Waist Circumference and Fat Intake Are Associated with High Blood Pressure in Mexican Children Aged 8 to 10 Years

Colin-Ramírez, Eloisa; Castillo-Martı́nez, Lilia; Orea-Tejeda, Arturo; Romero, Antonio Rabazas; Vergara-Castañeda, Arely; Lafuente, Enrique Asensio

doi:10.1016/j.jada.2009.03.011

Cited by 53 publications

(41 citation statements)

References 29 publications

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“…1 Moreover, in one sample of Mexican Children from Mexico City, the waist circumference was the main factor associated with systolic hypertension. 19 Our results show a good relationship between BP in the 95th percentile or higher and the measurements of body fat. Interestingly, a strong association was observed between the skinfold thickness and elevated BP.…”

Section: Discussionsupporting

confidence: 64%

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Body Fat Distribution and Its Association with Hypertension in a Sample of Mexican Children

Ramos-Arellano

Benito-Damián

Salgado-Goytia

et al. 2011

Journal of Investigative Medicine

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Section: Discussionsupporting

confidence: 64%

“…In this study, the prevalence of elevated BP was higher in comparison with our results; however, those findings seem related to increases in overweight and obesity in children from Mexico City. 19 …”

Section: Discussionmentioning

confidence: 99%

Body Fat Distribution and Its Association with Hypertension in a Sample of Mexican Children

Ramos-Arellano

Benito-Damián

Salgado-Goytia

et al. 2011

Journal of Investigative Medicine

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“…The hip circumference was measured at the greater trochanter [25-27]. Because boys have larger WC and hip circumference compared with girls [7,10,16,24,25,32], we used sex-specific cutoff points to divide WC and hip circumference into separate quartiles for boys and girls. Waist-to-height ratio was calculated as waist/height [21,23,33].…”

Section: Methodsmentioning

confidence: 99%

Waist circumference and risk of elevated blood pressure in children: a cross-sectional study

et al. 2011

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BackgroundIncreasing childhood obesity has become a major health threat. This cross-sectional study reports associations between schoolchildren's waist circumference (WC) and risk of elevated blood pressure.MethodsWe measured height, weight, neck and waist circumference, and blood pressure in regular health examinations among children in grade 1 (ages 6-7 years) at six elementary schools in Taipei County, Taiwan. Elevated blood pressure was defined in children found to have mean systolic or diastolic blood pressure greater than or equal to the gender-, age-, and height-percentile-specific 95th-percentile blood pressure value.ResultsAll 2,334 schoolchildren were examined (response rate was 100% in the six schools). The mean of systolic and diastolic blood pressure increased as WC quartiles increased (p < 0.0001). The prevalence of elevated blood pressure for boys and girls within the fourth quartile of waist circumference was 38.9% and 26.8%, respectively. In the multivariate logistic regression analyses, the adjusted odds ratios of elevated blood pressure were 1.78 (95% confidence interval [CI] = 1.13-2.80), 2.45 (95% CI = 1.56-3.85), and 6.03 (95% CI = 3.59-10.1) for children in the second, third, and fourth waist circumference quartiles compared with the first quartile. The odds ratios for per-unit increase and per increase of standard deviation associated with elevated blood pressure were 1.14 (95% CI = 1.10-1.18) and 2.22 (95% CI = 1.76-2.78), respectively.ConclusionsElevated blood pressure in children was associated with waist circumference. Not only is waist circumference easier to measure than blood pressure, but it also provides important information on metabolic risk. Further research is needed on effective interventions to identify and monitor children with increased waist circumference to reduce metabolic and blood pressure risks.

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“…Li et al 25 found 16.2% of increased blood pressure levels in a sample of 1005 children and adolescents in China. On the other hand, a study conducted in Fortaleza (State of Ceará, Brazil), in a sample of 342 schoolchildren aged between 6 and 18 years, found a frequency of 44.7% of the sample with increased blood pressure 26 , and a study of 1239 Mexican children showed a 22.8% prevalence of hypertension 27 . …”

Section: Discussionmentioning

confidence: 97%

Excess Weight, Anthropometric Variables and Blood Pressure in Schoolchildren aged 10 to 18 years

Schommer¹,

Barbiero²,

Cesa³

et al. 2014

Arquivos Brasileiros De Cardiologia

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BackgroundThe prevalence of hypertension among children and adolescents is estimated to range between 1% and 13%. Excess weight and central obesity are related to blood pressure levels in adults, and may be important in the early pathogenesis of SH when present in childhood. ObjectivesTo study the association between anthropometric variables and blood pressure levels in schoolchildren from the 5th and 8th grades, and to identify which parameter was more strongly correlated with blood pressure levels. MethodsContemporary cross-sectional study with probabilistic population-based cluster sampling of schoolchildren enrolled from the 5th to the 8th grades in public elementary schools of Porto Alegre. Data on familial risk factors and anthropometry were collected. Statistical analysis included correlations and cluster-adjusted confidence intervals. ResultsThe mean age of participants was 12.57 (± 1.64) years, and 55.2% of them were females. Abnormal blood pressure levels were found in 11.3% of the sample and borderline values, in 16.2%. Among the anthropometric variables analyzed, hip circumference was the one with the strongest correlation with increased blood pressure (r = 0.462, p < 0.001), followed by waist circumference (r = 0.404, p < 0.001) and abdominal skinfold (r = 0.291, p < 0.001). ConclusionWe observed an association of waist circumference and skinfolds with increased blood pressure levels in the schoolchildren of the sample. Therefore, it is of the utmost importance that early measurements of blood pressure, and waist and hip circumferences become a routine in health services in order to prevent this condition.

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Waist Circumference and Fat Intake Are Associated with High Blood Pressure in Mexican Children Aged 8 to 10 Years

Cited by 53 publications

References 29 publications

Body Fat Distribution and Its Association with Hypertension in a Sample of Mexican Children

Body Fat Distribution and Its Association with Hypertension in a Sample of Mexican Children

Waist circumference and risk of elevated blood pressure in children: a cross-sectional study

Excess Weight, Anthropometric Variables and Blood Pressure in Schoolchildren aged 10 to 18 years

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