The association between cardiovascular risk factors and high blood pressure in adolescents: A school‐based study

Christófaro, Diego Giulliano Destro; Fernandes, Rômulo Araújo; Oliveira, Arli Ramos de; Júnior, Ismael Forte Freitas; Barros, Mauro Virgílio Gomes de; Ritti‐Dias, Raphael Mendes

doi:10.1002/ajhb.22555

Cited by 15 publications

(10 citation statements)

References 37 publications

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“…The indicator of central obesity (waist circumference) was demonstrated to be more associated with BP when compared with other indicators of total obesity, corroborating previous findings . Central adipose tissue, in excess, seems to release large amounts of fatty acids that can promote changes such as hypertriglyceridemia and hyperinsulinemia, a framework that can lead to an increase in sodium reabsorption and sympathetic nervous activity, which contributes to elevated BP levels …”

Section: Discussionsupporting

confidence: 85%

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Correlates of Blood Pressure According to Early, On Time, and Late Maturation in Adolescents

Werneck

Silva

Souza

et al. 2015

J of Clinical Hypertension

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The aim of this study was to estimate the prevalence and correlates of blood pressure (BP) according to somatic maturation in Southern Brazilian adolescents. A total of 1321 adolescents participated in the study (732 girls), aged between 10 and 16 years, enrolled in public schools. The assessment of BP was performed using oscillometric equipment. Measurements of body weight, height, waist circumference, and skinfold thickness were performed. Somatic maturation was estimated by the age at peak height velocity. Behavioral and hereditary variables were obtained using a questionnaire. Early-maturing adolescents had the highest prevalence of high BP (28%; 95% confidence interval, 24.6-33.5) compared with other maturational groups (P=.003). In late-maturing adolescents, the variables associated with BP were paternal hypertension (systolic BP: β=4.9; diastolic BP: β=5.3) and early physical activity (systolic BP: β=-4.0; diastolic DBP: β=-3.6). In average-maturing adolescents, waist circumference (systolic BP: β=0.3), body mass index (diastolic BP: β=0.5), and mother's hypertension (diastolic BP: β=1.8) were positively related to BP. In early-maturing adolescents, only waist circumference (systolic BP: β=0.3; diastolic BP: β=0.3) was associated with BP. The authors conclude that the prevalence of high BP is greater in adolescents with early maturity and the outcome appears to be related to biological indicators in this group. On the other hand, in late-maturing adolescents, behavioral and hereditary variables are more related to BP.

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Section: Discussionsupporting

confidence: 85%

“…Biological, social, and behavioral variables have been related to BP in adolescence . Even the growth and development processes, which are features of this stage of life, are linked to biological changes that can influence BP .…”

mentioning

confidence: 99%

Correlates of Blood Pressure According to Early, On Time, and Late Maturation in Adolescents

Werneck

Silva

Souza

et al. 2015

J of Clinical Hypertension

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“…Studies conducted in Brazil also showed the same results in the last decade, a high percentage of individuals in adolescence presenting several health risk factors such as abdominal obesity (32%), hypertension (15%), metabolic syndrome (7, 7%) [8][9][10] . Childhood and adolescence are important stages for the development of a healthy lifestyle, since most habits acquired during this period of life are perpetuated into adulthood 11 .…”

Section: Introductionmentioning

confidence: 49%

Efetividade de programas de intervenção escolar para reduzir fatores de risco à saúde em adolescentes: uma revisão sistemática

Guimarães

Langer

Guerra‐Júnior

et al. 2015

Rev. Bras. Cineantropom. Desempenho Hum.

