The association between obesity and blood pressure in Thai public school children

Sukhonthachit, Penmat; Aekplakorn, Wichai; Hudthagosol, Chatrapa; Sirikulchayanonta, Chutima

doi:10.1186/1471-2458-14-729

Cited by 36 publications

(31 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This observation is in agreement with Fishbein in the United States (35). Additionally, the alterations found in the profile of lipoproteins is also in accordance with Skhonthachit P et al in Thai children (36) and with Boyd GS et al (37), who both found a high prevalence of dyslipidemia in overweight and obese children and adolescents. The existence of dyslipidemia is often reported in the many studies that have provided evidence of the association between obesity and the risk of cardiovascular disease.…”

Section: Discussionsupporting

confidence: 72%

Acantosis nigricans is associated with risk factors related to cardiovascular disease in Mexican children with obesity

Martínez-Rojano

Pizano-Zárate²,

Sánchez-Jiménez³

et al. 2016

Nutr Hosp

View full text Add to dashboard Cite

ResumenIntroducción: la mayor prevalencia de obesidad en la población infantil mexicana durante la última década incrementa el riesgo de presentar trastornos metabólicos y enfermedades cardiovasculares a edades cada vez más tempranas. Objetivo: determinar la asociación entre Acantosis nigricans (AN) con dislipidemia, hipertensión arterial, índice de masa corporal (IMC) y conductas alimentarias de riesgo en niños con sobrepeso y obesidad. Pacientes y métodos: estudio transversal analítico realizado en dos escuelas públicas de la zona metropolitana de la ciudad de México donde participaron 300 niños, de ambos sexos, obteniéndose información de los antecedentes heredofamiliares y perinatales. Con la exploración física se valoró la presencia o ausencia de AN y presión sanguínea. Se pesó y midió a los escolares, se calculó el IMC y se estimó su puntaje Z. Se cuantifi có la concentración sérica de glucosa, colesterol, triglicéridos y perfi l de lipoproteínas. Resultados: la prevalencia de AN fue 41,7%, al determinar la asociación entre la AN y los factores de riesgo cardiovascular, se identifi có una asociación con el IMC (rS 0.432; p < 0.0001), entre las cifras de presión arterial sistólica y diastólica por encima del percentil 90 (rS 0.231; p < 0.0001) y (rS 0.128; p = 0,026) respectivamente, la hipertrigliceridemia (rS 0.156; p = 0.007), las bajas concentraciones de colesterol de lipoproteínas de alta densidad (cHDL) (rS -0,160; p = 0,006), así como la existencia de los trastornos de la conducta alimenticia; haber realizado dietas p = 0.004, ha perdido el control de lo que come p = 0,023 y cuando el porcentaje de grasa corporal fue superior al percentil 90, χ 2 = 35.1; p = 0.0001, no se observó asociación con la concentración sérica de glucosa (rS -0.018; p = 0,759). En el análisis de regresión logística se observó que la presencia de AN mostró una asociación con las menores concentraciones de cHDL (RM: 1.726; p = 0,041) y con el porcentaje de grasa corporal (> 48%) (RM: 3.591; p = 0,001). Conclusión: se observó una alta prevalencia de AN en niños con sobrepeso u obesidad y su asociación con factores de riesgo cardiovascular: puntaje Z del IMC, dislipidemia y las cifras tensionales elevadas. AbstractIntroduction: The prevalence of obesity in Mexican children has increased during the last decade, as has the risk of early onset metabolic disorders and cardiovascular disease. Objective: To determine the association of Acantosis nigricans (AN) with dyslipidemia, high blood pressure, body mass index (BMI), and risk factors related to eating behavior in overweight and obese children. Patients and methods: This transverse analytical study, conducted in two Mexico City primary schools, included 300 boys and girls. Information was gathered on hereditary and perinatal background. A physical examination provided data on the presence/absence of AN, blood pressure, weight and height. The BMI and Z-score were calculated. The serum concentration of glucose, cholesterol and triglycerides was quantifi ed and the lipoprotein profi l...

show abstract

Section: Discussionsupporting

confidence: 72%

Acantosis nigricans is associated with risk factors related to cardiovascular disease in Mexican children with obesity

Martínez-Rojano

Pizano-Zárate²,

Sánchez-Jiménez³

et al. 2016

Nutr Hosp

View full text Add to dashboard Cite

show abstract

“…4 In Thailand, 17.6% of obese/overweight children presented with metabolic syndrome, 8 while among obese children, 4.7% of boys and 3.2% of girls had hypertension. 9 The prevalence of dyslipidemia in school-age children was 11.8%, with overweight as the sole risk factor.10 Therefore, early identification of children at high risk for obesity should be a pivotal aspect of any obesity prevention initiative. …”

mentioning

confidence: 99%

Mid-Upper-Arm Circumference and Arm-to-Height Ratio to Identify Obesity in School-Age Children

