Reductions in blood pressure during a community-based overweight and obesity treatment in children and adolescents with prehypertension and hypertension

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.

Download Full-text

Correlation between Blood Pressure, Body Mass Index, Life Style and Dietary Habits in Children and Adolescents Aged 6 to 18 Years in Tabriz, Iran

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v28i2.3479 ◽

2020 ◽

Author(s):

Shahnaz Taghizadeh ◽

Mahdieh Abbasalizad Farhangi ◽

Fathollah Poorali

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Dietary Intake ◽

Children And Adolescents ◽

Body Mass ◽

High Blood Pressure ◽

Life Style ◽

Dietary Habits ◽

Overweight And Obesity ◽

Watching Tv

Introduction: The prevalence of childhood high blood pressure is rising fast. The possibility of high blood pressure augments with increasing body mass index (BMI), inappropriate dietary intake and lifestyle problems. The aim of this study was to investigate the correlation between blood pressure, body mass index, life style and dietary habits in children and adolescents aged 6 - 18 years in Tabriz, Iran. Methods: The present study was a cross-sectional study. Using data of the Sib software (the software used in the health transformation system) were collected. This data includes anthropometric information, some demographic factors, dietary intake and lifestyle of 425 children and adolescents with overweight and obesity. The data were analyzed by STATA software (MP 4.2 potable 2017). Results: The association between systolic blood pressure and dairy products (P = 0.02), watching TV / PC (P = 0.041), BMI quarter (P <0.001), BMI (P <0.001), and age (P <0.001) as well as the association between diastolic blood pressure with BMI quarter (P <0.001), BMI (P <0.001) and age (P <0.001) was statistically significant and the other variables did not show a meaningful statistical relationship. Conclusion: Age, BMI, less dairy consumption, and watching TV/PC has a relationship with high blood pressure. Therefore, nutritionists and health workers should consider the above considerations when making recommendations in children and adolescents with overweight and obesity.

Download Full-text

Age-, sex-, and height-based blood pressure reference charts, Yazd children 6–18 years, Iran

Clinical and Experimental Pediatrics ◽

10.3345/cep.2019.00094 ◽

2020 ◽

Vol 63 (8) ◽

pp. 321-328

Author(s):

Nastaran ahmadi ◽

Seyedeh Mahdieh Namayandeh ◽

Seyed Mahmood Sadr Bafghi ◽

Mohammad Reza Mohammadi ◽

Masoud Mirzaei ◽

...

Keyword(s):

Blood Pressure ◽

Children And Adolescents ◽

Pediatric Hypertension ◽

Community Based ◽

Cross Sectional ◽

Pressure Distributions ◽

Percentile Rank ◽

Blood Pressures ◽

The Mean ◽

Iranian Children

Background: Pediatric hypertension is the main cause of morbidity and mortality in pediatric populations.Purpose: To examine pediatric hypertension in a clinical setting, we used the percentile rank approach and defined hypertension as that above the 95th percentile.Methods: The present study was linked to the a national analytical cross-sectional community-based Iranian Children and Adolescents’ Psychiatric Disorders (IRCAP) survey. The survey was nationwide and funded by the National Institute of Medical Research Development. The IRCAP survey included 31,000 children and adolescents aged 6–18 years in all 31 Iran provinces. The current study included 1,035 children and adolescents and linked the data of the risk factors of cardiovascular disease only in Yazd province via random cluster sampling.Results: Of the total participants, 456 (44.1%) were male and 579 (55.9%) were female. The mean age was 11.2±3.8 years (11.7±3.7 years for males, 11.0±3.6 years for females), while mean height was 146±20.0 cm overall, 147.2±22.0 cm for males, and 144.6±17.0 cm for females (P=0.009). The blood pressure distributions and percentiles were evaluated.Conclusion: Here we determined age- and height-specific 50th, 90th, 95th, and 99th percentiles of systolic and diastolic blood pressures in Yazd boys and girls using 10-cm height intervals.

Download Full-text