Association between general and abdominal obesity with high blood pressure: difference between genders

Silva, Alison O.; Silva, Micaelly V.; Pereira, Lisley K.N.; Feitosa, Wallacy M.N.; Ritti‐Dias, Raphael Mendes; Diniz, Paula Rejane Beserra; Oliveira, Luciano Machado Ferreira Tenório de

doi:10.1016/j.jped.2015.05.007

Cited by 20 publications

(6 citation statements)

References 24 publications

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“…The relation between obesity and blood pressure is consistent with the previous researches (23)(24)(25)(26)(27)(28). Farah and the collaborators (29) have made systematic review of randomized clinical trials in which the physical training effects of blood pressure in obese adolescents were researched.…”

Section: Discussionsupporting

confidence: 92%

The association between high blood pressure, physical fitness and fatness in adolescents

Gontarev¹,

Kalac²,

Zivkovic³

et al. 2017

Nutr Hosp

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The association between high blood pressure, physical fi tness and fatness in adolescents Resumen Introducción: la hipertensión es un problema de la salud y es de importancia nacional. Es un factor de riesgo importante para la aparición de la aterosclerosis y enfermedades cardiovasculares, cerebrovasculares y enfermedades renales que están liderando o están entre las principales causas de mortalidad y la morbilidad como en la nuestra, también en los países más desarrollados y menos desarrollados. Objetivo: el objetivo de este estudio es analizar la relación de la aptitud cardiorrespiratoria y la obesidad, la presión arterial y la hipertensión en los adolescentes. Material y métodos: la investigación se realizó sobre una muestra de 4.501 niños y niñas de 11 a 14 años. La capacidad cardiorrespiratoria se evalúo con el uso de una prueba de paso que dura tres minutos, mientras que el porcentaje de grasa corporal se determinó con un método de impedancia bioeléctrica. La presión arterial se midió tres veces a intervalos de 60 segundos. El resultado fue el valor medio de las tres mediciones. Las mediciones se realizaron en una habitación separada con condiciones ambientales óptimas. La relación entre la hipertensión, la aptitud cardiorrespiratoria y la grasa se determina con un análisis de correlación y multinominal regresión logística. Resultados: los niños tenían una mayor presión sistólica y diastólica que las niñas. El nivel bajo de aptitud cardiorrespiratoria y el porcentaje alto de grasa corporal se asociaron independientemente con un mayor riesgo de hipertensión arterial e hipertensión para niños y niñas. La interacción se establece entre el porcentaje de grasa corporal y la forma física. Conclusión: los resultados obtenidos se deben tener en cuenta para la construcción de estrategias y recomendaciones para la mejora del estilo de vida y la salud de los adolescentes. Key words:Blood pressure. Physical fi tness. Fatness. Adolescent. AbstractIntroduction: Hypertension is a health problem that is of national importance. It is a major risk factor for the occurrence of atherosclerosis and cardiovascular, cerebrovascular and renal diseases that are leading or among the leading causes of mortality and morbidity as in ours, as in the most developed and less developed countries. Objective: The purpose of this study is to analyze the relation of cardiorespiratory fi tness and obesity, blood pressure and hypertension for adolescents. Material and methods: The research was realized on a sample of 4,051 boys and girls at the age of 11 to 14 years. Cardiorespiratory fi tness was assessed by using a three minute step test, while the percentage of body fat was determined by bioelectrical impedance method. Blood pressure was measured three times at intervals of 60 seconds, and the result was the median value of the three measurements. The measurements were performed in a separate room with optimum ambient conditions. The relation between hypertension, cardiorespiratory fi tness and fat was determined by correlation and multi-nom...

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Section: Discussionsupporting

confidence: 92%

The association between high blood pressure, physical fitness and fatness in adolescents

Gontarev¹,

Kalac²,

Zivkovic³

et al. 2017

Nutr Hosp

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“…Silva et al . performed a study on Brazilian adolescents aged 14–19 years and found that elevated BP was significantly associated with both central and general obesity only in boys, but not in girls, comparing the fourth with the first quartile of the WC (≤69 cm vs. ≥80.1 cm) and BMI (≤18.6 kg/m 2 vs. ≥23.5 kg/m 2 ) (aOR = 6.97 and aOR = 6.44, repectively), while aORs for the second and the third quartiles were not significant after adjustment for age in a multivariate analysis 40 . In NHANES (National Health and Nutrition Examination Survey) (1988–2008), BMI (the third vs. the first quartile, OR = 1.43; and the fourth vs. the first quartile, OR = 2.00) and WC (the fourth vs. the first quartile, OR = 2.14) were significantly associated with an increased risk of elevated BP in children and adolescents aged 8 to 17 years after adjustment for age and sex 9 .…”

