Influence of waist circumference on blood pressure status in non-obese adolescents

Benmohammed, K.; Valensi, P.; Nguyen, Minh Tuan; Benmohammed, Farah; Benlatreche, M.; Benembarek, Karima; Lezzar, A.

doi:10.1515/ijamh-2017-0127

Cited by 10 publications

(15 citation statements)

References 34 publications

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“…This is a novel finding with clinical implication for the screening of elevated blood pressure among adolescents, especially considering the growing prevalence of hypertension worldwide [24]. The prevalence of high blood pressure among adolescents is increasing [3]. In our study, the prevalence of elevated BP was compatible with recent reports which grouped pre-hypertensive and hypertensive status in the analysis [25,26]; and also with the total population of ERICA study, in which 14.5% pre-hypertensive and 9.6% hypertensive adolescents were identified, aiming total prevalence of elevated BP of 24.1% [14].…”

Section: Discussionmentioning

confidence: 84%

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Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

et al. 2020

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Obesity is the most common chronic disease in adolescents. In adults, waist circumference (WC) is associated with the presence of cardiovascular risk factors and is also a better predictor of cardiovascular (CV) risk than body mass index (BMI). The association between WC and CV risk factors in adolescents has been poorly explored so far, mainly in those within the normal BMI range. Objective: To evaluate the association between WC and elevated blood pressure (BP) in adolescents with a normal BMI. Methods: Cross-sectional analysis of 73,399 scholars between 12 and 17 years old from the ERICA study, a school-based, national representative study with Brazilian adolescents. Only those within the normal range of BMI were included. The WC was categorized into quartiles for sex and age (Q1 to Q4). For the analysis, BP values ≥ 90th percentile were considered to indicate elevated BP, what includes hypertension and pre-hypertension. The Poisson Regression model was used and the prevalence ratio was estimated. Results: A total of 53,308 adolescents with normal BMI were included. Prevalence of elevated BP in the overall group was 18.0%. In female adolescents with WC in the lowest quartile for their age, the prevalence of elevated BP was 7.3% (12-14 years) and 6.9% (15-17 years), increasing in the upper quartile to 15.2% and 19.5% respectively, with a prevalence ratio (PR) indicating chance at least two times higher for elevated BP in Q4 (p < 0.001). Similarly, this was observed in boys, with a prevalence of elevated BP of 10.0% and 18.9% in Q1, increasing to 21.4% and 49.6% in Q4 (p < 0.001). Conclusion: In adolescents, there is a strong association of increased WC with BP elevation, even when the BMI is adequate.

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Section: Discussionmentioning

confidence: 84%

“…Although hypertension is more prevalent in the elderly, there has been an increase in the prevalence of hypertension in adolescents worldwide. During adolescence, hypertension is usually essential, not secondary, and influenced by the excess of weight, metabolic syndrome (MetS), and genetic factors [3].…”

Section: Introductionmentioning

confidence: 99%

Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

et al. 2020

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“…Além do exposto anteriormente, a classificação dos valores da PA mostrou que 10,5% da amostra estudada apresentaram valores de PA considerados limítrofes, sendo classificados como pré-hipertensos e 7,9% apresentaram valores elevados, sendo classificados como hipertensos. Os valores de PAS e de PAD foram significativamente associados a dois fatores de risco, o IMC e a CA, corroborando dados que evidenciaram a importante influência destes parâmetros na elevação da PA em jovens [17][18][19] . Além disso, os valores de PAS foram relacionados com o sexo masculino.…”

Section: Resultsunclassified

“…Um outro estudo, realizado na Argélia, demonstrou que em adolescentes não obesos, valores de CA elevados foram associados a um maior risco de hipertensão em meninos e de pré-hipertensão em meninas 18 , demonstrando a importância da avaliação deste parâmetro na população jovem. Ainda sobre a influência de hábitos parentais, a obesidade abdominal em crianças foi associada ao estado nutricional materno, outros indicadores de seu próprio estado nutricional e ao gênero feminino, evidenciando a importância da interação do estado nutricional das mães e de seus filhos 31 .…”

Section: Discussionunclassified

Hábitos alimentares e fatores de risco para hipertensão arterial sistêmica em escolares

