Accuracy of anthropometric indicators of obesity to identify high blood pressure in adolescents—systematic review

Abstract

Background Anthropometric indicators of obesity have been associated with blood pressure in adolescents. However, the accuracy of anthropometric indicators of obesity for screening for high blood pressure (HBP) in adolescents is not known. Thus, the aim of the present study was to summarize the set of evidence regarding the predictive ability of anthropometric indicators of obesity to identify HBP in adolescents. Methods Searches were performed in five databases: MEDLINE, Web of Knowledge, Scopus, Scientific Electronic online (SciELO) and SportDiscus. The inclusion criteria for studies were: adolescents aged 10–19 years or mean age included in this range, observational and intervention studies, studies that proposed cutoff points for anthropometric indicators of obesity, and studies in English, Portuguese and Spanish. The methodological quality of studies was assessed using the QUADAS-2 instrument. Results Ten studies met the inclusion criteria and had their information summarized. Based on the information described in these studies, the anthropometric indicators body mass index (BMI), waist circumference (WC), waist-to-height-ratio (WHtR), triceps skinfold thickness, body adiposity index, C index, body mass, waist-to-arm span ratio, arm fat area, average arm perimeter, fat percentage and arm span were likely to be used in high blood pressure (HBP) screening among adolescents. However, only one study showed acceptable values (moderate to high precision) in relation to the accuracy measurements of described cutoffs. Conclusion Caution is suggested in the use of anthropometric indicators of obesity for HBP screening in adolescents, in which a greater number of studies with accurate diagnostic tools are necessary.

Waist-to-height ratio is a better predictor of hypertension in women during recovery from anesthesia compared to BMI, waist-to-hip ratio, and waist circumference

“…Patients with BMI ≥28 (kg/m2), WC > 85 cm, WHR ≥0.82, and WHtR ≥0.5 had a significantly higher risk of increased BP. After adjusting for general data such as age, smoking, drinking, and surgery-related variables, we found that the body fat indices correlated with the BP during recovery from general anesthesia but WHtR was superior to the others (slightly more than WHR), in accordance with the correlation of these obesity indices with BP found in studies outside the anesthesia clinical setting [ [26] , [27] , [28] ]. Obesity impacts the pharmacokinetics and pharmacodynamics of anesthetic drugs [ 29 ], and since different anthropometric measures represent different patterns of fat deposition, increased fat mass increases the volume of distribution of lipophilic drugs and increases susceptibility to drug sensitivity [ 30 ].…”

The Association Between Obesity Measures and Metabolic Syndrome Risk in Korean Adolescents Aged 10–18 Years

“…10 In a cross-sectional study involving 1687 Colombian collegiate 27 In a systematic review of 10 cross-sectional studies involving 17,764 American, Asian, African, and European teens aged 10-19 years, Lima Borges et al investigated how well anthropometric measures of obesity could detect high blood pressure. 28 They found that BMI, WC, and WHtR were not very good at detecting high blood pressure in adolescents. Differences in the accuracy of obesity measures in detecting MetS between populations may be due to a variety of factors, including age, gender, race, nutritional status, different socioeconomic and cultural factors, and lifestyle choices.…”

Effect of skinfold thickness on arm venous access port in cancer patients

“…Normal skinfold thickness in male patients ranges from greater than or equal to 7 mm, less than 13 mm, and greater than or equal to 13 mm as high skinfold thickness. In female patients, normal skinfold thickness ranges from greater than or equal to 9 mm, less than 17 mm, and greater than or equal to 17 mm as high skinfold thickness 18–21 . Patients were divided into normal skinfold thickness group and high skinfold thickness group according to their skinfold thickness, and there was no significant difference in basic information between the two groups.…”

“…A total of 256 cancer patients who underwent initial intravenous infu- [18][19][20][21] Patients were divided into normal skinfold thickness group and high skinfold thickness group according to their skinfold thickness, and there was no significant difference in basic information between the two groups. Check if displacement, distortion, dislodgement issues arise and if so, remove the port or adjust the port position according to the actual situation of catheter occlusion.…”