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-The aim of this study was to systematically review studies on intervention programs involving physical activity promotion and/or nutritional education to reduce health-related risk factors (overweight/obesity and metabolic profilealterations) in Brazilian adolescent students. A search was performed in the following electronic databases: Medline (PubMed), Lilacs, Embase, Scielo and Capes Thesis Database. A total of 1,568 studies were identified, of which 21 full papers were analyzed and 5 were included in the systematic review. The majority of the studies involved physical activity practice combined with nutritional education in Brazilian adolescent students and all interventions showed positive effect on reducing health-related risk factors among Brazilian adolescents.It was concluded that all studies included in this review showed positive alterations in healthrelated risk factors after interventions, reinforcing the importance of intervention programs to promote a healthier lifestyle and reduce health-related risk factors in adolescents. Key words: Adolescents; Eating behavior; Intervention studies, Motor activity; Students' health.Resumo -O objetivo do estudo foi realizar uma revisão sistemática sobre os programas de intervenção, com ações de atividades físicas e/ou educação nutricional, na redução de fatores de risco à saúde (sobrepeso/obesidade e alterações no perfil metabólico), em adolescentes escolares brasileiros. Foi realizada busca nas bases de dados eletrônicas Medline (PubMed), Lilacs, Embase, Scielo e Banco de Teses da Capes. Identificaram-se 1.568 estudos e 21 textos completos foram analisados, dos quais, cinco foram incluídos na revisão. A maioria dos estudos envolveu a prática de atividades físicas combinada à educação nutricional em diferentes regiões do país e todas as intervenções mostraram efeitos positivos na redução de fatores de risco à saúde. Conclui-se que todos os estudos nesta revisão demonstraram alterações positivas após as intervenções, mesmo que não significativas estatisticamente, reforçando a importância de programas de intervenção para a promoção de uma vida mais saudável e para reduzir os fatores de risco à saúde, em adolescentes. Palavras-chave: Adolescentes; Atividade motora; Comportamento alimentar; Estudos de intervenção; Saúde escolar. 486Intervention programs in adolescents Guimarães et al.

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“…Additionally, the adolescence is a period of development characterized by excess of sedentary behavior, physical inactivity and bad eating habits. These risk factors generate an additional risk of high blood pressure in adolescents 9 .…”

Section: Discussionmentioning

confidence: 99%

“…Despite the considerable amount of literature examining risk factors in Brazilian adolescents 2,8,9 , studies investigating the sex, age and socioeconomic status (SES) disparities in the proportions of health related risk factors are rare. However, the understanding of these differences is of the utmost importance to develop preventive intervention programs for adolescents.…”

Section: Introductionmentioning

confidence: 99%

Metabolic risk factors clustering among adolescents: a comparison between sex, age and socioeconomic status

Guimarães

Silva

Mazzardo

et al. 2019

Ciênc. saúde coletiva

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The aim was to compare the metabolic risk factors (MRF) between sex, age and socioeconomic status in a sample of adolescents from Curitiba, Brazil. A cross-sectional school-based study was conducted on 997 adolescents (429 boys) aged 12-17 years old from public schools. Total Cholesterol (TC), LDL-c, HDL-c, Triglycerides, Glycemia, Blood Pressure, waist circumference and body mass index were measured. Sex, age and socioeconomic status information was obtained using a questionnaire. Descriptive analyses, Fisher Exact and Chi-Square Tests were used to establish the sample's characteristics and the MRF comparison between variables. We found that 27.4% were classified as overweight/obese, almost half of them had TC and LDL-c classified as limitrophe/altered, with a difference between the sexes (p < 0.01), and that a higher percentage of altered values was seen among girls. The percentage of 3 and 4 or more MRF was 13.8% and 6.3%, respectively. In addition, 86.5% of the participants had at least one and 39.7% had at least two MRF. We conclude that there was a high percentage of overweight/obese, as well as a great number of subjects with altered TC and HDL-c. We also pointed out the large percentage of aggregated metabolic risk factors in both sexes. Strategies to reduce metabolic risk factors are required.

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The association between cardiovascular risk factors and high blood pressure in adolescents: A school‐based study

Abstract: The number of cardiovascular risk factors was found to be related to high blood pressure in adolescents.

Cited by 15 publications

References 37 publications

Correlates of Blood Pressure According to Early, On Time, and Late Maturation in Adolescents

Correlates of Blood Pressure According to Early, On Time, and Late Maturation in Adolescents

Efetividade de programas de intervenção escolar para reduzir fatores de risco à saúde em adolescentes: uma revisão sistemática

Metabolic risk factors clustering among adolescents: a comparison between sex, age and socioeconomic status

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