Blood pressure among children and adolescents with normal weight but large waist circumference in Shandong, China

2013 ◽  
Vol 173 (3) ◽  
pp. 285-289 ◽  
Author(s):  
Zhang Ying-xiu ◽  
Sun Da-yong ◽  
Zhou Jing-yang ◽  
Zhao Jin-shan ◽  
Chu Zun-hua
Keyword(s):  
Blood Pressure ◽  
Waist Circumference ◽  
Children And Adolescents ◽  
Normal Weight

scholarly journals Association of different obesity indices with blood pressure and blood lipids in children and adolescents

2008 ◽  
Vol 100 (1) ◽  
pp. 208-218 ◽  
Author(s):  
Sandra Plachta-Danielzik ◽  
Beate Landsberg ◽  
Maike Johannsen ◽  
Dominique Lange ◽  
Manfred James Müller
Keyword(s):  
Blood Pressure ◽  
Risk Assessment ◽  
Waist Circumference ◽  
Children And Adolescents ◽  
Blood Lipids ◽  
Prevention Study ◽  
Cvd Risk ◽  
Cross Sectional ◽  
Obesity Index ◽  
Obesity Indices

The aim of the present study was to compare individual associations of BMI, triceps skinfold (TSF), waist circumference (WC) and percentage fat mass (%FM) with blood pressure (BP) and blood lipids in children and adolescents. Cross-sectional data on BMI, TSF, WC, %FM as well as on BP, TAG and HDL were analysed in 4220 (BP) and 729 (lipids) 9–11-year-old children and 3174 (BP) and 536 (lipids) 13–16-year-old adolescents as part of the Kiel Obesity Prevention Study. All obesity indices were similarly associated with BP and blood lipids. In girls, WC had closer correlations to BP than BMI (systolic BP: 0·27 and 0·24 for BMI, 0·34 and 0·28 for WC in 9–11- and 13–16-year-olds). Subjects with an obesity index ≥ 90th percentile had higher prevalences of elevated BP and blood lipids than subjects with a normal index. In children with normal BMI or WC, an additionally elevated second obesity index was associated with a 2·5–7·4-fold higher prevalence of high BP when compared with children with normal indices. In adolescents, an elevated WC plus an elevated second obesity index was associated with a 2·6–8·2-fold higher prevalence of high BP when compared with adolescents with an elevated WC plus a normal second index. We conclude that (i) both BMI and WC are appropriate to estimate CVD risk, (ii) the use of a second obesity index is recommended in children with normal BMI or normal WC as well as in adolescents with elevated WC and (iii) all obesity indices seemed to be appropriate for risk assessment.

Gender Differences in Cardiometabolic Risk Factors in Metabolically Healthy Normal Weight Adults with Central Obesity

2017 ◽  
Vol 126 (05) ◽  
pp. 309-315
Author(s):  
Katarína Šebeková ◽  
Melinda Csongová ◽  
Radana Gurecká ◽  
Zora Krivošíková ◽  
Jozef Šebek
Keyword(s):  
Blood Pressure ◽  
Waist Circumference ◽  
Plasma Glucose ◽  
Fasting Plasma Glucose ◽  
Central Obesity ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Cross Sectional ◽  
Fasting Plasma ◽  
Metabolically Healthy

AbstractWe investigated whether metabolically healthy normal weight adults with central obesity display worse cardiometabolic profile compared with their centrally lean counterparts. This retrospective, cross-sectional study, comprised 1 135 subjects (64% females) aged 18-to-81 years, presenting ≤2 components of metabolic syndrome. They were classified as centrally lean (waist-to-height ratio (WHtR)<0.5 and waist circumference<80 cm in females and<94 cm in males) or presenting central obesity (WHtR ≥0.5, regardless of waist circumference). Data on blood pressure, glucose homeostasis, lipid profile, renal function, high-sensitive C-reactive protein (hsCRP), uric acid, adiponectin, leptin, and soluble receptor for advanced glycation end products were compared between the groups, separately in males and females. 5.7% of males and 6.9% of females presented WHtR ≥0.5. Compared with centrally lean subjects, those with central obesity had higher BMI-adjusted fasting plasma glucose (p<0.001), and leptin levels (p<0.05); females also presented higher blood pressure (p<0.001), while males had higher hsCRP concentrations (p=0.021). These changes associated with significantly higher BMI-adjusted odds to present fasting plasma glucose >5.6 mmol/l in both genders, higher odds to present hsCRP >3 mg/l in males, and those to present elevated blood pressure in females. Our analysis suggests that in metabolically healthy normal weight subjects WHtR ≥0.5 might indicate “early increased health risk”.

