Increase in Body Mass Index and Waist Circumference Is Associated with High Blood Pressure in Children and Adolescents in Mexico City

Background and Aims Currently, obesity has become a worldwide health problem affecting even children and yet little is known about its role as a determinant of high blood pressure in this age group. The aim of this epidemiological study was to determine the relationship between the increment of body...

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Bibliographic Details
Published in:Archives of medical research 2009-04, Vol.40 (3), p.208-215
Main Authors: Flores-Huerta, Samuel, Klünder-Klünder, Miguel, Reyes de la Cruz, Lorenzo, Santos, José Ignacio
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Body Mass Index
Child
Child, Preschool
Children
Female
High blood pressure
Humans
Hypertension - epidemiology
Hypertension - etiology
Internal Medicine
Logistic Models
Male
Mexico - epidemiology
Obesity
Obesity - complications
Overweight
Waist Circumference
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Summary:Background and Aims Currently, obesity has become a worldwide health problem affecting even children and yet little is known about its role as a determinant of high blood pressure in this age group. The aim of this epidemiological study was to determine the relationship between the increment of body mass index (BMI) and waist circumference (WC) on systolic blood pressure (SBP) and diastolic blood pressure (DBP) in children and teenagers. Methods The study was performed in Mexico City schools. Overweight was established if BMI ranged from ≥85th to 90th percentile. Blood pressure was measured four times during one visit by the auscultatory method. High blood pressure was defined if the levels were ≥90th percentile according to the guidelines of the 2004 North American Task Force. Results Ages of the study population ranged from 5–8 ( n = 474), 9–12 ( n = 643) and 13–17 ( n = 912) years, respectively. The levels of blood pressure and prevalence of high blood pressure were higher in overweight and obese children and adolescents. In both genders, the prevalence of SBP and DBP increased directly correlated with increments in age, BMI and WC, although prevalence and odd ratios of high blood pressure were higher in individuals with increased WC in comparison to BMI. Conclusions Increases in WC and BMI are parameters directly associated with high blood pressure in children and adolescents.
ISSN:0188-4409
1873-5487
DOI:10.1016/j.arcmed.2009.02.009