Influence of nutritional status, waist circumference and family history of hypertension on blood pressure levels of adolescents
Keywords:
Adolescent, Nutritional status, Blood pressureAbstract
Objective
The objective of this study was to evaluate the influence of nutritional status, waist
circumference and family history of hypertension on blood pressure levels of adolescents.
Methods
A cross-sectional study was canied out with adolescents aged 12-20 years. Nutritional
status was assessed through body mass index and waist-ciKumference. Blood pressure
levels were assessed through criteria proposed in the IV Brazilian Guidelines for Arterial
Hypertension. The adolescents were asked whether their parents or any of their relatives
were hypertensive.
Results
A total of 347 adolescents were assessed, 28.5% girls and 71,5'’/, boys. We found
significantly increased systolic and diastolic blood pressure levels in overweight
individuaIs of both genders. Mean systolic and diastolíc blood pressure levels were
significantly higher in boys. Among girls, higher mean systolic blood pressure levels
were found in those with excess visceral fat, determined by waist circumference. it was
not possibfe to determine if family history of hypertension or parental blood pressure
influenced the blood pressure levels of the adolescents.
Conclusion
Blood pressure levels in adolescents were influenced by excess weight and visceral fat.
It is important to prevent adolescents from becoming overweight in order to reduce
the incÊdence of hypertension in this population
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References
World Health Organization. International Society of Hypertension Writing Group. Statement on management of hypertension. J Hypertens. 2003; 21(11):1983-92.
Vieira VA. Hipertensão arterial e aspectos éticos em pesquisa envolvendo seres humanos: implicações para a área da saúde. Rev Bras Saúde Matern Infant 2003; 3(4):481-8.
Moura AA, Silva MAM, Ferraz MRMT. Rivera IR Prevalência de pressão arterial elevada em escolares e adolescentes de Maceió, J Pediat. 2004; 80(4):35-40.
Rezende DF, Scarpelli RAB, Souza GF, Costa JO Scarpelli AMB, Scarpelli PA, et al. Prevalence of systemic hypertension fn students aged 7 to 14 years in the municipality of Barbacena, in the State of Minas Gerais, in 1999. Arq Bras Cardiol. 2003; 81 (4) :381-6.
Chiolero A, Bovet P, Paradis G, Paccaud F. Has blood pressure increased in children in response to the obesity epidemic? Pediatrics. 2007; 119(3):544-535.
Silva MA, Rivera IR, Souza MG, Carvalho AC. Blood pressure measurernent in children and adolescents guidelines of high blood pressure recommendations and current clinical practice. Arq Bras Cardiol. 2007; 88(4):491-5.
Reilly JJ. Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, et al. Health consequences of obesity. Arch Dis Child. 2003; 88(9):748-52.
Salgado CM, Carvalhaes JT, Hipertensão arterial na infância. J Pediatr. 2003; 79(Suppl.1): S115-24.
Kirk S, Loggie JMH- Hypertension. In: Rickert Vl Adolescent nutrition: assessment and management New York: Chapman & Hal1; 1996. p.350-88.
Somu S, Sundaram B. Kamalanathan AN. Early detection of hypertension in general practice. Arch Dis Child. 2003; 88(4):302.
Martín JJD, Diéguez IM, Luis JA, Junquera MAD, Vázquez MV, Guerrero SM. Agrupamiento de factores de riesgo cardiovascular en hijos obesos de padres con hipertensión esencÊal. An Pediatr (Barcelona). 2005; 63(3):238-43.
Elias MC, Bolívar MSM, fonseca FAH. Martinez TLR, Angelini J, Ferreira C, et al. Comparação do perfil lipídico, pressão arterial e aspectos nutricionais em adolescentes, filhos de hipertensos e normotensos. Arq Bras Cardiol, 2004; 82(2):139-42.
Paradis G, Lambert M, O'Loughlin J, Lavallée C, Aubin J, Delvin E, et al. Blood pressure and adiposity in children and adolescents. Circulation, 2004; 110(13): 1832-8.
Nishima M. Kikuchi T, Yamazaki H. Kamera K, Hiura M, Uchiyama M. Relationship among systolic blood pressure, serum insulin and leptin, and visceral fat accumulation in obese children. Hypertens Res. 2003; 26(4):281-8.
Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al, 2000 CDC growth charts for the United States: methods and development. National Center for Health Statistics. Vital Health Stat. 2002; 11 (246):1-190.
World Health Organization. Expert Committee on Physical Status. Physical status: the use and interpretation of anthropometry: report of a WHO expert committee. Geneva: WHO; 1995. Technical Report Series 854.
Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry. in children aged 3-19 years, Am J Clin Nutr. 2000; 72(2):490-5.
Sociedade Brasileira de Hipertensão. IV Diretrizes Brasileiras de Hipertensão Arterial, Arq Bras Cardiol. 2004; 82(Suppl 4):7-14.
Statistica [data analysis software system] Version 6. StatSoft Inc: 2001.
Costa RS, Sichieri R. Relação entre sobrepeso, adiposidade e distribuição de gordura com a pressão arterial de adolescentes no município do Rio de Janeiro. Rev Bras Epidemiol. 1998; 1 (3):268-79.
Rodrigues AN, Moyses MR, Bissoli NS, Pires JG, Abreu GR. Cardiovascular risk factors in a population of Brazilian schoolchildren. Braz J Med Biol Res. 2006: 39(12): 1637-42.
Baba R, Koketsu M, Nagashima M, Inasaka H, Yoshinaga M, Yokota M. Adolescent obesity adversefy affects blood pressure and resting heart rate, Circ J 2007; 71 (5):722-6.
Zhu S, Heymsfield SB, ToyoshÊma H, Wang Z, Pietrobelli A, Heshka S. Race-ethnicity-specific waist circumference cutoffs for identifying cardiovascular disease risk factors. Am J Clin Nutr. 2005; 81 (2):409-15.
Carneiro G, Faria NA, Ribeiro Filho FF, Guimarães A. Lerário D, Ferreira SRG, et al. Influência da distribuição
da gordura corporal sobre a prevalência de hipertensão arterial e outros fatores de risco cardiovascular em indivíduos obesos. Rev Assoc Med Bras. 2003; 49(3):306-11.
Barroso SG, Abreu VG, Francischetti EA. A participação do tecido adiposo visceral na gênese da hipertensão e doença cardiovascular aterogênica. Um conceito emergente, Arq Bras Cardiol. 2002; 78(6):618-30.
Simone G. Devereux RB, Kizer JR. Chinali M. Bella JN, Oberman A, et al. Body composition and fat distribution influence systemic hemodynamics in the absence of obesity: the HyperGEN Study. Am J Clin Nutr, 2005; 81 (4):757-61.
Rosa MLG, Mesquita ET, Rocha ERFI, Fonseca VM, Body mass index and waist circumference as markers of arterial hypertension in adolescents. Arq Bras Cardiol 2007; 88(5):508-13.
Daniels SR, Morrison JA, Sprecher DL, Khoury P, Kimball TR. Association of body fat distribution and cardiovascular risk factors in children and adolescents Circulation. 1999; 99(4):541-5.
Oliveira AM, Oliveira AC, Almeida MS. Almeida FS, Ferreira JBC, Silva CEP, et al. Fatores ambientais e antropométricos assocíados à hipertensão arterial infantil. Arq Bras Endocrinol Metabol. 2004; 48(6):849-54.