In-school adolescents’ weight status and blood pressure profile in South-western Nigeria: urban-rural comparison

Omisore, Akinlolu G.; Omisore, Bridget; Abioye-Kuteyi, Emmanuel Akintunde; Bello, Ibrahim Sebutu; Olowookere, Samuel Anu

doi:10.1186/s40608-018-0179-3

Cited by 20 publications

(24 citation statements)

References 32 publications

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“…Disparities also exist among studies carried out in Nigeria. While few of the recent studies in Nigeria have reported low prevalence of overweight/obesity [20,21], more of the recent studies are reporting rates similar or even higher than the 10.2% found in this study [10,11,15,22,23]. Having a national perspective on the prevalence of obesity in Nigeria has been challenging, especially because different studies have used differing methodologies and reference values [24].…”

Section: Discussionmentioning

confidence: 50%

“…Similar findings, but with higher prevalence of pre-hypertension have been reported by Ejike et al [16] in Nigeria, and Nkeh-Chungag et al [26] in South Africa who reported (23.6 and 11.05%) and (21.2 and 12.3%) respectively, for prevalence of pre-hypertension and hypertension. A much lower prevalence was reported by Omisore et al [15] in a similar study also carried out in southwestern Nigeria. This may however be due to the fact that they used a different methodology for classifying prehypertension and hypertension among the adolescents.…”

Section: Discussionmentioning

confidence: 51%

“…Nutritional status of the respondents were determined using the WHO 2007 reference for children [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] years. Body Mass index (BMI) was calculated by dividing the weight in kilograms by the height in meter 2 .…”

Section: Measurement Of Outcome Variablesmentioning

confidence: 99%

“…There are only few studies that have investigated the relationship between the nutritional status and the blood pressure levels of adolescents in Nigeria [15,16]. No study however was found in the study location that had investigated the relationship of nutritional status with glucose levels and risk for metabolic diseases (cardio-metabolic health).…”

Section: Introductionmentioning

confidence: 99%

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Nutritional status and Cardiometabolic health among adolescents; findings from southwestern Nigeria

et al. 2019

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Background: Obesity has been associated with an increased risk for cardio-metabolic diseases. The prevalence of obesity among adolescents is increasing worldwide, including Nigeria, but only little data exist on the relationship of nutritional status with cardio-metabolic health among adolescents in Nigeria. This study therefore investigated the relationship of nutrition status, raised blood pressure, glucose intolerance and risk for metabolic diseases among adolescents in southwestern Nigeria. Methods: This was a cross-sectional study conducted among 313 in-school adolescents in Ile-Ife, southwestern Nigeria. The respondents were selected using multi-stage sampling technique, and data were collected using pretested structured questionnaires. Anthropometric, blood pressure and random blood glucose measurements were done using standard protocols. Nutritional assessment was done using the World Health Organization (WHO) 2007 reference. Pre-hypertension and hypertension were measured using percentiles for gender, age and height. Analysis was done using IBM SPSS and the level of significance was set at p ≤ 0.05. Results: The mean age of the respondents was 14.4 ± 2.0 years. The prevalence of overweight and obesity was 10.2%, and it was significantly higher among females (12.5%) than males (7.0%). The prevalence of systolic and diastolic pre-hypertension was 10.9 and 11.5% respectively, while the prevalence for systolic and diastolic hypertension were 14.4 and 8.6% respectively. Using WHtR to assess cardio-metabolic risk, 7.3% of the respondents were at risk. There were statistically significant relationships between BMI, WHtR and blood pressure levels (< 0.05). Conclusions: The prevalence of overweight/obesity among the adolescents was relatively high, and this was significantly associated with elevated blood pressure and increased risk for cardio-metabolic diseases. There is need for more interest and intervention by stakeholders into the cardio-metabolic health of adolescents in Nigeria.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 51%

