing hypertension (odds ratio (OR) = 1.40, 95% confidence interval (CI) = 1.15, 1.70) compared with those who had no experience of SSBs intake. A significant association between the consumption of SSBs and hypertension was observed among the students who were at a healthy weight (OR = 1.78, 95% CI = 1.20, 2.65), as well as who were overweight or obese (OR = 1.28, 95% CI = 1.01, 1.61). SSBs may play a contributing role in developing childhood hypertension in this population in China, which is of important implications for future population-based childhood hypertension intervention in China and other countries.

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The study was supported by Nanjing Medical Science and Technique Foundation (ZDX12019), China. Our special thanks go to study participants and the school personnel that participated in the data collection.

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Correspondence to Fei Xu.

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The authors declare that they have no conflict of interest.

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Zhenzhen Qin and Fei Xu contributed equally to this work.

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Qin, Z., Xu, F., Ye, Q. et al. Sugar-sweetened beverages and school students’ hypertension in urban areas of Nanjing, China. J Hum Hypertens 32, 392–396 (2018).

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