Prevalence of hypertension and its association with obesity among schoolchildren aged 6–15 living in Sakarya Province in Turkey

Onsuz, Fatih; Demir, Figen

doi:10.3906/sag-1407-120

Cited by 22 publications

(14 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, we also found that children with overweight/obesity have higher prevalence of hypertension, which was in consistent with other research results [21,22]. e odds ratio of developing hypertension in overweight and obese children were 1.5 and 3.6 times more than those with a normal weight and is consistent with the results of other studies [23].…”

Section: Discussionsupporting

confidence: 93%

Prevalence and Risk Factors of Childhood Hypertension in Urban-Rural Areas of China: A Cross-Sectional Study

Liang

Xiao

Luo

et al. 2020

International Journal of Hypertension

View full text Add to dashboard Cite

Objective. The increased blood pressure level in children and adolescents is recognized as an essential predictor of adulthood cardiovascular disease. This study aimed to ascertain the prevalence and the urban-rural disparity of childhood hypertension in the southwest of China. Methods. Using stratified cluster sampling in urban and rural areas, a total of 13597 primary school children aged 6∼12 years living in the Southwest of China were included. The prevalence of hypertension was analyzed. The risk factors were collected by questionnaires, and the risk factors of childhood hypertension were analyzed by the logistic regression model. Results. The prevalence of hypertension was 13.75%, 9.02%, and 17.47% in total, urban, and rural children, respectively, and the urban-rural difference was 8.44% (95%CI: 7.32%, 9.56%). Children with obesity, maternal gestational hypertension, >10 months of breastfeeding, or low family income had a significantly increased prevalence of hypertension (29.4%, 20.00%, 16.31%, and 16.25%, respectively). Rural residence, intake of more pickle (in rural), maternal gestational hypertension (in urban), low birth weight (in rural), obesity, increased heart rate, and red blood cell counts were the risk factors of childhood hypertension. The adjusted R2 values were 13.61%, 23.25%, 10.88%, 11.12%, 12.23%, and 25.04% in the full models excluding and including serum indexes for total, urban, and rural children, respectively. Conclusions. The prevalence of childhood hypertension is significant in the Southwest of China and alarming in rural areas, which requires community intervention. Children living in rural areas combined with obesity, low social economic status, dietary imbalance, and abnormal lipid metabolism were associated with an increased risk of hypertension, and routine care programs should be conducted to prevent childhood hypertension.

show abstract

Section: Discussionsupporting

confidence: 93%

Prevalence and Risk Factors of Childhood Hypertension in Urban-Rural Areas of China: A Cross-Sectional Study

Liang

Xiao

Luo

et al. 2020

International Journal of Hypertension

View full text Add to dashboard Cite

show abstract

“…Our study, conducted in Turkish children aged 12 to 13 years, revealed more than one in 10 adolescents (12.7%) had EBP and nearly one in five (17.5%) had HT. This is in accordance with the higher prevalence of HT reported in some other European and Turkish studies [14,15,37]. In a survey conducted in Bursa, Turkey, including 1000 subjects aged 6-13 years, the proportion of children and adolescents with EBP and HT was reported to be 10.8% [14].…”

Section: Discussionsupporting

confidence: 88%

“…In a survey conducted in Bursa, Turkey, including 1000 subjects aged 6-13 years, the proportion of children and adolescents with EBP and HT was reported to be 10.8% [14]. In another study performed in Sakarya including 2166 children and adolescents aged 6-15 years, overall combined EBP and HT rates were determined to be 30.4%, while HT prevalence was found to be twice as high in children with obesity versus those without obesity [15]. Similarly, when BMI-based groups of overweight and obesity were taken, we determined an increased OR for obesity with systolic blood pressure (systolic EBP 2.4-fold, systolic HT 4.0-fold higher), diastolic blood pressure (diastolic EBP 2.5-fold, diastolic HT 3.0-fold higher), and overall systemic blood pressure (EBP 3.5-fold, HT 3.9-fold higher).…”

Section: Discussionmentioning

confidence: 98%

“…Although a global meta-analysis including 55 studies with a total population of over 120,000 children and adolescents aged 10-19 years showed no increase in the prevalence of HT up to 2013, studies evaluating the same data calculated HT rates of up to 26.8% in adolescents living in European countries [13]. There are limited and local data on the prevalence of HT in children and adolescents in Turkey [14,15]. In Turkey, the Ministry of Health's 2014 nutrition and health status report noted a gradual increase in overweight and obesity among children and adolescents and stated that the prevalence of HT is expected to rise accordingly [16].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How useful are anthropometric measurements as predictive markers for elevated blood pressure in adolescents in different gender?