Rerksuppaphol¹,

Rerksuppaphol²

2017

Clin Med Res

View full text Add to dashboard Cite

Background:In resource-poor settings, anthropometric parameters are evaluated as potential alternatives to the body mass index (BMI) for detecting overweight and obesity in children. To this end, the mid-upperarm circumference (MUAC) and the mid-upper-arm circumference-to-height ratio (AHtR) were evaluated as proxies to BMI in Thai school-age children.Study design: An observational, cross-sectional study was performed on school-aged children.Participants: Children in grades 1 through 6 at all public elementary schools in the Ongkharak district, Nakhon Nayok, Thailand during May and June 2013 were included. This is a rural district with low per capita income.Methods: Weight, height, and MUAC were measured in school-age children and analyzed to identify optimal cut-off values for MUAC and AHtR for detection of overweight and obesity in comparison to BMI. Receiver operating characteristic (ROC) curve analysis determined the validity of MUAC and AHtR use.Results: Data from 3,618 children, aged 6.0-12.99 years, were analyzed. MUAC correlated with age and height (P < 0.001), but especially with body weight (r = 0.888 to 0.914) and BMI (r = 0.859 to 0.908) in both genders, while AHtR correlated with body weight and BMI (P < 0.001), but not with age. Cut-off values of MUAC for obesity diagnosis ranged from 18.9 to 25.5 cm for boys and from 19.8 to 25.4 cm for girls. Accuracy was excellent for both boys (AUC = 0.952-0.991) and girls (AUC = 0.917-0.990). Cut-off of MUAC for overweight diagnosis ranged from 17.2 to 22.4 cm for boys (AUC = 0.883-0.965) and from 18.0 to 23.2 cm for girls (AUC = 0.905-0.931). AHtR cut-off values for obesity and overweight diagnosis at 0.16 and 0.145, respectively, were determined with excellent diagnostic accuracy (AUC ranged from 0.920 to 0.975). Conclusion:MUAC and AHtR were reliable tools to detect overweight and obesity in Thai school-age children. Cut-off points for MUAC were age and gender specific, while AHtR at 0.16 and 0.145 were the optimal values for both genders, independent of age. These anthropometric measurements showed excellent accuracy in predicting overweight and obesity with high specificity and sensitivity. Keywords: Anthropometry; Mid-upper-arm circumference; Arm-to-height ratio; Pediatric obesity; Overweight T he widespread prevalence of obesity in children and adolescents has become an alarming public health concern in both developed and developing countries. 1-3The most common cause of obesity in children is a positive energy balance due to caloric intake in excess of caloric expenditure, combined with a genetic predisposition for weight gain. 4 Even in developing countries, lack of physical activity and the nutritional transition toward high energy food/junk food have been associated with a rise in obesity prevalence. 5,6 A previous cross-sectional study of school-age children in Ongkharak, Thailand found a prevalence of 12.8% for overweight and 9.4% for obesity, a dramatic increase among Thai children. 7Comorbidities that were previously considered "adult" diseases,...

show abstract

“…Such factors contribute not only to the accumulation of body fat but also to the development of numerous disorders, and chronic and degenerative diseases, such as diabetes, high blood pressure, dyslipidemia, and cardiopathy 5 . Even though food intake and level of physical activity have not been controlled for in the study sample, there is plenty of evidence in the literature that an inappropriate diet is specifically associated with better socioeconomic status, being one of the causes of weight gain 2 .…”

Section: Discussionmentioning

confidence: 99%

“…The nutritional status of children and adolescents has been the target of numerous Brazilian 1-4 and international [5][6][7][8] studies. These data are critical because of the influence of underweight and excess weight (overweight and obesity) on the risk of early-onset metabolic disorders and chronic noncommunicable diseases 1,3 .…”

Section: Introductionmentioning

confidence: 99%

Nutritional status of schoolchildren aged 7-10 years enrolled in public and private schools of Cascavel, Paraná, Brazil

et al. 2016

View full text Add to dashboard Cite

A B S T R A C T ObjectiveTo analyze the prevalence of malnutrition, overweight, and obesity in schoolchildren aged 7-10 years from public and private schools of Cascavel, Paraná, Brazil. MethodsDemographic information (sex, age, and type of school) and anthropometric measurements (body mass and height) were collected from 2,180 students (1,693 from public schools and 487 from private schools). The nutritional status of the children was classified according to their body mass index Z-score. ResultsThe prevalences of malnutrition, overweight, and obesity were 6.1%, 9.8% and 11.1%, respectively. Girls were 15.9% more likely to be malnourished than boys. As for overweight, 10-year-olds were 1.53 times more 700 | KES SILVA et al.Rev. Nutr., Campinas, 29(5):699-708, set./out., 2016 Revista de Nutrição http://dx.doi. org/10.1590/1678-98652016000500008 likely to be overweight than 7-year-olds. Children from private schools were 1.63 times more likely to be overweight and 2.88 times more likely to be obese than their public school peers. ConclusionThe prevalence of malnutrition and excess weight (overweight and obesity) were high, and girls were more likely to be malnourished. Ten-year-olds and children from private schools were the most affected by overweight and obesity.

show abstract

The association between obesity and blood pressure in Thai public school children

Cited by 36 publications

References 31 publications

Acantosis nigricans is associated with risk factors related to cardiovascular disease in Mexican children with obesity

Acantosis nigricans is associated with risk factors related to cardiovascular disease in Mexican children with obesity

Mid-Upper-Arm Circumference and Arm-to-Height Ratio to Identify Obesity in School-Age Children

Nutritional status of schoolchildren aged 7-10 years enrolled in public and private schools of Cascavel, Paraná, Brazil

Contact Info

Product

Resources

About