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.
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References
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.
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.
Flynn JT, Falkner BE. Obesity hypertension in adolescents: epidemiology, evaluation, and management. J Clin Hypertens. 2011;13:323–31.
Raj M, Krishnakumar R. Hypertension in children and adolescents: epidemiology and pathogenesis. Indian J Pediatr. 2013;80:S71–6.
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.
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.
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.
Becton LJ, Shatat IF, Flynn JT. Hypertension and obesity: epidemiology, mechanisms and clinical approach. Indian J Pediatr. 2012;79:1056–61.
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.
Riley M, Bluhm B. High blood pressure in children and adolescents. Am Fam Physician. 2012;85:693–700.
Lauer RM, Burns TL, Clarke WR, Mahoney LT. Childhood predictors of future blood pressure. Hypertension. 1991;18:I74–81.
Stamler J. Epidemiologic findings on body mass and blood pressure in adults. Ann Epidemiol. 1991;1:347–62.
Gillman MW, Ellison RC. Childhood prevention of essential hypertension. Pediatric Clinics of North America. 1993;40:179–94.
Health NI. Lipid research clinics population studies data book. Washington: NIH publication No. 80–1527; 1980.
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.
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.
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.
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.
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.
Vasylyeva TL, Chennasamudram SP, Okogbo ME. Can we predict hypertension among preterm children? Clin Pediatr. 2011;50:936–42.
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.
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.
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The authors would like to thank participants and colleagues in Guilan University of Medical Sciences.
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Department of Health Center, Guilan University of Medical Sciences, Guilan, Iran.
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Dalili, S., Mohammadi, H., Rezvany, S.M. et al. The Relationship Between Blood Pressure, Anthropometric Indices and Metabolic Profile in Adolescents: A Cross Sectional Study. Indian J Pediatr 82, 445–449 (2015). https://doi.org/10.1007/s12098-014-1573-6
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DOI: https://doi.org/10.1007/s12098-014-1573-6