Body adiposity measures and risk of adolescent hypertension among the postpubescents Northeast India

Abstract

Objectives The present study attempts to associate and predict adolescent hypertension in Northeast India through body adiposity measures. Method A total of 728 adolescents aged 15 years and above were included in the present study after consent. Blood pressure and related anthropometric data were collected. The prevalence rate was calculated. Significant tests and correlation analyses were conducted between the blood pressure parameters and anthropometric body adiposity measures. The odds ratio (OR) was also calculated to assess the likelihood of risks. The receiver operating characteristic (ROC) curve analysis was performed to find the measured parameters' predictive cut‐off values. Results The prevalence of adolescent hypertension is 29.12%, and elevated blood pressure is 20.47%. Boys are more hypertensive than girls. Obese adolescents are more prone to hypertension. Overweight, obese, and abdominal volume index (AVI) has 2.31, 5.15, and 3.41 OR to develop hypertension significantly, irrespective of gender. Among the boys, waist circumference (WC), AVI, and waist to height ratio (WHtR) significantly correlate with hypertension at adjusted for age; they are better predictors with area under curve (AUC) value reach 0.7. Among the females, the BMI reaches AUC 0.7, making it a better assessment for hypertension. Conclusion The study highlights the concerns of adolescent hypertension among Northeast Indian adolescents, which needs attention. More studies in different regions must be conducted to understand the problem's crux to enable health policymakers to promote adolescent health.

Prevalence and Associated Factors of Hypertension Among Adolescents in a Rural Community of North India

“…The overall prevalence of prehypertension and hypertension in adolescents was 24.5% in another school-based study done in rural Kerala by Amma et al [ 15 ]. The prevalence of adolescent hypertension was 29.12%, and elevated blood pressure was 20.47% as per the AAP criteria in another study from northeast India which was done among adolescents aged equal to or more than 15 years by Meitei et al [ 16 ].…”

“…Other studies on adolescent hypertension from India as well as abroad have also reported similar associations. A study from northeast India found that overweight, obesity, and abdominal volume index (AVI) has 2.31, 5.15, and 3.41 OR to develop hypertension significantly, irrespective of gender [ 16 ]. Amma et al observed that overweight or obese adolescents had 5.7 times more risk of developing hypertension than normal or underweight adolescents [ 15 ].…”

Screen Time and Its Association with Body Adiposity and Hypertension among the School-Going Adolescents of Manipur, Northeast India

“…Although many studies show that sedentary behavior is associated with adiposity 29,30 and adiposity is related to BP, 31,32 only a few have studied the association between ST and BP. Guillaume et al 33 found a positive association between TV viewing and systolic BP in 6 to 12-year-old Belgium boys.…”

Association of food habits with adolescent hypertension: A study from Manipur

“…Studies conducted in western countries report that prevalence of hypertension in children is around 7-19% [4]. Hitherto, the highest national reported figure of adolescent hypertension and elevated blood pressure, being 29.12% and 20.47%, respectively, was reported by Meitei et al [5] from the population of Northeast India.…”