Association between body size and blood pressure in children from different ethnic origins

Hoog, Marieke de; Eijsden, Manon van; Stronks, Karien; Gemke, Reinoud J. B. J.; Vrijkotte, Tanja G. M.

doi:10.1186/1475-2840-11-136

Cited by 26 publications

(14 citation statements)

References 49 publications

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“…This is consistent with many previous reports [29][30][31]. However, compared with findings [21,22,[32][33][34][35] in non-Nigerian groups, particularly African-Americans and whites, the present association between BP and body size indicators appears weak. Even so, the present correlation values were higher than those for age (0.05), BMI (0.088) and WC (0.061) reported by Onwubere et al [31] in another Nigerian traditional community of a different ethnicity with a prevalence of hypertension of 46.4% compared with 33.1% found in this study.…”

Section: Discussionsupporting

confidence: 91%

Blood pressure and body size preference in traditional communities of Ilorin metropolis, Nigeria

Etebu

Oyejola

2015

Cardiovascular Endocrinology

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Background Our previous work showed that many individuals with type 2 diabetes and in the background population may prefer larger body sizes. This prompted us to study the interaction between body size, body size perception and blood pressure.Methods Anthropometric variables, body size perception and blood pressure were measured in adults of three Nigerian communities. The results were subjected to tests of correlation and regression to determine any association/ functional relationship between predictor variables and blood pressure.Results Participants with elevated blood pressure were older (52.75 vs. 39.58 years) and had a higher BMI (24.50 vs. 22.84), waist circumference (86.69 vs. 81.57) and hip circumference (95.23 vs. 92.49) compared with normotensives. There were significant (P < 0.05) correlations between systolic blood pressure and age (0.401), weight (0.13), BMI (0.182), waist circumference (0.231), hip circumference (0.132), height (0.15), current body size perception (0.181), preferred body size (0.119) and preferred body size of the opposite gender (0.14). For normotensives, a 1 cm increment in waist circumference was associated with an increase in systolic blood pressure by 0.35 mmHg in those younger than 50 years of age. In older participants, an increase in BMI by 1 kg/m 2 led to an increase in systolic blood pressure by 1.1 mmHg. Thirty-two per cent of the participants had hypertension. Less than 10% of the interindividual differences in blood pressure resulted from variations in body dimensions/or body size perception. Significantly, 66.5 versus 51.9% of hypertensive and normotensive individuals, respectively, desired a larger body size for self/spouse. ConclusionThe results indicated a dominant preference for larger body sizes, whereas body dimension predicted blood pressure only to a very limited degree. Cardiovasc Endocrinol 4:53-59

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Section: Discussionsupporting

confidence: 91%

Blood pressure and body size preference in traditional communities of Ilorin metropolis, Nigeria

Etebu

Oyejola

2015

Cardiovascular Endocrinology

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“…Since females generally have smaller body size, their blood pressure is lower than that of boys. 14,18 We found no significant difference in SBP between boys and girls (P=0212), but DBP was significantly higher in girls than boys (P=0.009) although the median in the same range due to variations of number of subjects by age group. This discrepancy may be due to greater body mass index (BMI) in girls than boys, increasing with age, leading to higher DBP in girls than in boys.…”

Section: Discussionmentioning

confidence: 51%

“…10,11 Height has an especially important role in determining blood pressure because body size affects blood pressure. [12][13][14] The hydrostatic paradox, first described by Stevin et al, stipulates that fluid pressure generated at the bottom of a tube can be measured from the vertical height of the tube. Fluid can flow from the top to the bottom of the tube when the pressure at the bottom of the tube exceeds the hydrostatic pressure that is defined by its height.…”

Section: To 15 Years According To the Criteria Of The 2004 Fourth Rementioning

confidence: 99%

Blood pressure-to-height ratio for diagnosing hypertension in adolescents

Ambarita

Ramayani

Lubis

et al. 2017

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“…4,5 Body mass index (BMI) is the most frequently used indicator for identifying obesity. 6,7 Although some studies suggested BMI as the strongest predictor of elevated BP, 8,9 the findings are still inconsistent about the best measurement for predicting elevated BP in children. As studies in adults revealed that central obesity is more closely related to cardiovascular disease risk, 10,11 some researchers proposed that the indicators related to abdominal fat, such as waist circumference and waistto-height ratio (WHtR), should be used for identifying elevated BP and other cardiovascular risk in children.…”

Section: Introductionmentioning

confidence: 99%

Associations between adiposity indicators and elevated blood pressure among Chinese children and adolescents

Dong,

Wang,

Wang

et al. 2014

J Hum Hypertens

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Adiposity is closely related to elevated blood pressure (BP); however, which adiposity indicator is the best predictor of elevated BP among children and adolescents is unclear. To clarify this, 99,366 participants aged 7-17 years from the Chinese National Survey on Students' Constitution and Health in 2010 were included in this study. The adiposity indicators, including weight, body mass index (BMI), waist circumference, waist-to-height ratio (WHtR), hip circumference, body adiposity index (BAI), waist-to-hip ratio (WHR) and skinfold thickness, were converted into z-scores before use. The associations between elevated BP and adiposity indicators z-scores were assessed by using logistic regression model and area under the receiver operating characteristic curve (AUC). In general, BAI, BMI and WHtR z-scores were superior for predicting elevated BP compared with weight, waist circumference, hip circumference, WHR and skinfold thickness z-scores. In both sexes, BMI z-score revealed slightly higher AUCs than other indicators. Our findings suggest that general adiposity indicators were equivalent, if not superior, to abdominal adiposity indicators to predict elevated BP. BMI could be a better predictor of elevated BP than other studied adiposity indicators in children.

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Association between body size and blood pressure in children from different ethnic origins

Cited by 26 publications

References 49 publications

Blood pressure and body size preference in traditional communities of Ilorin metropolis, Nigeria

Blood pressure and body size preference in traditional communities of Ilorin metropolis, Nigeria

Blood pressure-to-height ratio for diagnosing hypertension in adolescents

Associations between adiposity indicators and elevated blood pressure among Chinese children and adolescents

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