This is much higher than among American children. According to a recent report, 20.2% of Chinese boys and 16.3% of girls had elevated BP elevated BP was also common among obese children.
The ideal levels of almost all the seven metrics, including smoking, diet, body mass index (BMI), and BP, suggested by the American Heart Association’s 2020 Strategic Goals, had decreased among Chinese Children. In a recent study based on data collected during 2004–2014, we reported adverse trends in ideal cardiovascular health indicators among Chinese children and adolescents. There are also indicators of worsening of other health problems like elevated blood pressure (BP). It is much more prevalent in major cities, reaching about 50% in Beijing children in recent years. It has reached 42.6% in Chinese adults by 2010. In children, it increased from less than 3% in 1985 to about 20% in 2010. The prevalence of obesity and overweight has increased rapidly among Chinese adults and children over the past three decades. Results were similar when Chinese fast food consumption was adjusted for. Adjusting for Western fast food consumption, children with lower maternal education were 71% and 43% more likely to have obesity and central obesity (ORs and 95% CIs: 1.71 and 1.43, respectively), and maternal body mass index was positively associated with child obesity, central obesity, and hypertension (ORs and 95% CIs: 1.11, 1.12, and 1.09, respectively). No significant associations between fast food consumption and health outcomes were detected. Chinese fast food consumption rate increased by 12% with each year of increase in child’s age (OR and 95% CI: 1.12 ). Compared to those with college or above maternal education level, those with elementary school or below maternal education level were 49% more likely to consume Western fast food (odds ratio and 95% confidence interval : 1.49 ). About half (51.9% and 43.6%) of children consumed Western and Chinese fast food, respectively, over the past 3 months. Obesity prevalence was much higher in boys than in girls (15.2% vs. Among the children, 11.1% were obese, 19.7% were centrally obese, and 9.0% had hypertension.
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