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01.05.2015 | Original Article

The Relationship Between Blood Pressure, Anthropometric Indices and Metabolic Profile in Adolescents: A Cross Sectional Study

verfasst von: Setila Dalili, Hamid Mohammadi, Seyed Mahmood Rezvany, Arsalan Dadashi, Mohammad Hassan Novin, Hajar Gholaminejad, Abdolreza Medghalchi, Zahra Mohtasham Amiri, Hossein Dalili, Afagh Hassanzadeh Rad

Erschienen in: Indian Journal of Pediatrics | Ausgabe 5/2015

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Abstract

Objective

To investigate the relationship between blood pressure, anthropometric indices and metabolic profile in adolescents.

Methods

The present cross sectional study was conducted in 1005, 12-y-old junior students referred to 15 urban health centers of Rasht. Samples were recruited randomly and data were collected in a form which consisted of demographic characteristics, history of disease in samples and their immediate families, birth weight, physical examination and clinical examination including height, weight, blood pressure and body mass index. Also, metabolic profiles including fasting blood sugar (FBS), blood sugar (BS), cholesterol, and triglyceride (TG), low density lipoprotein (LDL), high-density lipoprotein (HDL) and insulin levels were measured. Data were analyzed in SPSS software, by descriptive and analytic statistics and p value 0.05 was considered statistically significant.

Results

Eight hundred fifty nine adolescents consisting of 550 (64 %) boys and 309 (34 %) girls participated in this study; 11.4 % (84/739 cases) of the participants had hypertension. The strongest correlation was seen between systolic blood pressure and weight, waist or hip circumferences and insulin levels. Also, FBS had very weak correlation with blood pressure.

Conclusions

Thus, weight, waist and hip circumferences, insulin levels, high TG and low HDL have been indicated as the strongest correlating factors for high blood pressure.Thus, these factors should be investigated in high risk children and followed in hypertensive child to monitor cardiometabolic risk factors.

Balagopal PB, de Ferranti SD, Cook S, Daniels SR, Gidding SS, Hayman LL, et al. Nontraditional risk factors and biomarkers for cardiovascular disease: mechanistic, research, and clinical considerations for youth a scientific statement from the American Heart Association. Circulation. 2011;123:2749–69.CrossRefPubMed

Lucini D, Mela GS, Malliani A, Pagani M. Impairment in cardiac autonomic regulation preceding arterial hypertension in humans insights from spectral analysis of beat-by-beat cardiovascular variability. Circulation. 2002;106:2673–9.CrossRefPubMed

Flynn JT, Falkner BE. Obesity hypertension in adolescents: epidemiology, evaluation, and management. J Clin Hypertens. 2011;13:323–31.CrossRef

Raj M, Krishnakumar R. Hypertension in children and adolescents: epidemiology and pathogenesis. Indian J Pediatr. 2013;80:S71–6.CrossRefPubMed

Ene-Obong H, Ibeanu V, Onuoha N, Ejekwu A. Prevalence of overweight, obesity, and thinness among urban school-aged children and adolescents in southern Nigeria. Food Nutr Bull. 2012;33:242–50.PubMed

Pinhas-Hamiel O, Dolan LM, Daniels SR, Standiford D, Khoury PR, Zeitler P. Increased incidence of non-insulin-dependent diabetes mellitus among adolescents. J Pediatr. 1996;128:608–15.CrossRefPubMed

Schiel R, Beltschikow W, Kramer G, Stein G. Overweight, obesity and elevated blood pressure in children and adolescents. Eur J Med Res. 2006;11:97–101.PubMed

Becton LJ, Shatat IF, Flynn JT. Hypertension and obesity: epidemiology, mechanisms and clinical approach. Indian J Pediatr. 2012;79:1056–61.CrossRefPubMed

Voors AW, Webber LS, Berenson GS. Resting heart rate and pressure-rate product of children in a total biracial community: the Bogalusa Heart Study. Am J Epidemiol. 1982;116:276–86.PubMed

10.

Riley M, Bluhm B. High blood pressure in children and adolescents. Am Fam Physician. 2012;85:693–700.PubMed

11.

Lauer RM, Burns TL, Clarke WR, Mahoney LT. Childhood predictors of future blood pressure. Hypertension. 1991;18:I74–81.CrossRefPubMed

12.

Stamler J. Epidemiologic findings on body mass and blood pressure in adults. Ann Epidemiol. 1991;1:347–62.CrossRefPubMed

13.

Gillman MW, Ellison RC. Childhood prevention of essential hypertension. Pediatric Clinics of North America. 1993;40:179–94.PubMed

14.

Health NI. Lipid research clinics population studies data book. Washington: NIH publication No. 80–1527; 1980.

15.

Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in US children and adolescents. JAMA. 2010;303:242–9.CrossRefPubMed

16.

Li S, Chen W, Srinivasan SR, Bond MG, Tang R, Urbina EM, et al. Childhood cardiovascular risk factors and carotid vascular changes in adulthood: the Bogalusa Heart Study. JAMA. 2003;290:2271–6.CrossRefPubMed

17.

Salvadori M, Sontrop JM, Garg AX, Truong J, Suri RS, Mahmud FH, et al. Elevated blood pressure in relation to overweight and obesity among children in a rural Canadian community. Pediatrics. 2008;122:e821–7.CrossRefPubMed

18.

Williams DE, Cadwell BL, Cheng YJ, Cowie CC, Gregg EW, Geiss LS, et al. Prevalence of impaired fasting glucose and its relationship with cardiovascular disease risk factors in US adolescents. Pediatrics. 2005;116:1122–6.CrossRefPubMed

19.

Di Bonito P, Sanguigno E, Forziato C, Saitta F, Iardino MR, Capaldo B. Fasting plasma glucose and clustering of cardiometabolic risk factors in normoglycemic outpatient children and adolescents. Diabetes Care. 2011;34:1412–4.CrossRefPubMedCentralPubMed

20.

Vasylyeva TL, Chennasamudram SP, Okogbo ME. Can we predict hypertension among preterm children? Clin Pediatr. 2011;50:936–42.CrossRef

21.

Fujita Y, Kouda K, Nakamura H, Nishio N, Takeuchi H, Iki M. Relationship between height and blood pressure in Japanese schoolchildren. Pediatr Int. 2010;52:689–93.CrossRefPubMed

22.

Ashrafi MR, Abdollahi M, Ahranjani BM, Shabanian R. Blood pressure distribution among healthy schoolchildren aged 6–13 years in Tehran. East Mediterr Health J. 2005;11:968–76.PubMed

Titel: The Relationship Between Blood Pressure, Anthropometric Indices and Metabolic Profile in Adolescents: A Cross Sectional Study
verfasst von: Setila Dalili
Hamid Mohammadi
Seyed Mahmood Rezvany
Arsalan Dadashi
Mohammad Hassan Novin
Hajar Gholaminejad
Abdolreza Medghalchi
Zahra Mohtasham Amiri
Hossein Dalili
Afagh Hassanzadeh Rad
Publikationsdatum: 01.05.2015
Verlag: Springer India
Erschienen in: Indian Journal of Pediatrics / Ausgabe 5/2015
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI: https://doi.org/10.1007/s12098-014-1573-6

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The Relationship Between Blood Pressure, Anthropometric Indices and Metabolic Profile in Adolescents: A Cross Sectional Study