scholarly journals Assessment of the influence of overweight and obesity on the development of prehypertension and hypertension in children aged 6-15

2021 ◽  
Vol 50 (4) ◽  
pp. 85-96
Author(s):  
Marijana Jandrić-Kočić
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Primary School ◽  
Children And Adolescents ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Primary School Children ◽  
Cross Sectional ◽  
Significant Difference ◽  
Hypertension In Children

Introduction/Aim: 41 million children under the age of 5 and 340 million children and adolescents aged 5 to 19 are overweight or obese. Obesity in children and adolescents is the most important predictor of high blood pressure. The aim of the study was to examine the incidence of overweight and obesity in primary school children aged 6 to 15 years, as well as to examine the incidence of prehypertension and hypertension in children who were overweight and obese. Method: The study included 85 of 86 children from the Primary School "Krupa na Uni". Data were collected with the help of a questionnaire, while body weight and blood pressure were measured. The chi-square test and t-test were used for the statistical analysis of data Results: The cross-sectional study included 85 children, 45 (52.9%) boys and 40 (47.1%) girls with an average age of 10.87 ± 2.70 years. Normal weight was found in 54 (63.5%) subjects, underweight in 12 (14.1%), overweight in 5 (5.9%), and obesity in 14 (16.5%). 76 (89.4%) subjects had normal blood pressure values, 5 (5.9%) prehypertensive state, and 4 (4.7%) arterial hypertension. There was no significant difference between younger and older children regarding their nutritional status (p=0.477) and blood pressure levels (p=0.453). Children who were overweight and obese had prehypertension and hypertension significantly more often (p˂0.001). Conclusion: Every fifth child was overweight or obese, while prehypertension or hypertension were found in every tenth child. The timely change of diet and physical activity could contribute to the regulation of body weight and the regulation of blood pressure, as well.

scholarly journals The Relationship between Sleep Duration, Body Mass Index, Physical Education Classes, Age and High Blood Pressure in Children and Adolescents: A Cross-sectional Study

2020 ◽  
Author(s):  
Lei Cao ◽  
Ge Li ◽  
Changhong Zhang ◽  
Xiaohua Tang
Keyword(s):  
High School ◽  
Blood Pressure ◽  
Physical Education ◽  
Children And Adolescents ◽  
Sleep Duration ◽  
High Blood Pressure ◽  
Multivariate Logistic Regression Analysis ◽  
Normal Weight ◽  
School Students ◽  
Cross Sectional

Abstract Background In order to study the high blood pressure of children and adolescents and its influencing factors, it provides evidence-based evidence for the high blood pressure prevention of primary and secondary school students. Methods This study is a cross-sectional survey, which uses stratified cluster sampling method to select students from 7 schools to participate in questionnaire survey and physical examination. The correlation between single factor and high blood pressure was analyzed by chi-square test, and multivariate logistic regression analysis was used for multivariate analysis. Results A total of 1,814 subjects, including 512 primary school students (28.22%), 499 junior high school students (27.51%), 563 senior high school (31.04%), and 240 vocational high school (13.23%). There were 1000 males (55.13%) and 814 females (44.70%). The average age was 13.64±2.65 years. The detection rate of high blood pressure was 9.76%. Multivariate logistic regression analysis showed that the age groups were 10~ and 14~ (OR=20.870, 95%CI=2.372-183.666; OR=10.049, 95%CI=1.306-77.353) , sleep duration < 7h (OR=4.136, 95%CI=4.136), and physical education class times ≤2 times per week (OR=5.073, 95%CI=2.497-10.306), which were risk factors for high blood pressure in children and adolescents. Normal weight and overweight group were protective factors compared to the obesity group (OR=0.094, 95%CI=0.061-0.146; OR=0.225, 95%CI=0.134-0.378). Conclusion The age groups of 14~ and 16~ years old, physical education classes ≤ 2 times per week, and sleep duration <7h were risk factors for primary and secondary school students, and BMI of Normal weight and overweight group were protective factors compared to the obesity group students.

