Cross‐sectional, school‐based study of 14–19 year olds showed that raised blood pressure was associated with obesity and abdominal obesity

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‐sectio...

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Bibliographic Details
Published in:Acta Paediatrica 2017-03, Vol.106 (3), p.489-496
Main Authors: Nascimento‐Ferreira, Marcus Vinícius, De Moraes, Augusto César Ferreira, Rendo‐Urteaga, Tara, Oliveira Forkert, Elsie Costa, Collese, Tatiana Sadalla, Cucato, Gabriel Grizzo, Reis, Victor M. M., Torres‐Leal, Francisco Leonardo, Moreno, Luis A., Carvalho, Heráclito Barbosa
Format: Article
Language:English
Subjects:
Abdominal obesity
Adolescent
Adolescents
Blood Pressure
Brazil - epidemiology
Cross-Sectional Studies
Female
High blood pressure
Humans
Hypertension - epidemiology
Hypertension - etiology
Male
Obesity
Obesity, Abdominal - complications
Obesity, Abdominal - epidemiology
Overweight
Pediatric Obesity - complications
Pediatric Obesity - epidemiology
Young Adult
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Summary: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.
ISSN:0803-5253
1651-2227
DOI:10.1111/apa.13699