Prevalence of elevated blood pressure and its relationship with fat mass, body mass index and waist circumference among a group of Moroccan overweight adolescents

Mehdad, Slimane; Hamrani, Abdeslam; Kari, Khalid El; Hamdouchi, Asmaa El; Mzibri, Mohammed El; Barkat, Amina; Ashayeri, Hassan; Mokhtar, Najat

doi:10.1016/j.orcp.2012.02.006

Cited by 20 publications

(18 citation statements)

References 29 publications

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“…Researchers indicated that the prevalence of overweight and obesity among the studied youth in Lithuania were 5.1% and 0.4% [ 28 ]. However, the prevalence of overweight and obesity in our study sample was lower than that in most other studies [ 8 , 9 , 11 , 12 , 16 ], but was higher than in several others [ 14 , 29 ] that investigated risk factors associated with high BP among children and adolescents.…”

Section: Discussioncontrasting

confidence: 87%

“…According to our data, the prevalence of prehypertension and hypertension in adolescents was 12.8% and 22.2%, respectively. Studies on prehypertension and hypertension [ 8 , 9 , 11 , 12 , 14 , 24 - 27 ] among children and adolescents of various age groups and different sample sizes showed that the prevalence rates vary widely. A study conducted in China reported that the prevalence of prehypertension and hypertension was, accordingly, 15% and 20.2% among children and adolescents aged 5–18 years [ 12 ], which is partially similar to the estimated prevalence in the current study.…”

Section: Discussionmentioning

confidence: 99%

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Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

et al. 2014

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BackgroundMost epidemiological studies have shown that the prevalence of high blood pressure (BP) has significantly increased among children and adolescents in various countries of the world.The aim of this study was to examine the associations between overweight, obesity, abdominal obesity and prehypertension and hypertension among Lithuanian adolescents aged 12–15 years.MethodsThe subjects with increased BP (≥90th percentile) were screened on two separate occasions. Data on the body mass index (BMI), waist circumference (WC), and BP were analysed in 7,457 adolescents aged 12–15 years. Adjusted odds ratios (aORs) with 95% confidence intervals (CI) for the associations were estimated using multivariate logistic regression models.ResultsAfter two screenings, the study participants were categorised as prehypertensive (12.8%), hypertensive (22.2%), and normotensive (65%). The overall prevalence of overweight, obesity, and abdominal obesity (if WC was in the ≥75th percentile) were 12.1%, 2.4%, and 9%, respectively. After adjusting for age and sex, significant associations were found between overweight and obesity and high BP, namely, prehypertension (overweight: aOR = 2.62; 95% CI 2.13–3.23; obesity: aOR = 4.81; 95% CI 3.08–7.52) and hypertension (overweight: aOR = 3.56; 95% CI 3.02–4.19; obesity: aOR = 6.64; 95% CI 4.65–9.49). Prehypertension was found to be significantly associated with WC in the 75th– < 90th percentiles (aOR = 3.16; 95% CI 2.43–4.10) and WC in the ≥90th percentile (aOR = 4.08; 95% CI 2.35–7.10). For hypertension, significant associations were detected with WC in the 75th– < 90th percentiles (aOR = 3.92; 95% CI 3.18–4.82) and WC in the ≥90th percentile (aOR = 7.41; 95% CI 4.97–11.05).ConclusionsOverweight, obesity, and abdominal obesity were associated with prehypertension and hypertension.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

et al. 2014

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“…Studies on elevated blood pressure or hypertension among children and adolescents showed that the prevalence rates varied widely [ 34 – 36 ]. According to our data, the prevalence of high blood pressure was 38.6%, and was more frequently detected in boys than in girls.…”

Section: Discussionmentioning

confidence: 99%

Renin-angiotensin system gene polymorphisms and high blood pressure in Lithuanian children and adolescents

et al. 2017

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BackgroundEpidemiological studies have demonstrated the influence of environmental factors on HBP in the population of Lithuanian children, although the role of genetic factors in hypertension has not yet been studied. The aim of this study was to assess the distribution of AGTR1, AGT, and ACE genotypes in the Lithuanian child population and to determine whether these genotypes have an impact on HBP in childhood.MethodsThis cross-sectional study enrolled 709 participants aged 12–15 years. The subjects were genotyped for AGT (M235 T, rs699), AGTR1 (A1166C, rs5186), and ACE (rs4340) gene polymorphisms using real-time and conventional polymerase chain reactions. Blood pressure and anthropometric parameters were measured.ResultsThe prevalence of HBP was 38.6% and was more frequently detected in boys than in girls (47.9% vs. 29.5%; p < 0.001). No significant differences in the frequencies of the AGT or AGTR1 genotypes or alleles between boys and girls were observed, except for ACE genotypes. The mean SBP value was higher in HBP subjects with ACE ID genotype compared to those with ACE II homozygotes (p = 0.04). No significant differences in BP between different AGT and AGTR1 genotype groups were found. Boys who carried the ACE ID + DD genotypes had higher odds of having HBP than carriers of the ACE II genotype did (controlling for the body mass index (BMI): ORMH = 1.83; 95% CI, 1.11–3.02, p = 0.024; and controlling for waist circumference (WC): ORMH = 1.76; 95% CI, 1.07–2.92, p = 0.035). These associations were not significant among girls. The same trend was observed in the multivariate analysis – after adjustment for BMI and WC, only boys with ACE ID genotype and ACE ID + DD genotypes had statistically significantly increased odds of HBP (aOR = 2.05; 95% CI, 1.19–3.53 (p = 0.01) and aOR = 1.82; 95% CI, 1.09–3.04 (p = 0.022), respectively).ConclusionsThe evaluated polymorphisms of the AGT and AGTR1 genes did not contribute to the presence of HBP in the present study and may be seen as predisposing factors, while ACE ID genotypes were associated with significantly increased odds for the development of HBP in the Lithuanian child and adolescent population - especially in boys.

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“…In several epidemiological studies, hypertension prevalence has significantly increased among this young population over the recent years [90][91][92][93][94][95][96]. Numerous studies show that both overweight and obesity were associated with elevated BP in children and adolescents [91,94,97].…”

Section: Hypertensionmentioning

confidence: 99%

Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance?

Forkert

Rendo-Urteaga

Nascimento-Ferreira

et al. 2016

Nutrire

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Obesity prevalence has increased worldwide over the last decades and has reached alarming rates in low middleincome countries. Childhood has been affected by this epidemic, leading to premature dramatic health problems. Adipose tissue is currently considered as an endocrine organ modulating an inflammatory state and important metabolic processes (insulin resistance, hypertension, glucose intolerance) leading to consequences of the cardiovascular system. This situation may be worst if the excess of body fat distribution such as abdominal obesity (AO) is involved because it is associated with a more atherogenic risk profile determining the cardiometabolic risks mainly in children and adolescents. Hence, the knowledge regarding the association between AO and cardiometabolic factors aims to prevent and treat the obesity in this young population, avoiding early harmful consequences of adulthood health.

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Prevalence of elevated blood pressure and its relationship with fat mass, body mass index and waist circumference among a group of Moroccan overweight adolescents

Cited by 20 publications

References 29 publications

Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

Renin-angiotensin system gene polymorphisms and high blood pressure in Lithuanian children and adolescents

Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance?

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