Elevated blood pressure in adolescent girls: correlation to body size and composition

Devonshire, Ashley; Hager, Erin R.; Black, Maureen M.; Diener‐West, Marie; Tilton, Nicholas; Snitker, Søren

doi:10.1186/s12889-016-2717-6

Cited by 11 publications

(11 citation statements)

References 23 publications

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“…The relation between obesity and blood pressure is consistent with the previous researches (23)(24)(25)(26)(27)(28). Farah and the collaborators (29) have made systematic review of randomized clinical trials in which the physical training effects of blood pressure in obese adolescents were researched.…”

Section: Discussionsupporting

confidence: 80%

The association between high blood pressure, physical fitness and fatness in adolescents

Gontarev¹,

Kalac²,

Zivkovic³

et al. 2017

Nutr Hosp

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The association between high blood pressure, physical fi tness and fatness in adolescents Resumen Introducción: la hipertensión es un problema de la salud y es de importancia nacional. Es un factor de riesgo importante para la aparición de la aterosclerosis y enfermedades cardiovasculares, cerebrovasculares y enfermedades renales que están liderando o están entre las principales causas de mortalidad y la morbilidad como en la nuestra, también en los países más desarrollados y menos desarrollados. Objetivo: el objetivo de este estudio es analizar la relación de la aptitud cardiorrespiratoria y la obesidad, la presión arterial y la hipertensión en los adolescentes. Material y métodos: la investigación se realizó sobre una muestra de 4.501 niños y niñas de 11 a 14 años. La capacidad cardiorrespiratoria se evalúo con el uso de una prueba de paso que dura tres minutos, mientras que el porcentaje de grasa corporal se determinó con un método de impedancia bioeléctrica. La presión arterial se midió tres veces a intervalos de 60 segundos. El resultado fue el valor medio de las tres mediciones. Las mediciones se realizaron en una habitación separada con condiciones ambientales óptimas. La relación entre la hipertensión, la aptitud cardiorrespiratoria y la grasa se determina con un análisis de correlación y multinominal regresión logística. Resultados: los niños tenían una mayor presión sistólica y diastólica que las niñas. El nivel bajo de aptitud cardiorrespiratoria y el porcentaje alto de grasa corporal se asociaron independientemente con un mayor riesgo de hipertensión arterial e hipertensión para niños y niñas. La interacción se establece entre el porcentaje de grasa corporal y la forma física. Conclusión: los resultados obtenidos se deben tener en cuenta para la construcción de estrategias y recomendaciones para la mejora del estilo de vida y la salud de los adolescentes. Key words:Blood pressure. Physical fi tness. Fatness. Adolescent. AbstractIntroduction: Hypertension is a health problem that is of national importance. It is a major risk factor for the occurrence of atherosclerosis and cardiovascular, cerebrovascular and renal diseases that are leading or among the leading causes of mortality and morbidity as in ours, as in the most developed and less developed countries. Objective: The purpose of this study is to analyze the relation of cardiorespiratory fi tness and obesity, blood pressure and hypertension for adolescents. Material and methods: The research was realized on a sample of 4,051 boys and girls at the age of 11 to 14 years. Cardiorespiratory fi tness was assessed by using a three minute step test, while the percentage of body fat was determined by bioelectrical impedance method. Blood pressure was measured three times at intervals of 60 seconds, and the result was the median value of the three measurements. The measurements were performed in a separate room with optimum ambient conditions. The relation between hypertension, cardiorespiratory fi tness and fat was determined by correlation and multi-nom...

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Section: Discussionsupporting

confidence: 80%

The association between high blood pressure, physical fitness and fatness in adolescents

Gontarev¹,

Kalac²,

Zivkovic³

et al. 2017

Nutr Hosp

View full text Add to dashboard Cite

show abstract

“…We discovered that puberty onset increased SBP and DBP in boys and girls, but after adjusting for covariates, the relationship between pubertal development and BP levels and EBP was stronger in girls than boys. Some studies pointed out that the effect of pubertal development on BP appeared to operate through body fat 12,28 . Prior studies showed that adolescent girls gained more body fat than boys 38 .…”