scholarly journals Prevalence of obesity and cardiovascular risk among children and adolescents in the municipality of Santa Cruz do Sul, Rio Grande do Sul

2013 ◽  
Vol 131 (5) ◽  
pp. 323-330 ◽  
Author(s):  
Cezane Priscila Reuter ◽  
Leandro Tibirica Burgos ◽  
Marcelo Dias Camargo ◽  
Lia Goncalves Possuelo ◽  
Miriam Beatris Reckziegel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Body Mass Index ◽  
Cardiovascular Risk ◽  
Waist Circumference ◽  
Children And Adolescents ◽  
Cardiovascular Risk Factors ◽  
Diastolic Blood Pressure ◽  
Body Mass ◽  
High Prevalence

CONTEXT AND OBJECTIVE: Studies have demonstrated that metabolic complications from child obesity, although silent, increase the risk of development of cardiovascular diseases in adulthood. The present paper sought to describe the prevalence of overweight/obesity and analyze the possible relationship between obesity and other cardiovascular risk factors among children and adolescents. DESIGN AND SETTING: Cross-sectional study, conducted in a university. METHODS: The study included 564 children and adolescents, aged 8 to 17 years. Body mass index and waist circumference were used to evaluate obesity. Other cardiovascular risk factors were evaluated, like systolic and diastolic blood pressure, glycemia, triglycerides and total cholesterol. Descriptive analysis was used for sample characterization, the chi-square test for categorical variables and Pearson's linear correlation for evaluating the relationship between obesity indicators and other cardiovascular risk factors. RESULTS: High prevalence of overweight/obesity was found among the schoolchildren (25.3% among the boys and 25.6% among the girls), along with abdominal obesity (19.0%). The overweight/obese schoolchildren presented higher percentages for the pressure and biochemical indicators, compared with underweight and normal-weight schoolchildren. Body mass index and waist circumference showed a weak correlation with the variables of age and systolic and diastolic blood pressure (P < 0.001), but there was no correlation between these obesity indices and biochemical variables. CONCLUSION: The high prevalence of overweight/obesity and its relationship with other cardiovascular risk factors demonstrate that it is necessary to develop intervention and prevention strategies from childhood onwards, in order to avoid development of chronic-degenerative diseases in adulthood.

scholarly journals Trends in the prevalence of hypertension among children and adolescents during 2000-2014.

2017 ◽  
Vol 12 (47) ◽  
pp. 77-116
Author(s):  
Arely Vergara Castañeda ◽  
Avril Zavaleta Rodríguez ◽  
Rosario Ayala Moreno ◽  
Laura Martino Roaro
Keyword(s):  
United States ◽  
Blood Pressure ◽  
Nutritional Status ◽  
Children And Adolescents ◽  
Public Health Problem ◽  
The United States ◽  
Normal Weight ◽  
Overweight Children ◽  
Lack Of Information ◽  
Childhood Hypertension

Hypertension has been cited as a major risk factor of morbidity and mortality related to cardiovascular diseases and it is considered a public health problem worldwide. There is a lack of information regarding the real prevalence of hypertension among children and adolescents because blood pressure assessment is not considered part of the routine clinical assessment in this population.The aim of this study was analyze the reported prevalence of hypertension in children and adolescents according gender and nutritional status during the period 2000-2014.Methods: A systematic review focused on the assessment of high blood pressure was conducted. Only original articles were selected on the basis of strict inclusion and details and reviewed by pairs. 98 studies met the inclusion criteria. Computerized searches were completed using multiple databases.Results: Nutritional status strongly influences whether children are more likely to have hypertension. However this condition is not the same for overweight children in the United States that have less hypertension than obese children or the adolescents in Asia that the same effect occur. In the case of sex, it was observed that boys in most of the regions are more likely to have hypertension, however this change in the United States and in Africa where girls suffer more of hypertension. According with the age, there are more cases of hypertension among adolescents  than in children, where Latin America reported the highest level of hypertension.Conclusion: The data indicated that despite differences between regions, childhood hypertension has increased in the course of 14 years and it is higher among boys (36.69%) than girls (35.87%), and is also affect by the nutritional status of individuals (37.29% normal weight, 49.49% obese and 68.55% overweight). The reporting of prevalence among children and adolescents around the world need to be improved considerably in order to diminish the inconsistences. 

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