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

Author(s)

Nascimento-Ferreira, Marcus Vinicius ; Ferreira De Moraes, Augusto Cesar ; Rendo-Urteaga, Tara ; de Oliveira Forkert, Elsie Costa ; Collese, Tatiana Sadalla ; Cucato, Gabriel Grizzo ; Reis, Victor M. M. ; Torres-Leal, Francisco Leonardo ; Moreno, Luis A. ; Carvalho, Heraclito Barbosa

• Document type: Journal article
• Source: ACTA PAEDIATRICA; v. 106, n. 3, p. 489-496, MAR 2017.
• Web of Science Citations: 0

Abstract

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, Maranhao, 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. (AU)

• FAPESP's process: 14/11468-6 - Design and implementation of the SAYCARE Study: South American Youth/Child Cardiovascular and Environmental Study
• Grantee: Heraclito Barbosa de Carvalho
• Support type: Regular Research Grants
• FAPESP's process: 14/25233-0 - Development and validation of methods to assess dietary intake and body composition in a multicenter study: SAYCARE study
• Grantee: Tara Rendo Urteaga
• Support type: Scholarships in Brazil - Post-Doctorate
• FAPESP's process: 15/11406-3 - SAYCARE study: South American youth/child cardiovascular and environmental study
• Grantee: Heraclito Barbosa de Carvalho
• Support type: Research Grants - Visiting Researcher Grant - International
• FAPESP's process: 13/21179-9 - Effect of fruits and vegetables consumption on cardiovascular health in adolescents: a systematic review
• Grantee: Tatiana Sadalla Collese
• Support type: Scholarships in Brazil - Master
• FAPESP's process: 15/14319-4 - Energy balance-related behaviors in the SAYCARE study - compared and agreement to objective measurement and self-reported: a validation statistical methods
• Grantee: Augusto César Ferreira de Moraes
• Support type: Scholarships abroad - Research Internship - Post-doctor
• FAPESP's process: 14/13367-2 - Design and implementation of methods to assess behaviors related to energy balance in children/adolescents in a multicenter study: SAYCARE study
• Grantee: Augusto César Ferreira de Moraes
• Support type: Scholarships in Brazil - Post-Doctorate