Comparison of ambulatory blood pressure monitoring and office blood pressure measurements in obese children and adolescents

Background: Obesity in adults has been related to hypertension and abnormal nocturnal dipping of blood pressure, which are associated with poor cardiovascular and renal outcomes. Here, we aimed to resolve the relationship between the degree of obesity, the severity of hypertension and dipping status...

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Bibliographic Details
Published in:Acta clinica belgica (English ed. Online) 2018-04, Vol.73 (2), p.126-131
Main Author: Renda, Rahime
Format: Article
Language:English
Subjects:
Adolescent
Ambulatory blood pressure
Blood pressure
Blood Pressure Monitoring, Ambulatory
body mass index
Child
Female
Heart rate
Humans
Hypertension
Hypertension - diagnosis
Hypertension - etiology
Male
Obesity
Pediatric Obesity - complications
Pressure measurement
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Summary:Background: Obesity in adults has been related to hypertension and abnormal nocturnal dipping of blood pressure, which are associated with poor cardiovascular and renal outcomes. Here, we aimed to resolve the relationship between the degree of obesity, the severity of hypertension and dipping status on ambulatory blood pressure in obese children. Methods: A total 72 patients with primary obesity aged 7 to 18 years (mean: 13.48 ± 3.25) were selected. Patients were divided into three groups based on body mass index (BMİ) Z-score. Diagnosis and staging of ambulatory hypertension based on 24-h blood pressure measurements, obtained from ambulatory blood pressure monitoring. Results: Based on our ambulatory blood pressure data, 35 patients (48.6%) had hypertension, 7 (20%) had ambulatory prehypertension, 21 (60%) had hypertension, and 7 patients (20%) had severe ambulatory hypertension. There was a significant relationship between severity of hypertension and the degree of obesity (p 
ISSN:1784-3286
2295-3337
DOI:10.1080/17843286.2017.1390536