Obesity parameters as predictive factors of hypertension in adolescents

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Author:
MA Chun-ming()
LU Qiang()
YIN Fu-zai(Department of Endocrinology,Qinhuangdao 1th Hospital,Hebei Medical University,Qinhuangdao 066000,China)
LIU Bo-wei(Department of Endocrinology,Qinhuangdao 1th Hospital,Hebei Medical University,Qinhuangdao 066000,China)
LOU Dong-hui(Department of Endocrinology,Qinhuangdao 1th Hospital,Hebei Medical University,Qinhuangdao 066000,China)
WANG Rui(Department of Endocrinology,Qinhuangdao 1th Hospital,Hebei Medical University,Qinhuangdao 066000,China)
HAN Gai-ling(Department of Endocrinology,Qinhuangdao 1th Hospital,Hebei Medical University,Qinhuangdao 066000,China)
WU Guang-fei(Department of Endocrinology,Qinhuangdao 1th Hospital,Hebei Medical University,Qinhuangdao 066000,China)
Journal Title:
CHINESE JOURNAL OF HEALTH MANAGEMENT
Issue:
Volume 3, Issue 01, 2009
DOI:
DOI:10.3760/cma.j.issn.1674-0815.2009.01.005
Key Word:
Hypertension;Adolescent;Overweight;Obesity

Abstract: Objective To investigate the relation of obesity parameters,including body mass index (BMI),waist-to-height ratio(WHR),waist circumference,and waist-to-hip ratio(WHR),with hypertension in adolescents.Methods A cross-section study was conducted among 3953 adolescents aged 12 to 18 years old,who were assigned to the normal blood pressure group (3724) or hypertension group(229).Measurements were height,weight,waist circumference,systolic blood pressure (SBP),and diastolic blood pressure (DBP).Results The data showed that mean BMI,WHR,waist circumference,WHR,SBP,and DBP in the hypertension group Was significantly higher than those in the normal blood pressure group(all P<0.05).In partial correlation analysis,BMI,WHR,waist circumference,and WHR were positively correlated with both SBP and DBP after gender or age were adjusted(r'=0.3228 and 0.2358,both P<0.05).For alias under the receiver operating curve(ROC),the BMI was obserred to strongly predict hypertension in male (0.715;95%CI0.659-0.771)and female (0.702;95%CI0.646-0.757).BMI was also entered into the multiple linear regression modeL Conclusion BMI could be an effective predictive factor of hypertension in adolescents.

  • [1]吴锡桂,武阳丰,周北凡,等.我国十组人群高血压发病率及其影响因素.中华医学杂志,1996,76:24-29.
  • [2]Lobstein T,Baur L,Uauy R.Obesity in children and young people:a crisis in public health.Obes Rev,2004,5:4-104.
  • [3]Field AE,Cook NR,Gillman MW.Weight status in childhood as a predictor of becoming overweight or hypertensive in early adulthood.Obes Res,2005,13:163-169.
  • [4]刘博伟,尹福在,马春明,等.青少年高血压与代谢综合征的危险因素.中华高血压杂志,2008,16:140-143.
  • [5]Sorof J,Daniels S.Obesity hypertension in children:a problem of epldemic proportions.Hypertension,2002,40:441-447.
  • [6]He Q,Ding ZY,Fong DY,et al.Blood pressure is associated with body mass index in both normal and obese children.Hypertension,2000,36:165-170.
  • [7]Hara M,Saitou E,Iwata F,et al.Waist-to-height ratio is the best predictor of cardiovascular disease risk factors in Japanese schoolchildren.J Atheroscler Thromb,2002,9:127-132.
  • [8]Savva SC,Tornaritis M,Savva ME,et al.Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index.Int J Obes Relat Metab Disord,2000,24:1453-1458.
  • [9]Sargeant LA,Bennett FI,Forrester TE,et al.Predicting incident diabetes in Jamaica:the role of anthropometry.Obes Res,2002,10:792-798.
  • [10]Bertsias G,Mammas I,Linardakis M,et al.Overweight and obesity in relation to cardiovascular disease risk factors among medical students in Crete.Greece.BMC Public Health,2003,3:3.
  • [11]Lin WY,Lee LT,Chen CY,et al.Optimal cut-off values for obesity:using simple anthropometric indices to predict cardiovascular risk factors in Taiwan.Int J Obes Relat Metab Disord,2002,26:1232-1238.
  • [12]广东省糖尿病流行病学调查协作组.腰围/身高比值:预测糖尿病和高血压的有效的腹型肥胖指标.中华内分泌代谢杂志,2004,20:272-275.
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