Increase in Body Mass Index and Waist Circumference Is Associated with High Blood Pressure in Children and Adolescents in Mexico City
Increase in Body Mass Index and Waist Circumference Is Associated with High Blood Pressure in Children and Adolescents in Mexico City
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DOI：
10.1016/j.arcmed.2009.02.009
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发表时间：
2009-04-01
影响因子：
7.7
通讯作者：
Ignacio Santos, Jose
中科院分区：
文献类型：
--
作者：
Flores-Huerta, Samuel;Klunder-Klunder, Miguel;Ignacio Santos, Jose
背景和目标。目前。肥胖已经成为一个世界性的健康问题，甚至影响到儿童，但是对于它在这个年龄组中作为高血压的决定因素的作用却知之甚少。本研究旨在探讨儿童青少年体质指数（BMI）和腰围（WC）的增加与收缩压（SBP）和舒张压（DBP）的关系。这项研究在墨西哥城的学校进行。如果BMI范围在>= 85（第）至= 95（第）百分位数，则确定为超重。WC分为两类，一类在第75和第89.9百分位数之间，>第90百分位数。在一次访视期间，通过听诊法测量血压四次。根据2004年北美工作组的指南，如果血压水平>= 90百分位数，则定义为高血压。研究人群的年龄范围分别为5-9岁（n = 474）、9-12岁（n = 643）和13-17岁（n = 912）。超重和肥胖儿童和青少年的血压水平和高血压患病率较高。在两种性别中，SBP和DBP的患病率增加与年龄、BMI和WC的增加直接相关。尽管与BMI相比，WC增加的个体的高血压患病率和比值更高。WC和BMI的增加是与儿童和青少年高血压直接相关的参数。(C)2009年墨西哥社会保障局。爱思唯尔公司出版
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 >= 85(th) to = 95(th) percentile. WC was classified in two categories, one ranging, between the 75(th) and 89.9(th) percentiles and >90(th) percentile. Blood pressure was measured four times during one visit by the auscultatory method. High blood pressure was defined if the levels were >= 90(th) percentile according to the guidelines of the 2004 North American Task Force.Results. Ages of the Study population ranged from 5-9 (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. (C) 2009 IMSS. Published by Elsevier Inc.