A Comparison of Blood Pressure, Body Mass Index, and Acanthosis Nigricans in School-Age Children

Otto, Debra E.; Wang, Xiaohui; Tijerina, Sandra L.; Reyna, Maria Elena; Farooqi, Mohammad I.; Shelton, Margarette L.

doi:10.1177/1059840510365154

Cited by 11 publications

(15 citation statements)

References 13 publications

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“…Study results in Table 4 show the comparison of gender, BP, and BMI’s effects on AN between SY 06-06 and SY 08-09. These results were the same as our previous study in 2010 (Otto et al, 2010). That is, a female child was more likely (OR = 1.46) to have a positive AN marker than a male child.…”

Section: Resultssupporting

confidence: 92%

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Increasing Body Mass Index, Blood Pressure, and Acanthosis Nigricans Abnormalities in School-Age Children

Otto¹,

Wang²,

Garza³

et al. 2013

The Journal of School Nursing

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This retrospective quantitative study examined the relationships among gender, Acanthosis Nigricans (AN), body mass index (BMI), and blood pressure (BP) in children attending school Grades 1-9 in Southwest Texas. Of the 34,897 health screening records obtained for the secondary analysis, 32,788 were included for the study. A logistic regression analysis was carried out with AN as the dependent variable, with year, gender, BMI, and BP as independent variables. The results indicate that the rate of children in each grade with three positive markers increased 2% during a 3-year period between 2008 and 2010. In the 5-year period between 2005 and 2010, a clear trend of significantly higher numbers of children with both AN and BMI markers was apparent. Gender played a significant role as females were more likely to have the AN marker than males. Further study is indicated based on the increasing trend of school-age children in Texas with positive markers for AN, increased BMI and BP.

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Section: Resultssupporting

confidence: 92%

“…These results were the same as our previous study in 2010 (Otto et al, 2010). That is, a female child was more likely (OR ¼ 1.46) to have a positive AN marker than a male child.…”

Section: Study Results Insupporting

confidence: 90%

Increasing Body Mass Index, Blood Pressure, and Acanthosis Nigricans Abnormalities in School-Age Children

Otto¹,

Wang²,

Garza³

et al. 2013

The Journal of School Nursing

Self Cite

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show abstract

“…Psychiatric patients receiving antipsychotic medications were targeted in three studies [ 40 , 41 , 45 ], since these medications are associated with significant weight gain [ 46 ]. One study included children and adolescents at high-risk of MetS, with a first-degree family history of type 2 DM, obesity or acanthosis nigricans [ 42 ], due to the potential link to underlying insulin resistance [ 47 , 48 ]. Healthy volunteers were the subjects of one study [ 36 ] (Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of pharmacist input to metabolic syndrome screening, management and prevention

et al. 2020

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Background Metabolic syndrome is a cluster of factors that increase the risk of cardiovascular disease and include: diabetes and prediabetes, abdominal obesity, elevated triglycerides, low high-density lipoprotein cholesterol and high bloodpressure. However, the role of the pharmacist in the metabolic syndrome has not yet been fully explored. Aim of the review This systematic review aimed to critically appraise, synthesise, and present the available evidence on pharmacists' input to the screening, prevention and management of metabolic syndrome. Method The final protocol was based on the "Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P)". Studies published in English from January 2008 to March 2020 reporting any pharmacist activities in the screening, prevention or management of metabolic syndrome were included. Databases searched were Medline, Cumulative Index to Nursing and Allied Health Literature, International Pharmaceutical Abstracts, Cochrane and Google Scholar. Studies were assessed for quality by two researchers, data extracted and findings synthesised using a narrative approach. Results Of the 39,430 titles reviewed, ten studies were included (four were randomised controlled trials). Most studies focused on pharmacist input to metabolic syndrome screening and management. Screening largely involved communicating metabolic parameters to physicians. Management of metabolic syndrome described pharmacists collaborating with members of the multidisciplinary team. A positive impact was reported in all studies, including achieving metabolic syndrome parameter goals, reverting to a non-metabolic syndrome status and, improved medication adherence. The populations studied were paediatrics with risk factors, adults with comorbidities and psychiatric patients. Integration of the pharmacist within the multidisciplinary team, an easy referral process and accessibility of service were potential facilitators. Inadequate funding was the key barrier. Conclusion The studies describing pharmacist input in metabolic syndrome provide limited evidence of positive outcomes from screening and management as part of collaborative practice. Further work is required to provide more robust evidence of effectiveness and cost-effectiveness while considering key barriers.

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“…Although younger, southwest Texas school children in grades 3, 5, 7, and 9 were reported to be obese (22%), positive for AN (23%), and have elevated BP (>90th percentile, 21%). 14 Similarly, Urrutia-Rojas et al 15 reported that among among 1066 Hispanic students 10 to 12 years old, the prevalence of obesity was 31.9%, the prevalence of AN was 17%, and elevated BP at the 95% cutoff was 23.6%. The reported prevalence in these studies is somewhat lower than that in our study, presumably because of the younger age and/or different cutoff criteria used for BP.…”

Section: Discussionmentioning

confidence: 97%

Cardiovascular Disease Risk Factors in Hispanic Adolescents in South Texas

Cooper

Shipp

Junco

et al. 2016

Southern Medical Journal

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A Comparison of Blood Pressure, Body Mass Index, and Acanthosis Nigricans in School-Age Children

Cited by 11 publications

References 13 publications

Increasing Body Mass Index, Blood Pressure, and Acanthosis Nigricans Abnormalities in School-Age Children

Increasing Body Mass Index, Blood Pressure, and Acanthosis Nigricans Abnormalities in School-Age Children

A systematic review of pharmacist input to metabolic syndrome screening, management and prevention

Cardiovascular Disease Risk Factors in Hispanic Adolescents in South Texas

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