Section: Measurement Of Outcome Variablesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nutritional status and Cardiometabolic health among adolescents; findings from southwestern Nigeria

et al. 2019

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“…Similar positive association between hypertension and BMI was also observed by Sun et al 26 . Some studies reported an association between childhood obesity and hypertension 23,27 . Study also demonstrated that children with hypertension had higher mean BMI compared with the prehypertensive and normal weight participants 4 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of adiposity measures in the identification of adolescents with hypertension

Roy

Ghosh

2019

Sri Lanka J Child Health

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Background: Hypertension in children is becoming a growing heath problem, with increasing prevalence.Objectives: To examine the relationship of body mass index (BMI), waist circumference (WC), waist hip ratio (WHR), waist stature ratio (WSR) and conicity index (CI) with blood pressure and to differentiate the screening potential of BMI, WC, WHR, WSR and CI for the presence of hypertension in children. Method:A school-based cross-sectional study was carried out in 2017 on 13-16 year old Bengali children in two schools (a boys' school and a girl's school) from Howrah city, West Bengal where stature (ST), weight (WT), WC and hip circumference (HC) were measured, and BMI, WHR, WSR and CI calculated. Schools were randomly selected from the list of affiliated schools under the West Bengal Board of Secondary Education. All 13-16 year old children from the two schools were recruited after obtaining informed consent from parents and assent from the children. Children with pre-existing serious illnesses and deformities were excluded from the study. Bio-social information was obtained using an open-ended schedule. Age was obtained from the school register. Hypertension was defined as age and stature adjusted systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) ≥95 th percentile. Partial correlations, logistic regressions and area under the receiver operating characteristic curves (AUC) were estimated to understand the relationship of adiposity measure with blood pressure and hypertension. The authors declare that there are no conflicts of interest Funding: Research scholar is getting UGC fellowship from Visva-Bharati, Govt. of India Open Access Article published under the Creative Commons Attribution CC-BY LicenseResults: A total of 535 adolescents, comprising 282 boys and 253 girls aged 13-16 years, participated in this study. There was no statistically significant sex difference in age. Overall prevalence of hypertension was 8.5%. All adiposity measures were positively correlated with blood pressures. Logistic regression showed that BMI had the strongest associations with hypertension in both sexes. The AUC for BMI (0.82, 95% CI 0.751 to 0.895) was higher than those of other adiposity measures in assessing hypertension in boys. However, in girls, both BMI (AUC 0.75, 95% CI 0.644 to 0.856) and WSR (AUC 0.75, 95% CI 0.638 to 0.865) had similar higher assessment ability for hypertension compares to other measures.Conclusions: BMI had the highest odds ratio for hypertension, and was the best adiposity measure to assess hypertension.

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Detecting and Managing Childhood Onset Hypertension in Africa: A Call to Action

et al. 2023

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Purpose of Review To review recent evidence on childhood hypertension across Africa, identifying knowledge gaps, challenges and priorities, and highlight clinical perspectives in managing primary hypertension. Recent Findings Only 15 of the 54 African countries reported on absolute blood pressure (BP) measures, elevated BP, pre- and/or hypertension. The reported hypertension prevalence ranged between 0.0 and 38.9%, while elevated BP and/or pre-hypertnesion ranged from 2.7 to 50.5%. Childhood BP nomograms are lacking across Africa and the rates of hypertension were based on guidelines developed in countries with the lowest to no number of children from African ancestry. The recent studies across Africa also showed little to no detail when reporting BP specific methodology. No recent data informing the use or effectiveness of antihypertensive agents in children and adolesents are available. Summary Childhood hypertension is on the rise, while data from Africa remains vastly under-represented. Collaborative research, resources, and policies need to be strengthened in addressing the growing public health concern of childhood onset hypertension on this continent.

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In-school adolescents’ weight status and blood pressure profile in South-western Nigeria: urban-rural comparison

Cited by 20 publications

References 32 publications

Nutritional status and Cardiometabolic health among adolescents; findings from southwestern Nigeria

Nutritional status and Cardiometabolic health among adolescents; findings from southwestern Nigeria

Comparison of adiposity measures in the identification of adolescents with hypertension

Detecting and Managing Childhood Onset Hypertension in Africa: A Call to Action

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