Prevalence of Overweight and Obesity in Hungarian Children and Adolescents

Jakab, Andrea Emese; Hidvégi, Erzsébet Valéria; Illyés, Miklós; Cziráki, Attila; Bereczki, Csaba

doi:10.1159/000487929

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…Children with excessive weight had abnormal BP and HTN significantly more often than proportional ones [3,5,6,22,23,30], but we did not identify statistically better sensitivity of AAP criteria by reclassification, which may be due to an insufficient number of identified patients. However, an Italian study with analysed a sample 2929 overweight/obese young people (6-16 years old) identified that children considered non-hypertensive by ESH 327 (11%) were reclassified using the lower cut-off point suggested by the AAP [7].…”

Section: Discussioncontrasting

confidence: 77%

Prevalence of arterial hypertension among Ukrainian students: the comparison of European and American guidelines

Furdela¹,

Pavlyshyn²,

Kovalchuk³

et al. 2022

pedm

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Introduction: Arterial hypertension (HTN) among children is progressively increasing. These concerns have led to an update of the guidelines about childhood hypertension by the European Society of Hypertension (ESH) in 2016 and the American Academy of Pediatrics (AAP) in 2017, and their thresholds for HTN differ. The current research aims to compare the prevalence of hypertension in Ukrainian teenagers using 2 different guidelines and to check the impact of gender, age, and excess weight on hypertension. Material and methods:The sample includes 540 Ukrainian students of 2 secondary urban schools, aged 10-17 years. Blood pressure and anthropometrical measurements were taken and compared with percentile tables. Results: The prevalence of abnormal BP (11.3% and 15.2%) and HTN (1.9% and 4.1%) was determined with ESH and AAP guidelines, respectively, and they strongly depended on which definitions and criteria were used. Boys were much more predisposed to abnormal BP. Comparing both guidelines, there was no significant difference in HTN prevalence in children aged 10-12 years; nevertheless, AAP recognized HTN almost twice as often in teenagers aged ≥ 13 years. Excess body weight was identified in 17.2% of the school-age children, twice as frequently as in males. Conclusions:The results have shown a higher prevalence of HTN in teenagers and children with excessive weight more significant in boys and between children with positive markers of abdominal obesity due to both guidelines, without a significant difference in prevalence after re-classification; however, AAP recommendations might be preferable.

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Section: Discussioncontrasting

confidence: 77%

Prevalence of arterial hypertension among Ukrainian students: the comparison of European and American guidelines

Furdela¹,

Pavlyshyn²,

Kovalchuk³

et al. 2022

pedm

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“…A recent nationwide population-based study showed that the prevalence of T2DM among children and adolescents in Hungary was 22 out of 100,000 [33] and this data was higher than in most European countries (such as Denmark [34] and Germany [35]). The prevalence of obesity among children or adolescents was 6.6% [36], while among adults (above 18 years) it was 32% [37]. Hungary has the highest obesity rate in Europe based on OECD data from 2016 [38].…”

Section: Introductionmentioning

confidence: 99%

Impact of Genetic Factors on the Age of Onset for Type 2 Diabetes Mellitus in Addition to the Conventional Risk Factors

