scholarly journals GAMBARAN TEKANAN DARAH PADA REMAJA OBES DI KABUPATEN MINAHASA

2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Rosie Tooy

Abstract: The incidence of obesity continues to rise everywhere. Obesity can increase the risk of high blood pressure. For adolescents, hypertension is also a problem because adolescents with hypertension can continue in adulthood and also with higher chance of morbidity and mortality.  According to the data from Riskesdas for the year 2007, the prevalence of hypertension in adolescents is 9%. The Riskesdas data for the year 2010 also show that prevalence of obesity in adolescents 19,1%. This study aims to describe the blood pressure in obese adolescents at Minahasa district. This study is cross-sectional descriptive approach, with the sample amounted to 54 people. The test results found that 104 students have a waist circumference greater than a normal waist should be. Beside that, the  results showed an outline of blood pressure in obese adolescents at Minahasa district is 29,62% that has hypertension. There are 16 subjects from 54 subjects studied had the blood pressure greater than normal limits while 38 subjects studied had blood pressure within normal limits. Keywords: Blood Pressure, Obesity   Abstrak: Angka kejadian obesitas terus meningkat dimana-mana. Obesitas dapat meningkatkan resiko terjadinya penyakit darah tinggi. Pada remaja, hipertensi juga merupakan suatu masalah, oleh karena remaja yang mengalami hipertensi dapat terus berlanjut pada usia dewasa dan memiliki resiko morbiditas dan mortalitas yang lebih tinggi. Menurut data Riskesdas tahun 2007, prevalensi hipertensi pada remaja sebesar 9%.  Prevalensi obesitas pada remaja menurut data Riskesdas 2010 sebesar 19,1%. Penelitian ini bertujuan untuk mengetahui gambaran tekanan darah pada remaja obes di kabupaten Minahasa. Penelitian ini bersifat cross-sectional dengan pendekatan deskriptif. Sampel penelitian ini berjumlah 54 orang. Hasil pemeriksaan didapati  104 siswa yang memiliki lingkar pinggang lebih dari normal. Hasil penelitian menunjukkan  gambaran tekanan darah pada remaja obes di kabupaten Minahasa didapatkan 29,62% yang menderita hipertensi.      Terdapat 16 subjek dari 54 subjek yang diteliti memiliki tekanan darah lebih dari batas normal sedangkan 38 subjek memiliki tekanan darah dalam batas normal. Kata kunci: Obesitas, Tekanan Darah

2019 ◽  
Vol 24 (5) ◽  
pp. 1885-1893
Author(s):  
Nilcemar Rodrigues Carvalho Cruz ◽  
Pollyanna Costa Cardoso ◽  
Thaisa Netto Souza Valente Frossard ◽  
Fernanda de Oliveira Ferreira ◽  
Stela Brener ◽  
...  

Abstract Childhood hypertension is becoming more common with the increasing numbers of child obesity, which has encouraged new studies to identify a good anthropometric marker for high blood pressure levels. The objective this study was to identify the best anthropometric predictor of risk of hypertension in children between 8-10 years of age. The Children were evaluated for socioeconomic status and their blood pressure (BP), weight, height, waist circumference (WC) and percentage of body fat (PBF) were measured. The study included 445 children, of which 50.1% were females. The prevalence of obesity defined by body mass index (BMI) was 14.6%. Increased BP was found in 3.4% and 2.2% of the children, considering the pre-hypertension and hypertension classifications respectively. The arithmetic mean of BP value correlated significantly with BMI, WC and PBF. After height control, the correlations that were maintained significant were between WC and systolic blood pressure (SBP) and between WC and diastolic blood pressure (DBP). The variable with the highest predictive power of the occurrence of hypertension was WC. The results indicate that, in this population of children between 8 and 10 years old, WC is a measurement of higher value in predicting increased BP.


2021 ◽  
pp. 037957212110196
Author(s):  
Kimberly L. Parra ◽  
Halimatou S. Alaofe ◽  
John E. Ehiri ◽  
Velia Leybas Nuño ◽  
Manolo Mazariegos ◽  
...  

