Body mass index percentiles and elevated blood pressure among children and adolescents
- 주제(기타) Peripheral Vascular Disease
- 설명문(일반) [Wang, Mingming; Yang, Liu; Xi, Bo] Shandong Univ, Sch Publ Hlth, Dept Epidemiol, Jinan, Peoples R China; [Kelishadi, Roya; Ardalan, Gelayol] Isfahan Univ Med Sci, Res Inst Primordial Prevent Non Communicable Dis, Dept Pediat, Child Growth & Dev Res Ctr, Esfahan, Iran; [Khadilkar, Anuradha; Khadilkar, Vaman; Chiplonkar, Shashi; Kajale, Neha; Ekbote, Veena] Jehangir Hosp, Hirabai Cowasji Jehangir Med Res Inst, Growth & Endocrine Unit, Pune, Maharashtra, India; [Hong, Young Mi; Kim, Hae Soon] Ewha Womans Univ, Dept Pediat, Sch Med, Seoul, South Korea; [Nawarycz, Tadeusz; Ostrowska-Nawarycz, Lidia] Med Univ Lodz, Dept Biophys, Chair Expt & Clin Physiol, Lodz, Poland; [Krzywinska-Wiewiorowska, Malgorzata; Krzyzaniak, Alicja; Stawinska-Witoszynska, Barbara] Poznan Univ Med Sci, Dept Hyg & Epidemiol, Poznan, Poland; [Aounallah-Skhiri, Hajer] Nutr Surveillance & Epidemiol Tunisia SURVEN Res, Natl Inst Publ Hlth INSP, Tunis 1002, Tunisia; [Motlagh, Mohammad Esmaeil] Ahvaz Jundishapur Univ Med Sci, Dept Pediat, Ahwaz, Iran; [Ben Romdhane, Habiba] Univ Tunis El Manar, Res Lab, Cardiovasc Epidemiol & Prevent, Fac Med, Tunis, Tunisia; [Heshmat, Ramin] Univ Tehran Med Sci, Dept Epidemiol, Chron Dis Res Ctr, Endocrinol & Metab Populat Sci Inst, Tehran, Iran; [El Ati, Jalila] Natl Inst Nutr & Food Technol, Nutr Surveillance & Epidemiol Unit SURVEN, Tunis, Tunisia; [Qorbani, Mostafa] Alborz Univ Med Sci, Dept Epidemiol, Noncommunicable Dis Res Ctr, Karaj, Iran; [Traissac, Pierre] UMR NUTRIPASS IRD UM SupAgro, IRD, Montpellier, France; [Zhao, Min] Shandong Univ, Sch Publ Hlth, Dept Nutr & Food Hyg, Jinan, Peoples R China; [Liu, Xia] Jining Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Jining, Peoples R China; [Liang, Yajun] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
- 등재 SCIE, SCOPUS
- 발행기관 NATURE PUBLISHING GROUP
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000169174
- 본문언어 영어
- Published As https://dx.doi.org/10.1038/s41371-019-0215-x
- PubMed https://pubmed.ncbi.nlm.nih.gov/31253844
초록/요약
It is well established that obesity is associated with an increased risk of elevated and high blood pressure (BP) in children and adolescents. However, it is uncertain whether there is an increase in the risk of elevated and high BP associated with an increase of body mass index (BMI) among children and adolescents whose BMI is in the accepted normal range. Data were available for 58 899 children and adolescents aged 6-17 years from seven national cross-sectional surveys in China, India, Iran, Korea, Poland, Tunisia, and the United States. The subjects were divided into eight percentile subgroups according to their BMI levels based on the World Health Organization recommendations. Elevated BP and high BP were defined using the 2016 international child BP criteria. Compared with the reference subgroup of the 5th-24th percentiles, the odds ratios (ORs) for high BP were 1.27 (95% confidence interval [CI], 1.14-1.41; P < 0.001) in the 25th-49th percentile subgroup, 1.55 (95% CI, 1.39-1.73; P < 0.001) in the 50th-74th percentile subgroup, and 2.17 (95% CI, 1.92-2.46; P < 0.001) in the 75th-84th percentile subgroup, respectively, after adjustment for sex, age, race/ethnicity, height and country. Additionally, the corresponding ORs for elevated BP were 1.21 (95% CI, 1.10-1.32; P < 0.001), 1.55 (95% CI, 1.42-1.69; P < 0.001), and 1.80 (95% CI, 1.62-2.01; P < 0.001), respectively. In conclusion, a BMI in the 25th-84th percentiles, within the accepted normal weight range, was associated with an increased risk of elevated and high BP among children and adolescents. It is important for children and adolescents to keep a BMI at a low level in order to prevent and control hypertension.
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