Pressão Arterial de Crianças: Associação a Indicadores Antropométricos, Composição Corporal, Aptidão Cardiorrespiratória e Atividade Física

Pinheiro, Gisele; Mello, Júlio Brugnara; Gaya, Adroaldo Cézar Araújo; Gaya, Anelise Reis

doi:10.36660/abc.20190520

Cited by 9 publications

(11 citation statements)

References 23 publications

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“…High values in anthropometric indicators of body adiposity are associated with HBP in adolescents ( 1 , 2 , 13 , 21 – 23 ), and this association is justified by the high concentration of fatty acids in subjects with high body fat. This condition (i.e., high concentration of fatty acids) causes insulin resistance and may induce the renal system to retain more sodium.…”

Section: Discussionmentioning

confidence: 99%

“…Children and adolescents with high blood pressure levels are highly likely of becoming hypertensive adults. Therefore, early diagnosis and treatment can prevent long-term adverse cardiovascular events ( 1 ). Recently, a study has shown that high blood pressure (HBP) at younger ages (6 to 12 years old) may be associated with damage targeting organs such as the heart, brain, kidneys, retina, and blood vessels ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

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Proposition of Cutoff Points for Anthropometric Indicators to Identify High Blood Pressure in Adolescents

et al. 2022

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AimTo propose cutoff points for anthropometric indicators for high blood pressure (HBP) screening in adolescents and to identify, among these indicators, those more accurately for boys and girls.MethodsThis cross-sectional study was carried out in the city of São José, SC, Brazil with 634 adolescents aged 14 to 19 years. Blood pressure levels were measured using a digital oscillometric sphygmomanometer and adolescents were classified as having HBP or not. Anthropometric indicators were calculated based on anthropometric measurements such as body mass (BM), height, waist circumference (WC), hip circumference (HC) and triceps, subscapularis, suprailiac, and midcalf skinfold thickness (SF). The Receiver Operating Characteristic Curve (ROC) was used to analyze the predictive capacity of anthropometric indicators in the identification of HBP.ResultsHigher values of Area Under the Curve (AUC) were for the anthropometric indicators BM (0.67; 95%CI: 0.62–0.72), body mass index (BMI) (0.67; 95%CI: 0.62–0.72), and WC (0.67; 95%CI: 0.62–0.71) for males. For females, no anthropometric indicator had discriminatory power for HBP screening. The cutoff points for the anthropometric indicators with discriminatory power for HBP screening in males were BM > 64.80 Kg, BMI > 21.76 Kg/m2, fat percentage (FP) > 15.75, waist height to ratio (WHtR) > 0.41, WC > 73.00 cm, and HC > 92.25 cm.ConclusionAnthropometric indicators of body adiposity had greater discriminatory power of HBP screening in males. For females, caution is suggested because the anthropometric indicators showed AUC values (95%CI) below 0.60.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Proposition of Cutoff Points for Anthropometric Indicators to Identify High Blood Pressure in Adolescents

et al. 2022

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“…However, the connections between physical fitness and BP in children are not as conclusive as those between weight status and BP. Some research has shown that better physical fitness is associated with lower diastolic and systolic BP in children and adolescents despite mechanisms not yet fully understood ( 28 , 30 , 56 , 57 ). Dong et al used a complex and summative physical fitness indicator composed of forced vital capacity, SLJ, 800 mR, S&R, and 1 mSU, which could significantly predict raised systolic and diastolic hypertension in children aged 7–18 years; however, S&R was not related to high BP ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

“…Current evidence suggests that cardiorespiratory fitness is overall inversely related to BP and multiple cardiovascular risk factors despite some discordances between studies with different epidemiological, methodological, and analytical approaches. Diaz et al demonstrated that better cardiorespiratory fitness was associated with decreased probability of BP elevation, lower insulin resistance, and improved liver and renal functions ( 28 , 30 , 56 , 57 ). Köchli et al reported a less favorable micro- and macro-vascular profile in children aged 6–8 years with poor cardiorespiratory fitness ( 60 ).…”

Section: Discussionmentioning

confidence: 99%

Physical fitness mediates and predicts for high blood pressure among children in relation to weight status