Background: As the incidence of overweight continues to increase among children and adolescents in Guatemala, underweight remains a prominent health problem. However, the prevalence of overweight or underweight and associated risk factors has not been investigated among adolescent girls. Objective: To determine the prevalence of underweight and overweight/obesity and associated sociodemographic, dietary, and lifestyle factors among adolescent girls in Jutiapa, Guatemala. Methods: A cross-sectional study of a subsample of 392 girls aged 12 to 17 years from an agriculture-nutrition trial was conducted. Anthropometric data were obtained using standard methods. Sociodemographic, dietary, and lifestyle data were collected using a structured questionnaire. Multivariable logistic regression was conducted using underweight (body mass index [BMI] for age <5th percentile) and overweight/obesity (BMI for age ≥85th percentile) as outcome variables. Results: The prevalence of underweight and overweight/obesity was 9.9% and 15.6%, respectively. Age (15-17 years), high waist circumference, high blood pressure, father being a farmer, large family (>5 persons), hours spent watching TV, and high red meat consumption were significantly associated with underweight. Whereas being in school, high waist circumference, high blood pressure, overweight/obese mother, unemployed father, watching TV for more than 2 hours, having soft drinks at home, and meeting fruit recommendations were significantly associated with overweight/obesity. Conclusions: Our findings highlight the importance of concurrently addressing underweight and overweight/obesity among adolescent girls in rural Guatemala. Studies in various parts of the country are needed to confirm the results of the present study and for appropriate strategies to be implemented to reduce both underweight and overweight.


2018 ◽  
Vol 6 (2) ◽  
pp. 481-490
Author(s):  
Vinita Thapliyal ◽  
Karuna Singh ◽  
Anil Joshi

India is in a state of transition epidemiological, economic, and demographic and nutrition transition. And all these transitions are leading to non communicable diseases like obesity, hypertension and insulin resistance. The study was aimed to estimate the Prevalence of hypertension and its associated risk factors among adults of rural Uttrakhand. It is a cross sectional community based study. Survey was conducted in rural areas of Uttrakhand, to make a sample size of 300 adults (18-45yr), using WHO STEPS questionnaire. Waist Circumference, Blood pressure, Body Mass Index of the participants was calculated. P value < 0.05 was considered significant. In the sample population based on systolic BP, 61.3% were non-hypertensive, 29.7% were pre-hypertensive and 9% were hypertensive. Based on diastolic BP, 43.3% were non-hypertensive, 32.7% were pre-hypertensive and 24% were hypertensive. Subjects with hypertension and pre-hypertension have higher BMI and waist circumference. A high prevalence rate of pre-hypertension and hypertension was depicted in rural areas of Uttrakhand region.4.8% of the female participants had systolic high blood pressure compared to the 11.9% of the male participants. On the other hand, 21.8% of the female participants had diastolic high blood pressure compared to the over 25% of the male participants.


2020 ◽  
Vol 41 (Supplement_1) ◽  
Author(s):  
A Kerimkulova ◽  
A S Ospanova ◽  
R G Nurpeissova ◽  
G M Kamalbekova ◽  
T H Rymbaeva

Abstract Introduction The obesity and overweight epidemic, together with increasing cardiovascular disease, represent a major health problem worldwide, and their occurrence in childhood and adolescence has increased in recent time. Purpose to assess the association of  waist circumference (WC) and waist-to-height ratio (WHtR) coefficient with occurrence rate in adolescents with high blood pressure. Materials and methods The results of a single-step cross-sectional study of teenagers aged 12-13 years studied in 12 secondary schools in our city (Kazakhstan) are presented. The study included adolescents in the amount of 1519 (average age, standard deviation 12.3 + 0.46 years). For representing the outcomes there were used  the measurement of weight, height, BMI, WC, WHtR and the blood pressure of adolescents. Criteria for BP: normal BP (SBP and DBP &lt;89th percentile); high normal BP (SBP and DBP ≤90 and 94th percentile); arterial hypertension (SBP and DBP &gt; 95th percentile). ROC analysis was used to study the relationship between WC, WHtR and BMI. The distinctive impact of  WC or WHtR on the development of these states was expressed as the area under the curve (AUC 95% CI). Results From 1519 studied teenagers of 12-13 years, boys were 49.1% (n = 745), girls 50.9% (n = 774). Population with normal BP composed 62.7%, normal raised BP - 24.8%, hypertension - 12.4%, WC˂90th percentile at 98.5% (n = 939). The distribution by sex was: girls are more likely to have abdominal obesity than boys, (χ²=19.940, df = 1, р˂0.001). An elevated level of  WHtR was detected in 7.6% (n = 115) of adolescents. Among boys were 7.7% (n = 57) and girls 7.5% (n = 58), χ²=0.013, df = 1, p = 0.908. ). Girls (10.8%) with high blood pressure have increase WC than boys (2.1%), χ²=26.689, df = 1, р˂0.001. Adolescents with high blood pressure have enhanced WHtR - 12.2% than adolescents with normal blood pressure (2.7%), χ²=27.518, df = 1, р˂0.001. Increase of WC &gt; 90th percentile enhances with 4.5 times (95% CI: 2.44-8.53) and WHtR with 2.7 times (95% CI: 1.85-4.04) in adolescents with high blood pressure. WC (AUC = 832; 95% CI: 0.792-0.872) and WHtR (AUC = 0.812; 95% CI: 0.770-0.854was a better predictor of abdominal obesity than BMI. Conclusions. Indicators of  WC, WHtR indicating to the presence of abdominal obesity to identify risk factors for the development of high blood pressure. Participants with increase of  WC &gt; 90th percentile were 4.5 times and WHtR were 2.7 times more likely to have high blood pressure.


