Body Mass Index and Waist Hip Ratio a Predictor of Hypertension of Adolescent Boys and Girls in a Metropolitan City in Bangladesh

Background: The associations between elevated blood pressure and overweight increasing now a days. Over the last few decades the prevalence of elevated blood pressure also increased in children due to increasing pediatric overweight because of changing dietary habits, changing pattern of life style. Objective: To see the body mass index and waist hip ratio a predictor of hypertension of adolescent boys and girls in a metropolitan city in Bangladesh. Methods and Materials: This cross-sectional– descriptive study was conducted in the department of Pediatrics, Sylhet M.A.G. Osmani Medical College Hospital, Sylhet during the period from January 2014 to June 2014. Adolescent boys and girls in Sylhet Metropolitan City were included according to inclusion and exclusion criteria. Inclusion criteria were children aged 12-16 years in Sylhet Metropolitan City. Children aged under 12 or above 16 years and with any systemic disorder were excluded. Results: This study showed that 56.4% adolescents were male and 43.6% were female with ratio of male: female = 1.3:1 and their average age was 14±2 yrs. Average height of male was 154.82±49.08 cm and female was 148.42±38.09 cm. Average weight of male was 49.12±10.49 kg and that of female was 44.48±12.08 kg .Prevalence of hypertension in adolescent boys and girls of Sylhet city was 0.70% and there was a significant relationship of hypertension with the obesity. Among 7 (seven) hypertensive children, 3(42.8%) were overweight and 3(42.8%) obese (p=0.001). While waist hip ratio among those, 2(28.6%) were excellent and 5(71.4%) were average; was not significant (p=0.745) among the hypertensive adolescents. Conclusion: Prevalence of hypertension in apparently healthy adolescent child of Sylhet city was 0.70% and had a strong relationship with high body mass index J Bangladesh Coll Phys Surg 2020; 38(3): 110-115

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Seventeen-Year Changes in Body Mass Index, Waist Circumference, Elevated Blood Pressure, and Diabetes Phenotypes in a Cohort of Filipino Women

Asia Pacific Journal of Public Health ◽

10.1177/1010539518800366 ◽

2018 ◽

Vol 30 (6) ◽

pp. 561-571 ◽

Cited By ~ 6

Author(s):

Linda S. Adair ◽

Christopher Kuzawa ◽

Thomas McDade ◽

Delia B. Carba ◽

Judith B. Borja

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Socioeconomic Status ◽

Waist Circumference ◽

Body Mass ◽

The Philippines ◽

Secular Trends ◽

Elevated Blood Pressure ◽

Elevated Blood ◽

Nutrition Survey

Obesity, hypertension, and diabetes have risen dramatically in Asia, but few cohort studies track age and secular trends in these conditions. We use Cebu (The Philippines) Longitudinal Health and Nutrition survey data to document 1998 to 2015 prevalence and co-occurrence of body mass index (BMI; >25 kg/m2), high waist circumference (WC; >80 cm), elevated blood pressure (EBP; systolic ⩾130 or diastolic ⩾85 mm Hg), and type 2 diabetes among ~2000 women aged 29 to 62 years in 1998; and identify their relationship to community, household, and individual factors using longitudinal logistic regression. Prevalence (1998-2015) rates were 35% to 49%, BMI >25 kg/m2; 32% to 58% high WC; 21% to 59% EBP; and 2% to 14% diabetes. Only 20% of women had none of these conditions in 2015. Diabetes was strongly driven by age and secular trends in high WC related to higher socioeconomic status and urbanization. Hypertension increased with age in lower socioeconomic status rural and more affluent urban women. Results underscore the continuing need for public health measures to prevent obesity and to identify and treat hypertension and diabetes.

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A3672 Role of waist circumference in predicting elevated blood pressure among children and adolescents with normal body mass index

Journal of Hypertension ◽

10.1097/01.hjh.0000549184.63892.12 ◽

2018 ◽

Vol 36 ◽

pp. e290

Author(s):

Mingming Wang ◽

Jiahong Sun ◽

Chuanwei Ma ◽

Bo Xi

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Waist Circumference ◽

Children And Adolescents ◽

Body Mass ◽

Elevated Blood Pressure ◽

Normal Body Mass Index ◽

Elevated Blood ◽

Normal Body

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Body Mass Index and Blood Pressure-to-Height Ratio in Predicting Incidence of Hypertension in Serbian Children

Children ◽

10.3390/children7120254 ◽

2020 ◽

Vol 7 (12) ◽

pp. 254

Author(s):

Valerija Puškaš ◽

Rada Rakić ◽

Maja Batez ◽

Dejan Sakač ◽

Tatjana Pavlica

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Body Mass ◽

Characteristic Curve ◽

Area Under The Curve ◽

Predictive Ability ◽

Elevated Blood Pressure ◽

Elevated Blood ◽

Height Ratio ◽

Early Screening

Background: A new method using blood pressure-to-height ratio for diagnosing elevated blood pressure/hypertension in children has been introduced recently. We aimed to compare blood pressure-to-height ratio (BPHR) and Body Mass Index (BMI) in predicting incidence of hypertension (HTN). Methods: The sample consisted of 1133 boys and 1154 girls aged 7–15. We used the following equations for BPHR: systolic BPHR (SBPHR) = SBP (mm Hg)/height (cm) and diastolic BPHR (DBPHR) = DBP (mm Hg)/height (cm). In order to determine the accuracy of SBPHR, DBPHR and BMI as diagnostic tests for elevated blood pressure (elevated BP), we used the receiveroperating characteristic curve analyses. Results: The area under the curve (AUC) values for BMI ranged from 0.625 to 0.723 with quite low sensitivity rates from 62% to 72.5% and specificities from 58.2% to 67.3% showing a modest ability to identify children with elevated BP and HTN. On the contrary, BPHR showed a great predictive ability to identify elevated BP and HTN with AUC values of 0.836 to 0.949 for SBP and from 0.777 to 0.904 for DBP. Furthermore, the sensitivity ranged from 78.5% to 95.7%, and the specificity from 73.9% to 87.6%. Conclusion: the current study showed that BPHR is an accurate index for detecting elevated BP and HTN in children aged 7 to 15 years and can be used for early screening.

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