Section: Discussionmentioning

confidence: 99%

“… 27 Another study also found puberty stage was correlated to SBP and DBP, but it was not included in the regression model. 28 Several researches speculated that the effect of sexual maturation on BP appeared to operate through age, height, and body size. 11 , 12 In this study, we investigated the differences in BP levels between puberty group and prepuberty group by age group, and controlled the effects of age, and BMI in regression analysis.…”

Section: Discussionmentioning

confidence: 99%

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Association between pubertal development and elevated blood pressure in children

Dong

Zou

et al. 2021

J of Clinical Hypertension

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Blood pressure (BP) increased with age and height development, but little was known about the effect of pubertal development on blood pressure in children. A cross‐sectional study was performed among 4146 children aged 7–12 years old in China. Pubertal development was assessed based on breast stages and testicular volume. The associations of pubertal development with BP levels and the rate of elevated blood pressure (EBP) were quantified using multiple linear and logistic regressions. We found that pubertal developmental level was positively correlated with BP, and children who experienced puberty onset and early pubertal timing had higher BP levels and prevalence of EBP. After adjusting for covariates, children experienced puberty onset had 3.84 and 2.24 mmHg increase in systolic blood pressure and diastolic blood pressure, and 70%, 53%, and 62% increased odds of EBP, ESBP, and EDBP, respectively, compared with those without puberty onset. Similar results were observed for children who had early pubertal timing. The change of BP in puberty is greater and the association between pubertal development and BP is stronger in girls than boys. These findings suggested that pubertal development could be an important independent factor and one critical period for the EBP progress. Monitoring and management of pubertal development are necessary particularly among girls.

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“…Furthermore, studies show that puberty, especially when it starts early, may be related to higher BP levels, and that girls appear to have a greater increase in BP levels during puberty than boys [35,36]. This seems to be related mainly to body composition and to the fact that girls gain more fat mass than boys [37]. Also, very short or tall children may have their BP misclassified when using only the NIH/NHLBI BP tables [38].…”

Section: Discussionmentioning

confidence: 99%

Adolescent blood pressure classification curves and cardiometabolic risk factors: a comparison of the Brazilian and American references

Medeiros

Silva

Bloch

et al. 2022

Journal of Hypertension

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Background:The American Academy of Pediatrics (AAP) adolescent blood pressure (BP) percentiles were updated in 2017, and have been used as reference in Brazil since then. However, specific BP percentiles for Brazilian adolescents were recently proposed based on data from the Study of Cardiovascular Risk in Adolescents (ERICA).Objectives:To compare the prevalence of arterial hypertension according to each reference, as well as to assess the cardiometabolic risk associated with the reclassification by Brazilian BP percentiles.Methods:Data from 73 399 adolescents aged 12–17 years who participated in the ERICA study were analyzed. To assess cardiometabolic risk, 6185 adolescents who were reclassified upwards by the Brazilian reference were 1 : 1 matched with adolescents that were normotensive by both references and were of the same age, sex and height percentile. The parameters evaluated were: overweight/obesity, waist circumference, total cholesterol, triglycerides, LDL-c, HDL-c, fasting glucose, HbA1c and HOMA-ir.Results:The classification according to Brazilian BP percentiles resulted in a higher prevalence of arterial hypertension (14%, 95% CI 13.2–14.8), when compared with the AAP percentiles (10.6%, 95% CI 10.0–11.2). The use of the Brazilian reference also resulted in higher prevalence of arterial hypertension in girls, teenagers ranging from 12 to 14 years, and those classified with adequate weight, overweight or obesity. In the case–control analysis, cardiometabolic risk factors were present more often in adolescents reclassified with arterial hypertension by the ERICA reference.Discussion:The use of the BP percentiles proposed by ERICA is a sensitive method for tracking Brazilian adolescents with hypertension and higher cardiometabolic risk.

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Elevated blood pressure in adolescent girls: correlation to body size and composition

Cited by 11 publications

References 23 publications

The association between high blood pressure, physical fitness and fatness in adolescents

The association between high blood pressure, physical fitness and fatness in adolescents

Association between pubertal development and elevated blood pressure in children

Adolescent blood pressure classification curves and cardiometabolic risk factors: a comparison of the Brazilian and American references

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