Association of blood pressure with body mass index and waist circumference in adolescents

Dwivedi, G.; Sethi, Shiny; Singh, Rachna; Singh, Shiromani

doi:10.18203/2349-3291.ijcp20162375

Cited by 2 publications

(2 citation statements)

References 26 publications

(28 reference statements)

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“…Previous studies have also shown a correlation between waist circumference and hypertension. 8,[17][18][19][20] Waist circumference is a reflection of morbidity in obesity and closely related to levels of intra-abdominal fat. 3 Waist circumference and waist-hip ratio represent the distribution of body fat, both intracutaneously and intra-abdominally.…”

Section: Discussionmentioning

confidence: 99%

Waist circumference and waist-hip ratio as screening tools for hypertension in children aged 6–11 years

Istiqomah

Gurnida

Hilmanto

et al. 2019

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Background Hypertension in children is associated with obesity. 7 The renin-angiotensin-aldosterone system has been associated with intra-abdominal fat tissue. Anthropometric parameters for determining nutritional status include waist circumference and waist-hip ratio. Many studies have shown that waist circumference and waist-hip ratio are more precise to determine overweight or obese. Objective To determine the usefulness of waist circumference and waist-hip ratio as hypertensive screening tools for children aged 6-11 years. Methods This analytical study with cross-sectional design and multistage cluster sampling method was conducted in August-September 2017 at a primary school in Bandung, West Java, Indonesia. Subjects underwent height, weight, waist circumference, hip circumference, and blood pressure measurements. Receiver operating characteristic (ROC) curve analysis was done to obtain the area under curve (AUC), cut-off point, sensitivity, specificity, and prevalence ratio. Results Subjects were 325 children consisting of 187 males and 138 females. Hypertension was diagnosed in 47 children (37 males and 10 females). Mean waist circumference and waist-hip circumference ratio were significantly higher in the hypertensive group than in the normotensive group. The hypertensive group had a mean waist circumference of 72.6 (SD 12.8) cm, AUC 0.779 (95%CI 0.730 to 0.823; P<0.001), cut-off point >65 cm, sensitivity 66.0%, specificity 76.3%, and prevalence ratio 4.55. This group had mean waist-hip ratio of 0.94 (SD 0.10), AUC 0.724 (95%CI 0.672 to 0.772; P<0.001), waist-hip ratio cut-off >0.91, sensitivity 59.6%, specificity 77.0%, and prevalence ratio 3.73. Conclusion Waist circumference >65 cm or waist-hip ratio >0.91 can be used to screen for hypertension in children aged 6-11 years with negative predictive values of 92.0% and 91.8%, respectively.

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Section: Discussionmentioning

confidence: 99%

Waist circumference and waist-hip ratio as screening tools for hypertension in children aged 6–11 years

Istiqomah

Gurnida

Hilmanto

et al. 2019

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“…Studies have reported a relationship between body mass index (BMI), body size and elevated blood pressure (BP) in children and adolescents (Al-Sendi et al, 2003;Brion et al, 2007). The relationship was shown to be positive and stronger mostly among obese children (Brion et al, 2007;Larsson, Hernell & Lind, 2011;Wang et al, 2015;Dwivedi et al, 2016). Longitudinal studies have demonstrated that children with higher BMI and waist circumference (WC) changed from initially normal (baseline values) to higher BP values at follow-up (Din-Dzietham et al, 2007;Brion et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal relationships between changes in body composition and changes in selected metabolic risk factors (abdominal obesity and blood pressure) among South African adolescents

Masocha

Monyeki

Czyż

2020

PeerJ

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Background Incidence of childhood high blood pressure (BP) is increasing worldwide. This study examined the longitudinal relationship between changes in body composition (i.e. body mass index (BMI), waist circumference (WC) and percentage body fat) and selected metabolic risk factors (abdominal obesity and BP) among adolescents from the Tlokwe municipality in the North West Province of South Africa. Method One hundred and eight-six adolescents (81 boys and 105 girls) aged 14 to 16 years participated in the study. Body composition was measured following the International Society of the Advancement of Kinanthropometry standard procedures. BMI, abdominal obesity using WC measurement, and resting BP were determined. Analysis of variance (ANOVA) for repeated measures was calculated to determine changes in anthropometric measures and body composition as well as changes in BP. Additionally, Univariate analysis of variance with repeated measures and participants as a random sample was applied. Diastolic BP (DBP) and systolic BP (SBP) were used as dependent variables and sex, age, BMI, WC, and waist-to-height ratio as independent variables. Results Significant changes were found for stature, BMI, body mass, WC, SBP, and DBP. BMI for the total group was significant and positively related to abdominal obesity in 2012 (r = 0.55; p < 0.01) and in 2013 (r = 0.77; p < 0.01) and to SBP (r = 0.26; p < 0.05) in 2012 and (r = 0.17; p = 0.43) in 2013. BMI among the boys was significantly and positively related to abdominal obesity in 2012 (r = 0.83; p < 0.01) and 2013 (r = 0.91; p < 0.01). For the girls, BMI was significantly and positively related to abdominal obesity (r = 0.49; p < 0.01) and to SBP (r = 0.32; p = 0.05) in 2012. Boys with a higher WC in 2012 had significantly increased DBP (p < 0.05). Boys measured in 2012 with greater WC and BMI show a significant increase in SBP. Conclusions BMI was positively related to BP and abdominal obesity over time. Relatively high BMI and abdominal obesity significantly increased the likelihood of elevated BP over time, especially in boys. BMI was a predictor of abdominal obesity in boys, while in girls, BMI was a predictor of both abdominal obesity and SBP. In view of the future health implications of both abdominal obesity and elevated BP, urgent strategic interventions programs aimed at increasing physical activity and advocating for well-balanced dietary practices as well as importance of keeping normal blood pressure among South African adolescents are needed.

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Association of blood pressure with body mass index and waist circumference in adolescents

Cited by 2 publications

References 26 publications

Waist circumference and waist-hip ratio as screening tools for hypertension in children aged 6–11 years

Waist circumference and waist-hip ratio as screening tools for hypertension in children aged 6–11 years

Longitudinal relationships between changes in body composition and changes in selected metabolic risk factors (abdominal obesity and blood pressure) among South African adolescents

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