2010 ◽  
Vol 50 (5) ◽  
pp. 295 ◽  
Author(s):  
Astrid Anastasia Malonda ◽  
Helena Anneke Tangkilisan

Background Metabolic syndrome (MS) is a group of disorders which occur in relation to increasing body weight. Only a few studies have reported the differences in the fulfillment of MS criteria between obese and overweight children, and none were from Indonesia.Objective To detennine the differences in metabolic syndrome disorders between obese and overweight children.Methods A cross-sectional study was conducted in Manado from May to August 2010. The diagnosis of MS is established by fulfilling three of five criteria: waist circumference  ≥90th percentile, blood pressure ≥ 90th  percentile, fasting blood sugar (FBS) ≥ 100 mg/dL, triglycerides  ≥110 mg/dL and high density lipoprotein (HDL) ≤40 mg/dL. Obesity was defined as body mass index (BMI) of> 3 SD and overweight as BMI of 2-3 SD. Results Results ere analyzed by x2 and t-test. Results Thirty obese and 30 overweight children aged 10-14years were examined for the disorders of MS. Twenty􀁄three obese and 4 overweight children had waist circumferences  ≥90th percentile. Seventeen obese and 3 overweight children had blood pressure  ≥90th percentile. No significant differences in FBS, HDL, and triglycerides were observed between the two groups. Thirteen obese children met the MS inclusion criteria, while only 1 overweight child did so (P<0.001).Conclusions High blood pressure (≥90th percentile) and waist circumference (≥90th  percentile) occurred were observed at higher frequency in obese children than in overweight children. The occurrence of MS in obese children was significantly higher than in overweight children.


2013 ◽  
Vol 1 (3) ◽  
Author(s):  
PRILLY MONANGIN ◽  
Aaltje Manampiring ◽  
Billy Kepel

ABSTRAKAsam urat adalah hasil akhir metabolisme zat purin yang berasal dari sisa makanan yang kita konsumsi. Zat purin terdapat dalam setiap bahan makanan yang kita konsumsi baik hewan maupun tumbuhan. Beberapa studi menunjukkan hubungan antara asam urat dengan hipertensi, obesitas, penyakit ginjal dan penyakit kardiovaskuler. Faktor-faktor yang berhubungan dengan kejadian hiperurisemia adalah jenis kelamin, IMT, asupan karbohidrat dan asupan purin. Penelitian ini bertujuan untuk mengetahui prevalensi obesitas pada remaja di SMK Negeri 1 Bitung dan prevalensi hiperurisemia pada remaja obes di SMK Negeri 1 Bitung. Metode yang digunakan adalah observasional dengan pendekatan cross sectional. Data diperoleh dengan melakukan pengukuran lingkar pinggang dan pemeriksaan laboratorium yaitu pengambilan spesimen darah untuk pemeriksaan kadar asam urat. Dari 100 siswa yang mewakili remaja yang diskrining dengan pengukuran lingkar pinggang, siswa yang termasuk kriteria obes adalah 24 siswa (24%) dan siswa non obes 76 siswa (76%) . Sebanyak 10 siswa yang memenuhi kriteria obes yang diperiksa kadar asam urat terdapat 1 siswa perempuan (1%) yang mengalami hiperurisemia. Sebagai kontrol dari penelitian dilakukan pemeriksaan terhadap 10 siswa non obes untuk diperiksa kadar asam urat, terdapat 6 siswa (6%) yang mengalami hiperurisemia yang terdiri dari 2 siswa laki-laki (2%) dan 4 siswa perempuan (4%). Prevalensi remaja obes di kota Bitung cukup tinggi (24%) dengan kejadian hiperurisemia dari 10 siswa yang memenuhi kriteria obes dan bersedia dijadikan subjek penelitian adalah 1 siswa (1%) dan kejadian hiperurisemia dari 10 siswa non obes yang bersedia dijadikan subjek penelitian adalah 6 siswa (6%). Dapat disimpulkan bahwa tidak ada hubungan hiperurisemia dengan obesitas.Kata Kunci : Hiperurisemia, remaja, obesitas sentral.ABSTRACTUric acid is an end product of purine metabolism of substances derived from the rest of the food we eat. Substances contained in any materials purine foods we eat both animals and plants. Some studies show an association between uric acid with hypertension, obesity kidney disease and cardiovasculer disease. The associated factors with the encidance of hyperuricemia is sex, BMI, carbohydrate intake, and intake of purines. This study aimed to determine the prevalence of obesity among adolescents in SMK Negeri 1 Bitung and prevalence of hyperuricemia in obese adolescents at SMK Negeri 1 Bitung. The method was used an observational cross-sectional approach. Data obtained by measuring waist circumference and laboratory examinations are taking blood specimens for examination uric acid levels. From the 100 students representing adolescents were screened by measuring waist circumference, which includes criteria obese students is 24 students (24 %) and non-obese students (76 %). A total of 10 students who met the criteria were examined obese uric acid levels, there was 1 female students (1%) who had hyperuricemia. As control of the research conducted checks on 10 non-obese students to examine the levels of uric acid, there were 6 students (6%) who hyperuricemia consisting of 2 boys (2%) and 4 female students (4%). The prevalence of obese adolescents in biutng quite high (24%) and the incidane of hyperuricemia 10 students who meet the criteria and are willing to be obese subjects is 1 students (1%) and the incidance of hyperuricemia of 10 students who are willing to serve non-obese subjects were 6 students (6%). It was concluded that tehere wass no association the obesity with hyperuricemia.Keywords: Hyperuricemia, adolescents, central obesity


