Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren
Background: The incidence of obesity in children is increasing worldwide, primarily in urbanized, high-income countries, and hypertension development is a detrimental effect of this phenomenon. Objective: In this cross-sectional study, we evaluated the prevalence of excess weight and its associati...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2014-09-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014002100009&lng=en&tlng=en |
| _version_ | 1819153757868392448 |
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| author | Caroline Filla Rosaneli Cristina Pellegrio Baena Flavia Auler Alika Terumi Arasaki Nakashima Edna Regina Netto-Oliveira Amauri Bássoli Oliveira Luiz César Guarita-Souza Marcia Olandoski José Rocha Faria-Neto |
| author_facet | Caroline Filla Rosaneli Cristina Pellegrio Baena Flavia Auler Alika Terumi Arasaki Nakashima Edna Regina Netto-Oliveira Amauri Bássoli Oliveira Luiz César Guarita-Souza Marcia Olandoski José Rocha Faria-Neto |
| author_sort | Caroline Filla Rosaneli |
| collection | DOAJ |
| description | Background: The incidence of obesity in children is increasing worldwide, primarily in urbanized, high-income countries, and hypertension development is a detrimental effect of this phenomenon. Objective: In this cross-sectional study, we evaluated the prevalence of excess weight and its association with high blood pressure (BP) in schoolchildren. Methods: Here 4,609 male and female children, aged 6 to 11 years, from 24 public and private schools in Maringa, Brazil, were evaluated. Nutritional status was assessed by body mass index (BMI) according to cutoff points adjusted for sex and age. Blood pressure (BP) levels above 90th percentile for gender, age and height percentile were considered elevated. Results: The prevalence of excess weight among the schoolchildren was 24.5%; 16.9% were overweight, and 7.6% were obese. Sex and socioeconomic characteristics were not associated with elevated BP. In all age groups, systolic and diastolic BP correlated with BMI and waist and hip measurements, but not with waist-hip ratio. The prevalence of elevated BP was 11.2% in eutrophic children, 20.6% in overweight children [odds ratio (OR), 1.99; 95% confidence interval (CI), 1.61-2.45], and 39.7% in obese children (OR, 5.4; 95% CI, 4.23-6.89). Conclusion: Obese and overweight children had a higher prevalence of elevated BP than normal-weight children. Our data confirm that the growing worldwide epidemic of excess weight and elevated BP in schoolchildren may also be ongoing in Brazil. |
| first_indexed | 2024-12-22T15:10:16Z |
| format | Article |
| id | doaj.art-0eef48969be4416aa52f41e47109a41a |
| institution | Directory Open Access Journal |
| issn | 1678-4170 |
| language | English |
| last_indexed | 2024-12-22T15:10:16Z |
| publishDate | 2014-09-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-0eef48969be4416aa52f41e47109a41a2022-12-21T18:21:52ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia1678-41702014-09-01103323824410.5935/abc.20140104S0066-782X2014002100009Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 SchoolchildrenCaroline Filla RosaneliCristina Pellegrio BaenaFlavia AulerAlika Terumi Arasaki NakashimaEdna Regina Netto-OliveiraAmauri Bássoli OliveiraLuiz César Guarita-SouzaMarcia OlandoskiJosé Rocha Faria-NetoBackground: The incidence of obesity in children is increasing worldwide, primarily in urbanized, high-income countries, and hypertension development is a detrimental effect of this phenomenon. Objective: In this cross-sectional study, we evaluated the prevalence of excess weight and its association with high blood pressure (BP) in schoolchildren. Methods: Here 4,609 male and female children, aged 6 to 11 years, from 24 public and private schools in Maringa, Brazil, were evaluated. Nutritional status was assessed by body mass index (BMI) according to cutoff points adjusted for sex and age. Blood pressure (BP) levels above 90th percentile for gender, age and height percentile were considered elevated. Results: The prevalence of excess weight among the schoolchildren was 24.5%; 16.9% were overweight, and 7.6% were obese. Sex and socioeconomic characteristics were not associated with elevated BP. In all age groups, systolic and diastolic BP correlated with BMI and waist and hip measurements, but not with waist-hip ratio. The prevalence of elevated BP was 11.2% in eutrophic children, 20.6% in overweight children [odds ratio (OR), 1.99; 95% confidence interval (CI), 1.61-2.45], and 39.7% in obese children (OR, 5.4; 95% CI, 4.23-6.89). Conclusion: Obese and overweight children had a higher prevalence of elevated BP than normal-weight children. Our data confirm that the growing worldwide epidemic of excess weight and elevated BP in schoolchildren may also be ongoing in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014002100009&lng=en&tlng=enHipertensãoObesidade PediátricaCriançaPrevalênciaEpidemiologia |
| spellingShingle | Caroline Filla Rosaneli Cristina Pellegrio Baena Flavia Auler Alika Terumi Arasaki Nakashima Edna Regina Netto-Oliveira Amauri Bássoli Oliveira Luiz César Guarita-Souza Marcia Olandoski José Rocha Faria-Neto Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren Arquivos Brasileiros de Cardiologia Hipertensão Obesidade Pediátrica Criança Prevalência Epidemiologia |
| title | Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren |
| title_full | Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren |
| title_fullStr | Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren |
| title_full_unstemmed | Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren |
| title_short | Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren |
| title_sort | elevated blood pressure and obesity in childhood a cross sectional evaluation of 4 609 schoolchildren |
| topic | Hipertensão Obesidade Pediátrica Criança Prevalência Epidemiologia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014002100009&lng=en&tlng=en |
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