Eid

Barroso

Kruk

et al. 2019

ACS

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Introdução: Atualmente, observa-se níveis de pressão arterial elevados cada vez mais cedo entre adolescentes, configurando-se como um fator de risco cardiovascular importante. Objetivo: avaliar os hábitos alimentares e a frequência dos seguintes fatores de risco para hipertensão arterial em escolares: obesidade, sobrepeso, obesidade abdominal, inatividade física, antecedentes familiares e níveis pressóricos elevados. Casuística e Métodos: trata-se de um estudo exploratório descritivo, realizado em uma escola pública de ensino médio de um município do sudoeste goiano, Brasil, escolhida por conveniência, com 76 escolares. Para a coleta de dados foram utilizados os questionários “saúde na boa” e de “atividade física habitual”, ambos validados para uso na população brasileira. Os fatores de inclusão foram: indivíduos devidamente matriculados na escola; de ambos os sexos; com idades compreendidas entre 14 e 18 anos; não gestantes; isentos de qualquer tipo de medicação; sem nenhuma habilidade física reduzida. As variáveis apresentaram distribuição normal. As frequências dos fatores de risco foram avaliadas pelo teste Qui-quadrado. A comparação entre os sexos foi efetuada pelo teste t para amostras independentes e as análises de associação entre os fatores de risco e a pressão arterial foram realizadas por análise de regressão linear bivariada e multivariada. O valor de significância estabelecido foi de p < 0,05. Resultados: 82,9% dos escolares possuíam dois ou mais fatores de risco para a hipertensão, sendo os mais prevalentes a inatividade física, a obesidade abdominal e antecedentes familiares. Foram observadas associações positivas entre pressão arterial sistólica e diastólica com índice de massa corporal e circunferência abdominal. Além disso, as menores médias de atividade física foram observadas em indivíduos do sexo feminino. Em relação aos hábitos alimentares, observou-se baixo consumo de frutas e alto consumo de doces e refrigerantes. Conclusão: Esses dados deixam evidente a exposição de escolares a múltiplos fatores de risco para doenças crônicas e podem nortear ações intersetoriais de comunidades acadêmicas, autoridades educacionais e de saúde.

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“…This association is well known and seems more important in female adolescents and young ladies [10, 18-19, 31, 32, 45] . Waist size, which was not assessed, is also linked to the prehypertension risk, even in the absence of excess weight [31][32][33][34][35][36][37][38][39][40][41][42]. Weight loss is recommended by the NHBP to reduce the risk of hypertension.…”

Section: Discussionmentioning

confidence: 99%

Hypertension and prehypertension: prevalence and associated factors in Gabonese Youth and Adolescents

Bivigou

Ditombi

Nguema

et al. 2020

Preprint

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Background : Early detection of hypertension is necessary to reduce subsequent morbidity and mortality. The aim of our study was to determine the prevalence of hypertension and prehypertension in high school students from the capital city of Gabon and to identify their associated factors. Methods : This was a cross-sectional and analytical study carried out on a population of students enrolled in two establishments in Libreville during the 2018-2019 year school. Information on hypertension family history, eating habits, alcohol and/or tobacco consumption, oral contraception, age, gender, body mass index and blood pressure were collected. The National High Blood Pressure and European Cardiology Society 2013 classifications were used for the analysis of blood pressure in children and young adults respectively. Results : A total of 613 students with mean age of 20.3 ± 2.5 years were included. Sex ratio was 2.3. Prevalence of hypertension was 19.4% and the following factors were found to be independently associated with hypertension: overweight (aOR: 2.77 [1.29-9.99]) and male gender (aOR: 2.10, [1.22-3.62]) or not independently: overweight (OR: 2.52, [1.30-4.89] and obesity (OR: 2.62, [1.30-5.27]) (p<00.1). The prevalence of prehypertension was 23.0%, obesity (aOR:3,93 [1.02-15.2]) was independently associated with prehypertension, while overweight (OR: 2.16, [1.03-4.53]) and male sex (OR: 1.72, [1.10-2.78]) (p<00.1) were dependent factors. Conclusions : Hypertension and prehypertension are not unfrequent in school students from Libreville. Awareness of associated factors and screening campaigns within school establishments are necessary to reduce complications in adulthood.

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Influence of waist circumference on blood pressure status in non-obese adolescents

Cited by 10 publications

References 34 publications

Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

Hábitos alimentares e fatores de risco para hipertensão arterial sistêmica em escolares

Hypertension and prehypertension: prevalence and associated factors in Gabonese Youth and Adolescents

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