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mussa K. Nsanya ◽  
Philip Ayieko ◽  
Ramadhan Hashim ◽  
Ezekiel Mgema ◽  
Daniel Fitzgerald ◽  
...  

AbstractEstimates for prevalence of high blood pressure (BP) among adolescents in Africa vary widely and few studies, if any, have documented the results of the recommended stepwise BP screening. In this cross-sectional study in Tanzania, we aimed to estimate prevalence of sustained high BP in 3 public secondary schools using the American Academy of Pediatrics BP screening strategy. On Day 1, one screening automated office BP (AOBP) measurement (Step 1) was followed by two more AOBP measurements (Step 2). Repeat AOBP measurements were obtained after about one month on adolescents with high AOBP measurements on Day 1 (Step 3). Participants with sustained high BP underwent 24-h ambulatory BP monitoring (step 4). Of all 500 enrolled participants, the prevalence of high blood pressure at each step in the process was 36.6% (183), 25.6% (128), 10.2% (51), and 2.6%(13) respectively for Steps 1–4. All except 6 students completed all 4 steps of the BP screening algorithm as indicated. We conclude that diagnosis of hypertension in African adolescents should use multiple AOBP measurements over multiple days followed by 24-h ABPM. Screening for high BP in school settings appears to be feasible and could provide a platform for cardiovascular disease education and health promotion.


Author(s):  
Heloyse Elaine Gimenes Nunes ◽  
Evelinn Amarilha Faria ◽  
Paula Felippe Martinez ◽  
Silvio Assis de Oliveira-Júnior

Abstract This review analyzed the studies that evaluated cardiovascular health indicators (blood pressure, waist circumference, heart rate, glucose index and lipid blood) in recreational soccer players during adolescence, and identify possible associated factors. The search was performed in the electronic databases (PubMED, SciELO, LILACS, Scopus, SPORTDiscus and Web of Science). Inclusion criteria were: population composed of children and/or adolescents (10–19 years or average age up to 19 years); studies adolescents engaged in recreational soccer regularly and observational studies with cross-sectional or longitudinal design. The process of analysis of studies involved reading titles, abstracts and full texts. After these phases, seven articles were eligible. Regarding the design, all studies were cross-sectional. Of the total studies included, five presented moderate methodological quality values and two presented low methodological quality values, according to National Heart, Lung, and Blood Institute instrument. The most cardiovascular health indicators used in recreational soccer players during adolescence was waist circumference; three studies analyzed heart rate, two evaluated blood pressure, one analyzed insulin resistance and none of the included studies analyzed lipid profile. Factors associated were analyzed in four studies, being that sedentary time and body mass index (BMI) present association with at least one indicator of cardiovascular health.


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