We have located links that may give you full text access.
Journal Article
Research Support, Non-U.S. Gov't
Role of waist circumference in predicting the risk of high blood pressure in children.
OBJECTIVE: This paper was designed to evaluate the role of waist circumference (WC) in identification of children with high blood pressure.
METHODS: Cross-sectional data on body mass index (BMI), WC and blood pressure (BP) were analyzed in 3 678 children (1 849 boys; 11.3 +/- 2.3 years) who participated in the LEARN study.
RESULTS: Prevalence of abdominal obesity (WC >or=90th percentile) in normal weight (n = 2 982), overweight (n = 528) and obese (n = 168) children were 3.7%, 51.7% and 89.9%, respectively. Systolic BP (SBP) was higher in children with abdominal obesity compared with those with normal WC (p < 0.01) both in normal and in overweight BMI categories. Similar results were found for diastolic BP (DBP) in normal weight girls (p = 0.032) and overweight boys (p = 0.04). WC was significantly correlated with SBP and DPB in all BMI categories, even after adjustment for age and BMI. Despite these findings, no significant odds ratio (OR) of prehypertension or hypertension for abdominal obesity was found in the normal weight category. On the contrary, in overweight children, prevalence of prehypertension (OR 1.42 [1.1; 1.8]) and hypertension (OR 1.35 [1.1; 1.7]) was higher among abdominal obese children. Similarly, the prevalence of prehypertension was almost two-times higher among obese children with abdominal obesity (11.8% vs. 22.5%); however, no significant OR was found.
CONCLUSIONS: The ability of WC to detect high-risk normal weight children is controversial. The additional measure of WC among overweight children seems to be relevant in identifying those at increased risk of high BP. Further research with a larger sample size is required in the obese group.
METHODS: Cross-sectional data on body mass index (BMI), WC and blood pressure (BP) were analyzed in 3 678 children (1 849 boys; 11.3 +/- 2.3 years) who participated in the LEARN study.
RESULTS: Prevalence of abdominal obesity (WC >or=90th percentile) in normal weight (n = 2 982), overweight (n = 528) and obese (n = 168) children were 3.7%, 51.7% and 89.9%, respectively. Systolic BP (SBP) was higher in children with abdominal obesity compared with those with normal WC (p < 0.01) both in normal and in overweight BMI categories. Similar results were found for diastolic BP (DBP) in normal weight girls (p = 0.032) and overweight boys (p = 0.04). WC was significantly correlated with SBP and DPB in all BMI categories, even after adjustment for age and BMI. Despite these findings, no significant odds ratio (OR) of prehypertension or hypertension for abdominal obesity was found in the normal weight category. On the contrary, in overweight children, prevalence of prehypertension (OR 1.42 [1.1; 1.8]) and hypertension (OR 1.35 [1.1; 1.7]) was higher among abdominal obese children. Similarly, the prevalence of prehypertension was almost two-times higher among obese children with abdominal obesity (11.8% vs. 22.5%); however, no significant OR was found.
CONCLUSIONS: The ability of WC to detect high-risk normal weight children is controversial. The additional measure of WC among overweight children seems to be relevant in identifying those at increased risk of high BP. Further research with a larger sample size is required in the obese group.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app