TY - JOUR
T1 - Cross-sectional, school-based study of 14-19 year olds showed that raised blood pressure was associated with obesity and abdominal obesity
AU - Nascimento-Ferreira, Marcus Vinícius
AU - De Moraes, Augusto César Ferreira
AU - Rendo-Urteaga, Tara
AU - de Oliveira Forkert, Elsie Costa
AU - Collese, Tatiana Sadalla
AU - Cucato, Gabriel Grizzo
AU - Reis, Victor M M
AU - Torres-Leal, Francisco Leonardo
AU - Moreno, Luis A
AU - Carvalho, Heráclito Barbosa
PY - 2017/3/1
Y1 - 2017/3/1
N2 - AIM: Gaining weight has been directly associated with an increased probability of developing high blood pressure (HBP) and metabolic abnormalities. We examined the independent and combined effects of overweight, obesity and abdominal obesity on blood pressure in adolescents.METHODS: This cross-sectional school-based study evaluated 869 adolescents (53.4% girls) from 14 to 19 years of age, and the data were collected in 2013 in the city of Imperatriz, Maranhão, Brazil. The outcome was HBP. The independent variables were overweight and obesity classified by body mass index, abdominal obesity classified by the waist-to-height ratio and the combination of obesity and overweight and abdominal obesity. The potential confounding variables were age, the socio-economic status of the family, parental education, type of school and physical activity levels.RESULTS: The prevalence ratios of HBP were higher when male and female adolescents were overweight (1.61-3.11), generally obese (3.20-4.70), had abdominal obesity (2.18-3.02) and were both generally obese and had abdominal obesity (3.28-5.16) compared with normal weight adolescents.CONCLUSION: Obesity or abdominal obesity increased the risk of HBP in adolescents aged 14-19. However, adolescents who were both generally obese and had abdominal obesity showed an even higher risk of having HBP.
AB - AIM: Gaining weight has been directly associated with an increased probability of developing high blood pressure (HBP) and metabolic abnormalities. We examined the independent and combined effects of overweight, obesity and abdominal obesity on blood pressure in adolescents.METHODS: This cross-sectional school-based study evaluated 869 adolescents (53.4% girls) from 14 to 19 years of age, and the data were collected in 2013 in the city of Imperatriz, Maranhão, Brazil. The outcome was HBP. The independent variables were overweight and obesity classified by body mass index, abdominal obesity classified by the waist-to-height ratio and the combination of obesity and overweight and abdominal obesity. The potential confounding variables were age, the socio-economic status of the family, parental education, type of school and physical activity levels.RESULTS: The prevalence ratios of HBP were higher when male and female adolescents were overweight (1.61-3.11), generally obese (3.20-4.70), had abdominal obesity (2.18-3.02) and were both generally obese and had abdominal obesity (3.28-5.16) compared with normal weight adolescents.CONCLUSION: Obesity or abdominal obesity increased the risk of HBP in adolescents aged 14-19. However, adolescents who were both generally obese and had abdominal obesity showed an even higher risk of having HBP.
KW - Adolescent
KW - Blood Pressure
KW - Brazil/epidemiology
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Hypertension/epidemiology
KW - Male
KW - Obesity, Abdominal/complications
KW - Pediatric Obesity/complications
KW - Young Adult
U2 - 10.1111/apa.13699
DO - 10.1111/apa.13699
M3 - Article
C2 - 27935112
SN - 0803-5253
VL - 106
SP - 489
EP - 496
JO - Acta Paediatrica, International Journal of Paediatrics
JF - Acta Paediatrica, International Journal of Paediatrics
IS - 3
ER -
