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2013, Number 4

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Rev Cubana Pediatr 2013; 85 (4)

Hypertension and obesity in school children aged 5 to 11 years

González SR, Llapur MR, Díaz SME, Moreno LV, Pavón HM

Language: Spanish
References: 18
Page: 418-427
PDF size: 78.59 Kb.


ABSTRACT

Introduction: primary hypertension and obesity are diseases that have been on increase in the last few years; however, they are not often perceived as a health problem in childhood.
Objective: to determine the relation of obesity to hypertension in children and adolescents aged 5 to 11 years from an elementary school.
Methods: a cross-sectional and observational study of 310 children aged 5 to 11 years from an elementary school in Plaza municipality, La Habana province, was performed. The studied variables were age, sex, weight, height, waist, hip and blood pressure figures. SPSS program served to process data that were later summarized in tables by using percentages for the quantitative variables and Chi-square and Fisher's exact test for the qualitative ones.
Results: nineteen children (6.1 %) were hypertensive and 13 (4.2 %) were pre-hypertensive whereas 42 (13.5 %) were obese and 39 (12.6) overweighed. In the obese group, 23.8% had high blood pressure and 52.6 % of children with hypertension suffered obesity. Of the children with central obesity, 14.8 % showed high blood pressure figures and 42.1 % of the hypertensive children had central obesity. Obesity and overweight, measured according to body mass index, were significantly related to hypertension (p= 0.011).
Conclusions: overweight and obesity frequently appeared during the first years of life and related to hypertension.


REFERENCES

  1. Janusz F, Maheen A. Hypertension in children: new trends and challenges. Clinical Science. 2010;119:151-61.

  2. Din-Dzietham R, Liu Y, Bielo MV, Shamsa F. High blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation. 2007;116:1488-96.

  3. Muntner P, He J, Cutler JA, Wildman RP, Whelton PQ. Trends in blood pressure among children and adolescents. JAMA. 2004;291:2107-13.

  4. Flynn JT. Hypertension in the young: epidemiology, sequelae and therapy. Nephrology Dialysis Transplantation. 2009;24(2):370-5.

  5. Ostchega Y, Carroll M, Prineas RJ, McDowell MA, Louis T, Tilert, T. Trends of elevated blood pressure among children and adolescents: data from the National Health and Nutrition Examination Survey 1988-2006. Am J Hypertens. 2009;22:59-67.

  6. Hayman L, Williams Ch, Daniels S, Steinberg J, Paridon S, Dennison B. Hypertension and obesity in youth (AHOY) of the council on cardiovascular disease in the youth. American Heart Association Circulation. 2004;110:2266-300.

  7. Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of High Body Mass Index in US Children and Adolescents, 2007-2008. JAMA. 2010;303(3):242-9.

  8. Stray-Pedersen M, Helsing RM, Gibbons L, Cormick G, Holmen TL, Vik T, et al. Weight status and hypertension among adolescent girls in Argentina and Norway: data from the ENNyS and HUNT studies. BMC Public Health. 2009;9:398.

  9. Ke L, Brock KE, Cant RV, Li Y, Morrell SL. The relationship between obesity and blood pressure differs by ethnicity in Sydney school children. Am J Hypertens. 2009;22(1):52-8.

  10. González Sánchez R, Llapur Milián R, Jiménez Hernández JM, Llapur González A, Fernández Morales D. Percepción de riesgo de hipertensión arterial infantil en familiares de niños y adolescentes. Rev Cubana Pediatr. 2011;83(1):65-73.

  11. González Sánchez, R, Llapur Milián, R. Jiménez Hernández, JM. Sánchez Pompa, A. Percepción de los médicos de atención primaria de salud sobre el riesgo de hipertensión arterial en la infancia. Rev Cubana Pediatr. 2012;84(2):155-64.

  12. Esquivel M. Valores cubanos de Índice de Masa Corporal en niños de 0 a 19 años. Rev Cubana Pediatr. 1991;63:180-90.

  13. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescent. The Fourth Report on the diagnosis, evaluation, and treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114(2 Suppl):555-76.

  14. Ferrer Arrocha M, Fernández-Britto Rodríguez JE, Piñeiro Lamas R, Carballo Martínez R, Sevilla Martínez D. Obesidad e hipertensión arterial: señales ateroscleróticas tempranas en los escolares. Rev Cubana Pediatr. 2010;82(4):20-30.

  15. González Sánchez R, Llapur Milián R, Llapur González A, Fernández Morales D. Hipertensión arterial en adolescentes y riesgo cardiovascular. CD IV Simposio Internacional HTA. Villa Clara: Editorial Feijoo; 2008.

  16. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics. 2004;113:475-82.

  17. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999;103:1175-82.

  18. Genovesi S, Antolini L, Giussani M, Brambilla P, Barbieri V, Galbiati S, et al. Hypertension, Prehypertension, and Transient Elevated Blood Pressure in Children: Association With Weight Excess and Waist Circumference. American Journal of Hypertension. 2010;23(7):756-61.




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