Hypertension in adolescents: The role of obesity and family history
Abstract We evaluated the combined effect of obesity and family history (FH) on the risk of hypertension in adolescents. We studied 1288 school‐aged adolescents aged 16.0 ± 0.5 years (49.0% males) attending the medical examination for enrollment in the city of Nanning, China. Their blood pressure, w...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-12-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14381 |
| _version_ | 1797645263218671616 |
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| author | Weiying Zhao Luxia Mo Yusheng Pang |
| author_facet | Weiying Zhao Luxia Mo Yusheng Pang |
| author_sort | Weiying Zhao |
| collection | DOAJ |
| description | Abstract We evaluated the combined effect of obesity and family history (FH) on the risk of hypertension in adolescents. We studied 1288 school‐aged adolescents aged 16.0 ± 0.5 years (49.0% males) attending the medical examination for enrollment in the city of Nanning, China. Their blood pressure, weight, and height were measured. A questionnaire was administered to both adolescents and their parents to obtain information on the participants’ medical history. Multiple logistic regression analysis, according to bodyweight categories and adjusted for age, gender, and body mass index (BMI), was done to determine the association of FH with hypertension. Hypertension was found in 14.1% of adolescents. The prevalence of hypertension was significantly higher in adolescents with obesity and positive FH than their normal weight and negative FH counterparts. For adolescents with normal weight and waist circumstance (WC), those with a positive FH in parents compared to those without had an significantly increased risk for hypertension (odds ratio [OR], 2.15; 95% confidence interval [CI] 1.28–3.61, and 1.96; 95% CI 1.16–3.32, respectively). These findings were adjusted for age, gender, and BMI. Our study showed that routine screening for pediatric hypertension should be performed in adolescents who are overweight and obese. Furthermore, parental FH of hypertension played an important role in predicting the hypertension phenotype among adolescents with normal weight. |
| first_indexed | 2024-03-11T14:43:49Z |
| format | Article |
| id | doaj.art-d55b2b5209e843b8b5b79e0c017a2234 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:49Z |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-d55b2b5209e843b8b5b79e0c017a22342023-10-30T13:26:28ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-12-0123122065207010.1111/jch.14381Hypertension in adolescents: The role of obesity and family historyWeiying Zhao0Luxia Mo1Yusheng Pang2Department of Pediatrics The First Affiliated Hospital of Guangxi Medical University Nanning Guangxi ChinaDepartment of Pediatrics The First Affiliated Hospital of Guangxi Medical University Nanning Guangxi ChinaDepartment of Pediatrics The First Affiliated Hospital of Guangxi Medical University Nanning Guangxi ChinaAbstract We evaluated the combined effect of obesity and family history (FH) on the risk of hypertension in adolescents. We studied 1288 school‐aged adolescents aged 16.0 ± 0.5 years (49.0% males) attending the medical examination for enrollment in the city of Nanning, China. Their blood pressure, weight, and height were measured. A questionnaire was administered to both adolescents and their parents to obtain information on the participants’ medical history. Multiple logistic regression analysis, according to bodyweight categories and adjusted for age, gender, and body mass index (BMI), was done to determine the association of FH with hypertension. Hypertension was found in 14.1% of adolescents. The prevalence of hypertension was significantly higher in adolescents with obesity and positive FH than their normal weight and negative FH counterparts. For adolescents with normal weight and waist circumstance (WC), those with a positive FH in parents compared to those without had an significantly increased risk for hypertension (odds ratio [OR], 2.15; 95% confidence interval [CI] 1.28–3.61, and 1.96; 95% CI 1.16–3.32, respectively). These findings were adjusted for age, gender, and BMI. Our study showed that routine screening for pediatric hypertension should be performed in adolescents who are overweight and obese. Furthermore, parental FH of hypertension played an important role in predicting the hypertension phenotype among adolescents with normal weight.https://doi.org/10.1111/jch.14381adolescentfamily historyobesitypediatric hypertension |
| spellingShingle | Weiying Zhao Luxia Mo Yusheng Pang Hypertension in adolescents: The role of obesity and family history The Journal of Clinical Hypertension adolescent family history obesity pediatric hypertension |
| title | Hypertension in adolescents: The role of obesity and family history |
| title_full | Hypertension in adolescents: The role of obesity and family history |
| title_fullStr | Hypertension in adolescents: The role of obesity and family history |
| title_full_unstemmed | Hypertension in adolescents: The role of obesity and family history |
| title_short | Hypertension in adolescents: The role of obesity and family history |
| title_sort | hypertension in adolescents the role of obesity and family history |
| topic | adolescent family history obesity pediatric hypertension |
| url | https://doi.org/10.1111/jch.14381 |
| work_keys_str_mv | AT weiyingzhao hypertensioninadolescentstheroleofobesityandfamilyhistory AT luxiamo hypertensioninadolescentstheroleofobesityandfamilyhistory AT yushengpang hypertensioninadolescentstheroleofobesityandfamilyhistory |