Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Childhood obesity and associated hypertension are major public health concerns globally. This study aimed to determine the prevalence of obesity and the associated risk of high blood pressure among Nigerian adolescents.</p> <...

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Main Authors: Oduwole Abiola A, Ladapo Taiwo A, Fajolu Iretiola B, Ekure Ekanem N, Adeniyi Olufunmilayo F
Format: Article
Language:English
Published: BMC 2012-08-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/12/616
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author Oduwole Abiola A
Ladapo Taiwo A
Fajolu Iretiola B
Ekure Ekanem N
Adeniyi Olufunmilayo F
author_facet Oduwole Abiola A
Ladapo Taiwo A
Fajolu Iretiola B
Ekure Ekanem N
Adeniyi Olufunmilayo F
author_sort Oduwole Abiola A
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Childhood obesity and associated hypertension are major public health concerns globally. This study aimed to determine the prevalence of obesity and the associated risk of high blood pressure among Nigerian adolescents.</p> <p>Methods</p> <p>A cross-sectional school-based study of 885 apparently healthy adolescents was performed. Weight, height and blood pressure (BP) were measured using standard methods. Body mass index (BMI) was calculated and categorized by age, sex and percentile. Obesity and overweight were defined as: ≥ 95th and 85th to < 95th percentiles, respectively, for age, sex and height. Subjects were sub-categorized into age 10–13 years (A) and 14–17 years (B). The odds ratio for pre-hypertensive and hypertensive range BP by age and BMI were generated. Significance was set at P < 0.05.</p> <p>Results</p> <p>The prevalence of overweight and obesity were 13.8% and 9.4%, respectively. The prevalence of hypertensive range systolic BP in obese versus normal BMI females was 16% versus 23% (p=0.00) and 12.1% versus 6.4% (p=0.27) in males. The prevalence of hypertensive range diastolic BP in obese versus normal BMI females was 12% versus 1.4% (p=0.00) and 15.2% versus 3.5% (p=0.01) in males. BMI in group B was significantly associated with pre-hypertensive and hypertensive range systolic BP in overweight (P = 0.01, P = 0.002) and obese subjects (P = 0.00, P = 0.00) and with hypertensive range diastolic BP (P = 0.00) only in obese subjects. The only significant association in group A was between obesity and pre-hypertensive range diastolic BP (P = 0.00).</p> <p>Conclusion</p> <p>The prevalence of hypertensive range BP among obese Nigerian adolescents was high. Screening for childhood obesity and hypertension, and long-term follow-up of obese adolescents into adulthood are recommended.</p>
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spelling doaj.art-ddb95c6f4f294d44b1ef28260cb26f7d2022-12-21T23:16:28ZengBMCBMC Public Health1471-24582012-08-0112161610.1186/1471-2458-12-616Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional studyOduwole Abiola ALadapo Taiwo AFajolu Iretiola BEkure Ekanem NAdeniyi Olufunmilayo F<p>Abstract</p> <p>Background</p> <p>Childhood obesity and associated hypertension are major public health concerns globally. This study aimed to determine the prevalence of obesity and the associated risk of high blood pressure among Nigerian adolescents.</p> <p>Methods</p> <p>A cross-sectional school-based study of 885 apparently healthy adolescents was performed. Weight, height and blood pressure (BP) were measured using standard methods. Body mass index (BMI) was calculated and categorized by age, sex and percentile. Obesity and overweight were defined as: ≥ 95th and 85th to < 95th percentiles, respectively, for age, sex and height. Subjects were sub-categorized into age 10–13 years (A) and 14–17 years (B). The odds ratio for pre-hypertensive and hypertensive range BP by age and BMI were generated. Significance was set at P < 0.05.</p> <p>Results</p> <p>The prevalence of overweight and obesity were 13.8% and 9.4%, respectively. The prevalence of hypertensive range systolic BP in obese versus normal BMI females was 16% versus 23% (p=0.00) and 12.1% versus 6.4% (p=0.27) in males. The prevalence of hypertensive range diastolic BP in obese versus normal BMI females was 12% versus 1.4% (p=0.00) and 15.2% versus 3.5% (p=0.01) in males. BMI in group B was significantly associated with pre-hypertensive and hypertensive range systolic BP in overweight (P = 0.01, P = 0.002) and obese subjects (P = 0.00, P = 0.00) and with hypertensive range diastolic BP (P = 0.00) only in obese subjects. The only significant association in group A was between obesity and pre-hypertensive range diastolic BP (P = 0.00).</p> <p>Conclusion</p> <p>The prevalence of hypertensive range BP among obese Nigerian adolescents was high. Screening for childhood obesity and hypertension, and long-term follow-up of obese adolescents into adulthood are recommended.</p>http://www.biomedcentral.com/1471-2458/12/616AdolescentsBlood pressureBody mass indexObesityOverweight
spellingShingle Oduwole Abiola A
Ladapo Taiwo A
Fajolu Iretiola B
Ekure Ekanem N
Adeniyi Olufunmilayo F
Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study
BMC Public Health
Adolescents
Blood pressure
Body mass index
Obesity
Overweight
title Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study
title_full Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study
title_fullStr Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study
title_full_unstemmed Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study
title_short Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: a cross-sectional study
title_sort obesity and elevated blood pressure among adolescents in lagos nigeria a cross sectional study
topic Adolescents
Blood pressure
Body mass index
Obesity
Overweight
url http://www.biomedcentral.com/1471-2458/12/616
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AT ekureekanemn obesityandelevatedbloodpressureamongadolescentsinlagosnigeriaacrosssectionalstudy
AT adeniyiolufunmilayof obesityandelevatedbloodpressureamongadolescentsinlagosnigeriaacrosssectionalstudy