Chuang

Cherng

Lin

et al. 2023

Front. Public Health

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BackgroundPediatric hypertension contributes to adulthood hypertension and target organ damage. Obesity is a well-known predictor for pediatric hypertension; however, the relationship between physical fitness and blood pressure (BP) is unclear among children. This study aimed to compare the differences in demographics, anthropometrics, and physical fitness across BP subgroups and investigate whether physical fitness was related to pediatric hypertension independent of weight status.MethodsThis quantitative, cross-sectional study investigated demographic, anthropometric, physical fitness, and BP measures among 360 healthy school-aged children. Continuous variables were compared across BP subgroups with the one-way analysis of variance. Mediation and moderation analyses were used to explore the mechanism. Multivariable regression models were used to assess independent associations for hypertension.ResultsThere were 177 (49.2%), 37 (10.3%), and 146 (40.6%) children in the normotensive, elevated BP, and hypertensive subgroups, respectively. The hypertensive subgroup had higher body mass index (BMI) and waist/height ratio percentiles and performed worse in 800-m run, standing long jump (SLJ), and 1-min sit-ups than the normotensive subgroup. Furthermore, the 800-m run percentile (total effect: β = 0.308, standard error = 0.044, p < 0.001) and sit and reach percentile (total effect: β = 0.308, standard error = 0.044, p < 0.001) mediated the relationship between the BMI percentile and systolic BP percentile; the SLJ percentile was directly associated with the diastolic BP percentile (β,−0.197, 95% confidence interval,−0.298−0.097; p < 0.001). The parsimonious model of multivariable regression models revealed that the SLJ percentile (adjusted exp (β), 0.992, 95% confidence interval, 0.985–0.999; p = 0.042) and BMI percentile (adjusted exp (β), 1.024, 95% confidence interval, 1.016–1.032; p < 0.001) were two independent predictors for pediatric hypertension.ConclusionPhysical fitness mediates the relationship between anthropometric and BP measures. The SLJ percentile is associated with pediatric hypertension independent of the BMI percentile. Proactive screening and health promotion for not only healthy weight status but also good physical fitness may be beneficial for BP control among school-aged students.

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“…O..estudo..de..indicadores..antropométricos (IA) humanos e suas correlações clínicas e funcionais vêm sendo amplamente investigados pela comunidade científica. (1)(2) A correlação dos diferentes níveis e formas de organização dos componentes corporais, das técnicas de aferição e dos fatores biológicos individuais tendem a interferir no desempenho das funções corporais de cada indivíduo. (3) Quadros clínicos como fibromialgia, distúrbios do sono e comprometimentos cardiovasculares e funcionais, como o desempenho motor e a capacidade funcional dos indivíduos, já vêm demonstrando a influência dos IA e da composição corporal na sua condição.…”

Section: Introductionunclassified

Análise de indicadores antropométricos em indivíduos com e sem síndrome de Down

Souza

Simony

Blascovi‐Assis

2022

Semin. Cienc. Biol. Saude

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Objetivo: este estudo buscou averiguar a possível discrepância bilateral de indicadores antropométricos de pessoas com e sem síndrome de Down (SD). Material e Método: para tal, contou-se com a participação de 60 indivíduos com e sem síndrome de Down, com idades entre 11 e 14 anos, que foram avaliados quanto à dominância lateral, dobras cutâneas, percentual de gordura, circunferência muscular de braço e antebraço e força de preensão palmar. Principais resultados: notou-se maior número de indivíduos sinistros e com indefinição na lateralidade no grupo com síndrome de Down do que nas pessoas com desenvolvimento típico. Os valores da percentagem de gordura, das medidas de dobra cutânea, da circunferência muscular do braço e da circunferência de antebraço foram maiores entre os participantes com síndrome de Down do que entre os do grupo controle. A força de preensão palmar foi maior nos indivíduos típicos. Não houve diferença na composição corporal bilateral dos indivíduos com síndrome de Down. Conclusão: os resultados encontrados demonstraram a existência de uma simetria bilateral nos indivíduos com e sem síndrome de Down.

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Pressão Arterial de Crianças: Associação a Indicadores Antropométricos, Composição Corporal, Aptidão Cardiorrespiratória e Atividade Física

Cited by 9 publications

References 23 publications

Proposition of Cutoff Points for Anthropometric Indicators to Identify High Blood Pressure in Adolescents

Proposition of Cutoff Points for Anthropometric Indicators to Identify High Blood Pressure in Adolescents

Physical fitness mediates and predicts for high blood pressure among children in relation to weight status

Análise de indicadores antropométricos em indivíduos com e sem síndrome de Down

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