IntroductionObesity and obesity-related disorders are worldwide concerns in both developing and developed countries. Since many kinds of chronic metabolic diseases are associated with obesity, the management of obesity and other related disorders has been the focus of investigation. Hypertension is a major chronic disorder, which is associated with obesity (1). The prevalence of childhood hypertension has been increasing; it currently occurs at a rate of 1%-2% in developed countries and a rate of 5%-10% in developing countries (2,3).Although pediatric hypertension is a field of increasing interest and importance, there is less information about the screening and management of obesity and hypertension in children than in adults. Even asymptomatic children with elevated blood pressure can develop target organ damage, and they are at an increased risk of cardiovascular disease in adulthood. Due to this, early detection, proper evaluation, and appropriate management of hypertension at an early age is important for the prevention or restriction of the diseases related to hypertension (4-6). However, there have been a limited number of studies carried out on hypertension in school-aged children. It is also important to note that cardiovascular disease, including hypertension, is one of the most common reasons of death in Turkey ( 7).This study aimed to determine the prevalence of hypertension among school-aged children in Sakarya, Turkey, and to determine whether or not obesity is associated with hypertension.
Materials and methodsThis cross-sectional study was conducted among all grades of primary school students in the center of Sakarya, Turkey, in February and March 2010. There were 109,327 students attending primary schools in the center of Sakarya. As the probable prevalence of overweightness and obesity was accepted as 15% with a margin of error of 0.05, it was calculated that a sample size of 1950 would be necessary for a 95% confidence interval. A total of 12 schools were randomly selected in an area in the center of the city. All students enrolled in all grades in these schools (n = 2466) Background/aim: Childhood hypertension and its association with obesity are becoming important issues worldwide. The prevalence of hypertension and obesity are growing in both developed and developing countries. This paper aimed to determine the prevalence of hypertension among school-aged children in Sakarya (western part of Turkey) and to determine whether or not obesity is associated with hypertension.Materials and methods: Twelve schools were randomly selected from an area in the center of the Sakarya. A total of 2166 students participated in the study. The students were visited at school, and their weights, heights, and blood pressures were measured. The World Health Organization references were used to determine the prevalence of overweightness, obesity, and hypertension.
Results:The prevalences of hypertension and obesity were 15.1% (n = 326) and 18.0% (n = 390), respectively. Overweightness, obesity included, was foun...