Erdal

Yalçın

Aksan

et al. 2020

Journal of Pediatric Endocrinology and Metabolism

View full text Add to dashboard Cite

BackgroundObesity and obesity-related diseases are one of the common health problems worldwide and have also been proposed to be important predictors of blood pressure and cardiovascular disease risk. The aim of our study is to determine the utility of different anthropometric measurements (body mass index [BMI], skinfold thickness [SFT], waist circumference [WC], mid-upper arm circumference [MUAC], arm circumference-height ratio [AHtR], and waist circumference-height ratio [WHtR]) as markers of hypertension (HT) risk in adolescents.MethodsIn this cross-sectional study, 544 participants aged between 12 and 13 years were included. Anthropometric measurements and blood pressure of participants were measured. The association of different anthropometric measurements with blood pressure was evaluated.ResultsThe frequency of both elevated blood pressure and HT was 30.2%. Biceps, triceps, and suprailiac SFT have an impact on HT in girls but only suprailiac SFT in boys. WC measurements above the 85th percentile were strongly correlated with HT conditions, and this relationship was stronger in boys than in girls (3.3 vs. 2.6 fold). MUAC, WHtR, and AHtR measurements also have strong correlation with HT in boys but only WHtR has a poor relation in girls. In boys and girls with obesity, there was a positive association between obesity and blood pressures.ConclusionsNot only age-related BMI z scores but also a number of other anthropometric measurements, such as WC, SFT, MUAC, WHtR, and AHtR, could have an influence on high blood pressure. The influence changes with gender during adolescence.

show abstract

“…In the Middle-East region the limited data available regarding parental risk factors of childhood HTN is controversial. While some studies indicate the role of family history of HTN and obesity [16][17][18][19], others found no signi cant contribution of these factors in the development of high BP in children [20,21]. In Iran the family history of HTN and obesity has been suggested to be an independent risk factor for children's HTN [17].…”

Section: Introductionmentioning

confidence: 99%

Risk of hypertension in school-aged children with different parental risk: A longitudinal study from childhood to young adulthood

Amiri

Rezaei

Jalali-Farahani

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Although previous studies have shown the relationship between different parental factors and children's blood pressure status, there is limited data on the cumulative effect of these factors. Considering parental socio-demographic, behavioral and cardio-metabolic factors, the current study aimed to distinguish parental risk clusters and their effects on the incidence of hypertension in school-age children over thirteen years.Methods: Parental characteristics of 1669 children including age, education, employment, smoking, physical activity, metabolic syndrome (MetS), hypertension (HTN), weight status and diabetes were considered to categorize parents into low and high risk clusters. Crude incidence rates (per 10,000 person-years) of HTN in children were assessed in each maternal and paternal clusters. Using Cox proportional hazard model, results on association between parental risk clusters and HTN incidence in children were reported in five different models. Results: Mean age of children was 13.96±2.89 years and 51.2% (n=854) of them were girls. MetS, HTN and weight status were the most important factors distinguishing low and high risk parental clusters respectively. Crude incidence rates (per 10,000 person-years) of HTN were 86 (95% CI: 71-106) and 38 (95% CI: 29-52), in boys and girls, respectively. Moreover, incidence rates (per 10,000 person-years) of HTN were 50 (95% CI: 40-63) and 80 (95% CI: 64-102) in maternal low and high risk clusters, respectively. The incidence rates (per 10,000 person-years) of HTN in paternal low and high risk clusters were 53 (95% CI: 41-70) and 68 (95% CI: 56-84), respectively.Conclusion: Our findings underscore the prognostic value of maternal characteristics in predicting the incidence of HTN in their offspring. The current results could be valuable in planning related programs to prevent hypertension in similar communities.

show abstract

Prevalence of hypertension and its association with obesity among schoolchildren aged 6–15 living in Sakarya Province in Turkey

Cited by 22 publications

References 21 publications

Prevalence and Risk Factors of Childhood Hypertension in Urban-Rural Areas of China: A Cross-Sectional Study

Prevalence and Risk Factors of Childhood Hypertension in Urban-Rural Areas of China: A Cross-Sectional Study

How useful are anthropometric measurements as predictive markers for elevated blood pressure in adolescents in different gender?

Risk of hypertension in school-aged children with different parental risk: A longitudinal study from childhood to young adulthood

Contact Info

Product

Resources

About