Skip to main content
Log in

Association between body mass index, skinfold thickness and blood pressure in 12-year-old children

  • Original Article
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

The present study examined the association between body mass index (BMI) and skinfold thickness (SFT) with blood pressure (BP) in 12-year-old children in Shandong, China. A total of 920 (464 boys and 456 girls) 12-year-old students participated in this study. All subjects were divided into four groups (BMI < 25th, 25th ≤ BMI < 50th, 50th ≤ BMI < 75th, and BMI ≥ 75th) according to the percentile of BMI and into four groups (SFT < 25th, 25th ≤ SFT < 50th, 50th ≤ SFT < 75th, and SFT ≥ 75th) according to the percentile of SFT, respectively. Comparisons of BP among different groups were made by one-way ANOVA. High BP status was defined as systolic blood pressure (SBP) ≥ 95th and/or diastolic blood pressure (DBP) ≥ 95th percentile for age and gender. BMI and SFT were all significantly (P < 0.001) and positively related to SBP and DBP in both boys and girls. The prevalence of high BP in each group is rising with the percentiles of BMI and SFT in both boys and girls. Conclusion: There is a strong positive relationship between BMI, SFT, and BP in 12-year-old children; the present findings emphasize the importance of preventing excess BMI and SFT in order to prevent future-related problems such as hypertension in children and adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Andegiorgish AK, Wang J, Zhang X, Liu X, Zhu H (2012) Prevalence of overweight, obesity, and associated risk factors among school children and adolescents in Tianjin, China. Eur J Pediatr 171:697–703

    Article  PubMed  Google Scholar 

  2. Ataei N, Hosseini M, Iranmanesh M (2009) The relationship of body mass index and blood pressure in Iranian children <7 years old. J Tropical Pediatrics 55:313–317

    Article  Google Scholar 

  3. Chu NF, Rimm EB, Wang DJ, Liou HS, Shieh SM (1998) Clustering of cardiovascular disease risk factors among obese schoolchildren: the Taipei Children Heart Study. Am J Clin Nutr 67:1141–1146

    PubMed  CAS  Google Scholar 

  4. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS (1999) The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 103:1175–1182

    Article  PubMed  CAS  Google Scholar 

  5. Gupta AK, Ahmad AJ (1990) Childhood obesity and hypertension. Indian Pediatr 27:333–337

    PubMed  CAS  Google Scholar 

  6. He Q, Ding ZY, Fong DY, Karlberg J (2000) Blood pressure is associated with body mass index in both normal and obese children. Hypertension 36:165–170

    Article  PubMed  CAS  Google Scholar 

  7. Kanai H, Matsuzawa Y, Tokunaga K, Keno Y, Kobatake T, Fujioka S, Nakajima T, Tarui S (1990) Hypertension in obese children: fasting serum insulin levels are closely correlated with blood pressure. Int J Obes 14:1047–1056

    PubMed  CAS  Google Scholar 

  8. Kim HM, Park J, Kim HS, Kim DH, Park SH (2006) Obesity and cardiovascular risk factors in Korean children and adolescents age 10–18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001. Am J Epidemiol 164:787–793

    Article  PubMed  Google Scholar 

  9. Lauer RM, Burns TL, Clarke WR, Mahoney LT (1991) Childhood predictors of future blood pressure. Hypertension 18(Suppl 3):174–181

    Google Scholar 

  10. Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML (2004) Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med 158:27–33

    Article  PubMed  Google Scholar 

  11. Lurbe E, Redon J (2000) Ambulatory blood pressure monitoring in children and adolescents: the future. J Hypertens 18:1351–1354

    Article  PubMed  CAS  Google Scholar 

  12. Mi J, Wang TY, Meng LH, Zhu GJ, Han SM, Zhong Y, Liu GM, Wan YP, Xiong F, Shi JP, Yan WL, Zhou PM (2010) Development of blood pressure reference standards for Chinese children and adolescents. Chin J Evid Based Pediatr 15:4–14 [in Chinese]

    Google Scholar 

  13. Mossberg HO (1989) 40-year follow-up of overweight children. Lancet 2:491–493

    Article  PubMed  CAS  Google Scholar 

  14. Pela I, Modesti PA, Cocchi C, Cecioni I, Gensini GF, Bartolozzi G (1990) Changes in the ambulatory arterial pressure of normotensive obese children. Pediatr Med Chir 12:495–497

    PubMed  CAS  Google Scholar 

  15. Popkin BM, Doak CM (1998) The obesity epidemic is a worldwide phenomenon. Nutr Rev 56:106–114

    Article  PubMed  CAS  Google Scholar 

  16. Reinehr T, de Sousa G, Toschke AM, Andler W (2006) Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention. Am J Clin Nutr 84:490–496

    PubMed  CAS  Google Scholar 

  17. Rosner B, Prineas RJ, Loggie JM, Daniels SR (1993) Blood pressure nomograms for children and adolescents, by height, sex and age, in the United States. J Pediatr 123:871–886

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  19. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ (2004) Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 113:475–482

    Article  PubMed  Google Scholar 

  20. Sorof JM, Poffenbarger T, Franco K, Bernard L, Portman RJ (2002) Isolated systolic hypertension, obesity, and hyperkinetic hemodynamic states in children. J Pediatr 140:660–666

    Article  PubMed  Google Scholar 

  21. Srinivasan SR, Bao W, Mattigney WA, Berenson GS (1996) Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factors: the Bogalusa Heart Study. Metabolism 45:235–240

    Article  PubMed  CAS  Google Scholar 

  22. Wang Y, Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1:11–25

    Article  PubMed  Google Scholar 

  23. WGOC (Working Group on Obesity in China) (2004) Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents. Chin J Epidemiol 25:97–102 [in Chinese]

    Google Scholar 

  24. World Health Organization (1996) WHO expert committee on hypertension control: hypertension control. Report of a WHO Expert Committee, Geneva, WHO Technical Report Series 862:1–83

    Google Scholar 

  25. Yi X, Yin C, Chang M, Xian Y (2012) Prevalence and risk factors of obesity among school-aged children in Xi’an, China. Eur J Pediatr 171:389–394

    Article  PubMed  Google Scholar 

  26. Zhang YX, Wang SR (2011) Changes in nutritional status of children and adolescents in Shandong, China from 1995 to 2005. Ann Hum Biol 38:485–491

    Article  PubMed  Google Scholar 

  27. Zhang YX, Wang SR (2011) The relationship of body mass index distribution to relatively high blood pressure among children and adolescents in Shandong, China. Ann Hum Biol 38:630–634

    Article  PubMed  Google Scholar 

  28. Zhang YX, Wang SR (2011) Monitoring of blood pressure in overweight and obese children in Shandong, China. Ann Hum Biol 38:603–607

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zhang Ying-xiu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ying-xiu, Z., Zhao-xia, W., Ling, Y. et al. Association between body mass index, skinfold thickness and blood pressure in 12-year-old children. Eur J Pediatr 172, 1167–1171 (2013). https://doi.org/10.1007/s00431-013-2014-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00431-013-2014-7

Keywords

Navigation