Section: Discussionmentioning

confidence: 86%

Associations between body mass index, waist circumference, waist-to-height ratio, and high blood pressure among adolescents: a cross-sectional study

Kučienė

Dulskienė

2019

Sci Rep

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The purpose of the present study was to examine the associations between body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), and high blood pressure (HBP), and to determine which anthropometric parameters can best predict HBP among Lithuanian adolescents aged 12–15 years. Data from the survey of “Prevalence and Risk Factors of HBP in 12–15-Year-Old Lithuanian Children and Adolescents (Study 1, 2010–2012)” were used; a total of 7,457 respondents (3,494 boys and 3,963 girls) were included in this analysis. Adolescents with BP above the 90th percentile were measured on two different occasions. Logistic regression analysis was used to assess the associations and to calculate odds ratios. Receiver operating characteristic (ROC) curve analysis was used to evaluate the predictive ability of the three anthropometric parameters to predict HBP. The adjusted odds ratios (aOR) in the highest quartiles of BMI, WC, and WHtR were statistically significant for both sexes separately (reference group – the first quartile): in boys, prehypertension – 4.91, 4.09, and 1.59; hypertension – 7.96, 6.44, and 2.81; and prehypertension/hypertension – 6.85, 5.65, and 2.37, respectively; and in girls, prehypertension – 3.42, 2.70, and 1.66; hypertension – 5.71, 3.54, and 2.90; and prehypertension/hypertension – 4.62, 3.17, and 2.31, respectively). According to the analyses of the ROC curve, BMI z-score provided the largest area under the curve (AUC) value, followed by WC z-score, while WHtR z-score showed the lowest AUC value in predicting elevated BP in both sexes separately. Among Lithuanian adolescents aged 12–15 years, both anthropometric indices – BMI and WC (but particularly BMI) – showed stronger associations with HBP and were better for the prediction of HBP, compared to WHtR.

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“…A prevalência encontrada em pesquisas que consideraram faixa etária semelhante à deste estudo, mas com mensuração direta dos níveis pressóricos, em geral, foi mais elevada. Entre adolescentes com idades entre 14 e 19 anos, foi de 6,4% (12) e com idades entre 15 e 17 anos, foi de 6,9%. (7) No entanto, mesmo que já aponte para a seriedade da questão, frente ao contexto epidemiológico e de Saúde Pública, essa prevalência pode estar subestimando o número de adolescentes com hipertensão, pois até 75% daqueles hipertensos podem estar sem diagnóstico.…”

Section: Discussionunclassified

Desigualdades da prevalência de hipertensão arterial entre adolescentes brasileiros

Souza¹,

Guimarães²,

Felisbino-Mendes³

et al. 2021

Revista Da Sociedade Brasileira De Enfermeiros Pediatras

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Objetivo: Estimar a prevalência e analisar fatores demográficos e socioeconômicos associados à hipertensão arterial entre adolescentes brasileiros. Métodos: Trata-se de um estudo transversal, multicêntrico e de abrangência nacional com 4.471 adolescentes que foram entrevistados durante as avaliações externas do Programa Nacional de Melhoria da Qualidade da Atenção Primária, entre 2013 e 2014. Foram estimadas as prevalências de hipertensão, com seus intervalos de 95% de confiança (IC95%) segundo fatores socioeconômicos e demográficos. Diferenças entre prevalências foram analisadas pelo teste Qui-quadrado de Pearson. Realizou-se regressão de Poisson com variâncias robustas para estimar os fatores associados à hipertensão. Resultados: A prevalência nacional de hipertensão foi 4,2% (IC95%: 3,6-4,8%), sem diferenças estatisticamente significativas entre as regiões do país. Dentre os fatores demográficos e socioeconômicos analisados apenas a raça ou cor preta apresentou maior prevalência de diagnóstico de hipertensão (RP: 1,65; IC95%: 1,07-2,55). Conclusão: Esses achados evidenciam iniquidade em saúde visto que a cor da pele pode ser considerada como proxy de condição socioeconômica.

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Association between general and abdominal obesity with high blood pressure: difference between genders

Abstract: It was observed that general and abdominal obesity are associated with high blood pressure only in boys, regardless of age.

Cited by 20 publications

References 24 publications

The association between high blood pressure, physical fitness and fatness in adolescents

The association between high blood pressure, physical fitness and fatness in adolescents

Associations between body mass index, waist circumference, waist-to-height ratio, and high blood pressure among adolescents: a cross-sectional study

Desigualdades da prevalência de hipertensão arterial entre adolescentes brasileiros

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