Pikó

Werissa

Fiatal

et al. 2020

JPM

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It is generally accepted that the early detection of type 2 diabetes mellitus (T2DM) is important to prevent the development of complications and comorbidities, as well as premature death. The onset of type 2 diabetes mellitus results from a complex interplay between genetic, environmental, and lifestyle risk factors. Our study aims to evaluate the joint effect of T2DM associated single nucleotide polymorphisms (SNPs) on the age of onset for T2DM in combination with conventional risk factors (such as sex, body mass index (BMI), and TG/HDL-C ratio) in the Hungarian population. This study includes 881 T2DM patients (Case population) and 1415 samples from the Hungarian general population (HG). Twenty-three SNPs were tested on how they are associated with the age of onset for T2DM in the Case population and 12 of them with a certified effect on the age of T2DM onset were chosen for an optimized genetic risk score (GRS) analysis. Testing the validity of the GRS model developed was carried out on the HG population. The GRS showed a significant association with the age of onset for T2DM (β = −0.454, p = 0.001) in the Case population, as well as among T2DM patients in the HG one (β = −0.999, p = 0.003) in the replication study. The higher the GRS, the earlier was the T2DM onset. Individuals with more than eight risk alleles will presumably be diabetic six and a half years earlier than those with less than four risk alleles. Our results suggest that there is a considerable genetic predisposition for the early onset of T2DM; therefore, in addition to conventional risk factors, GRS can be used as a tool for estimating the risk of the earlier onset of T2DM and stratifying populations at risk in order to define preventive interventions.

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“…Furthermore, despite the number of studies that have been performed, the prevalence of high BP values in pediatric population worldwide is difficult to establish partly due to regional differences in the definition, distribution of reference BP data and methods of BP measurement. Central-European studies showed the prevalence of high BP values in adolescents from as low as 2.2% in Switzerland to 4.9% in Poland ( 22 - 24 ). Data from Southern Europe highlighted a higher prevalence; adolescent hypertension was estimated to be at least 9% in Turkey to 13% in Portugal ( 25 - 27 ).…”

Section: Discussionmentioning

confidence: 99%

Anthropometric Measurements, Dietary Habits, Serum Lipid and Glucose Levels in Relation to High Blood Pressure among Adolescent Boys and Girls in Croatia

Martinis¹,

Čoklo

Aladrović

et al. 2020

ACC

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The aim was to determine differences in anthropometric measurements, dietary habits, serum lipid and glucose levels in relation to high blood pressure (BP) among adolescent boys and girls in Croatia. The specific aim was to determine the effect of dietary habits and lifestyle on high BP in adolescents according to sex. The study included 260 (68.2%) adolescent girls and 121 (31.8%) boys with anthropometric data obtained (without missing values) from 246 girls and 111 boys. Participants answered questions from the questionnaire and anthropometric BP and blood test values were obtained. Non-parametric tests were used in analyses of reference intervals of systolic and diastolic BP in adolescent boys and girls according to age. High BP was defined as ≥90 th percentile for adolescent girls and boys, with a value of ≥135/87.5 mm Hg. Mann-Whitney U test was used to analyze differences in anthropometric and laboratory values between the groups of girls and boys with high (≤90 th percentile) and normal BP. Increase in systolic and diastolic BP was noted in the adolescents. In girls, BP values showed a decreasing systolic and increasing diastolic BP trend with age. Girls with high BP had a significantly higher body mass index (BMI) (p=0.020), waist circumference (WC) (p=0.002), waist-to-height ratio (WHtR) (p=0.016), waist-to-hip ratio (WHR) (p=0.043), hip circumference (HC) (p=0.015), triglyceride (TG) levels (p=0.021), higher prevalence of unhealthy diet at school breakfast (p=0.008) and lower prevalence of eating fish (p=0.02). Boys with high BP had a significantly higher BMI (p=0.045), WC (p=0.004), WHtR (p=0.017), WHR (p=0.022) and higher prevalence of eating meat products (p=0.015). Effective health interventions are needed to reduce the risk of developing cardiovascular diseases and preventing age-related illness.

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Prevalence of Overweight and Obesity in Hungarian Children and Adolescents

Cited by 8 publications

References 23 publications

Prevalence of arterial hypertension among Ukrainian students: the comparison of European and American guidelines

Prevalence of arterial hypertension among Ukrainian students: the comparison of European and American guidelines

Impact of Genetic Factors on the Age of Onset for Type 2 Diabetes Mellitus in Addition to the Conventional Risk Factors

Anthropometric Measurements, Dietary Habits, Serum Lipid and Glucose Levels in Relation to High Blood Pressure among Adolescent Boys and Girls in Croatia

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