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Body mass index percentiles and elevated blood pressure among children and adolescents.
Wang, Mingming; Kelishadi, Roya; Khadilkar, Anuradha; Mi Hong, Young; Nawarycz, Tadeusz; Krzywinska-Wiewiorowska, Malgorzata; Aounallah-Skhiri, Hajer; Esmaeil Motlagh, Mohammad; Soon Kim, Hae; Khadilkar, Vaman; Krzyzaniak, Alicja; Ben Romdhane, Habiba; Heshmat, Ramin; Chiplonkar, Shashi; Stawinska-Witoszynska, Barbara; El Ati, Jalila; Qorbani, Mostafa; Kajale, Neha; Traissac, Pierre; Ostrowska-Nawarycz, Lidia; Ardalan, Gelayol; Ekbote, Veena; Yang, Liu; Zhao, Min; Liu, Xia; Liang, Yajun; Xi, Bo.
Afiliación
  • Wang M; Department of Epidemiology, School of Public Health, Shandong University, Jinan, China.
  • Kelishadi R; Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Khadilkar A; Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Mi Hong Y; Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.
  • Nawarycz T; Department of Biophysics, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, Poland.
  • Krzywinska-Wiewiorowska M; Department of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland.
  • Aounallah-Skhiri H; National Institute of Public Health (INSP), Nutrition Surveillance and Epidemiology in Tunisia (SURVEN) Research Laboratory, 1002, Tunis, Tunisia.
  • Esmaeil Motlagh M; Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Soon Kim H; Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.
  • Khadilkar V; Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Krzyzaniak A; Department of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland.
  • Ben Romdhane H; Cardiovascular Epidemiology and Prevention, Research Laboratory, Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia.
  • Heshmat R; Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Chiplonkar S; Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Stawinska-Witoszynska B; Department of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland.
  • El Ati J; Nutrition Surveillance and Epidemiology Unit (SURVEN), National Institute of Nutrition and Food Technology, Tunis, Tunisia.
  • Qorbani M; Department of Epidemiology, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
  • Kajale N; Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Traissac P; Institut de Recherche pour le Développement (IRD), UMR NUTRIPASS IRD-UM-SupAgro, Montpellier, France.
  • Ostrowska-Nawarycz L; Department of Biophysics, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, Poland.
  • Ardalan G; Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Ekbote V; Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Yang L; Department of Epidemiology, School of Public Health, Shandong University, Jinan, China.
  • Zhao M; Department of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, China.
  • Liu X; Department of Epidemiology and Health Statistics, School of Public Health, Jining Medical University, Jining, China.
  • Liang Y; Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
  • Xi B; Department of Epidemiology, School of Public Health, Shandong University, Jinan, China. xibo2007@126.com.
J Hum Hypertens ; 34(4): 319-325, 2020 04.
Article en En | MEDLINE | ID: mdl-31253844
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.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: J Hum Hypertens Asunto de la revista: ANGIOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: J Hum Hypertens Asunto de la revista: ANGIOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido