Body mass index as an indicator of hypertension in adolescents
Abstract
Introduction: Obesity is considered a public health problem both in the populationas in young adults. Cardiovascular diseases are the most worrisome among the comorbidities associated with obesity. Objective: To demonstrate the profile body as an influence on the development of hypertension in adolescents of both sexes, aged between 12and 16 years enrolled in Alvorada, Rio Grande do Sul Methods: A descriptive study between November and December 2010. Proceeded to determine the Body Mass Index (BMI) and assessment of blood pressure (BP). To assess the prevalence of OW and obesity used to tables of BMI for the Centers for Disease Control and Prevention. It was considered pre-hypertension and systolic and diastolic BP between 90 and 95 percentiles for age, sex and height HTA and BP at or above the 95th percentile in two separate measurements. Results: A total of 100 adolescents in the study, 41% male and 59% female. Were normal weight 80% of the individuals, 4% were lean, 13% had PE and 3% were obese. The prevalence of PE was lower in females. The pre-HTA occurred in 12% of adolescents and 11% in HTA. In males, the prevalences were 12.19% and 9.75%, and female both values were 11.86%. The prevalence of pre-assessed in the HTA or HTA with PE or obesity was 25% and adolescents with underweight or normal weight was 22.61%. Conclusion: Thus, ourdata highlight the importance of anthropometric and BP measurements at both visits and Child Health at every opportunity for health check.
References
-Abrantes, MM; Lamounier, JA e Colosimo, EA: Prevalência de sobrepeso e obesidade nas regiões nordeste e sudeste do Brasil. Rev.Assoc.Med.Bras.2003. 49(2): 162-6.
-Alves, SS; Silva, SS; Silva, SRC, et al. Avaliação de atividade física, estado nutricional e condição social em adolescente. Folha Méd. 2000; 119-26-33.
-Balabam, G e Silva, GAP. Prevalência de sobrepeso e obesidade em crianças e adolescentes de uma escola da rede privada e Recife. Rio de Janeiro: Jornal de Pediatria –vol 77, 2001.
-Bays, HE. Current and investigational antiobesity, agents obesity therapeltic treatment targets. Obesity Research –vol 12, 2004.
-Clemente, L. et al. Índice de massa corporal: sensibilidade e especificidade. Porto: Alta Méd Port, 2004.
-Cordinhã, AC; Paúl, A e Fernandes,L. Obesidade infantil e hipertensão arterial –a realidade de uma população pré-escolar. Acta Pediátrica Portuguesa, 2009.
-Després, JP; Lemieux, I e Prud ́home, JP. Treatment of obesity: need to focus on high rise abdominally obese patients. BMJ. vol:322. 2001.
-Douketis, JD, Feighter, JW, Attia, J, et al. Periodic health examination , 1999 update: 1. Detection, prevention and treatment of obesity. Canada: JAMC, 1999.
-Feijão, AMM et al. Prevalência de excesso de peso e hipertensão arterial em população urbana de baixa renda. Arq. Bras. Cardiol. Vol. 84. 2005.
-Ferreira JS, Aydos RD. Prevalência de hipertensão arterial em crianças e adolescentes obesos. Ciência & Saúde Coletiva, 2010.
-Ferreira, SRG e Zanella, MT. Epidemiologia da hipertensão arterial associado à obesidade. Rev. Bras. Hiper. Vol. 7. SP, 2000.
-Fonseca, VM; Schieri, R e Veiga, GV. Fatores associados à obesidade em adolescentes. Rev. Saúde Pública. Vol. 32, nº6 –SP, 1998.
-Giugliano, R e Carneiro, EC. Fatores associados à obesidade em escolares –o estudo de Belo Horizonte. Belo Horizonte: UFMG, 2000.
-Mello, ED; Luft, VC e Meyer, F. Obesidade infantil: como podemos ser eficazes?. Jornal de pediatria –vol.80, nº 3, RJ –2004.
-Nader, P et al. Identifying risk for obesity in early childhood. Pediatrics 2006; 118;e594;e601. Acessívelem:http://www.pediatrics.org/cgi/content/full/118/3/e594
-Neovius M, Ginné Y, Rosnner S. BMI. waist-circumference and wais-hip, ratio as diagnostic test for fatness in adolescent. International Journal of Obesity, 2005.
-Oliveira, ADB. Aspectos epidemiológicos da obesidade em crianças: relação entre televisão, atividade física e obesidade. Brasília: Rev. Bras. Ciência e Mov –vol 9, 2001.
-Oliveira, AM et al. Fatores ambientais e antropométricos associados a hipertensão arterial infantil. Arq. Bras. Endocrinol. Metabol. Vol. 48, nº6. SP, 2004.
-Oliveira, CL e Fisberg, M. Obesidade na infância e na adolescência -uma verdadeira epidemia. Arq. Bras. Endocrinol. Metabol. Vol. 47, nº 2. SP, 2003.
-Palma, A e Pimenta, APAA. Perfil epidemiológico da obesidade em crianças: relação entre televisão, atividade física e obesidade. Rev. Bras. Ciên e Mov. Brasília. v. 9 n. 4 p. 19-24. 2004.
-Peixoto, MRG, Benício MHD, Latorre MRDO, et al. Circunferência da cintura e IMC como preditores da hipertensão arterial. Arq. bras. cardiol, 2006.
-Rodrigues, AM; Suplicy, HL e Radominski, RB. Controle neuroendócrino do peso corporal: implicações na gênese da obesidade. Arq.bras.endócrino.metab –vol. 47, 2003.
-Santos AAC, Zanetta DMT, Cipullo JP, et al. O diagnóstico da hipertensão arterial na criança e no adolescente. São Paulo: Pediatria, 2003.
-Sawaya, AL et al. The link between childhood undernutrition and risk of chronic diseases in adulthood: A case study of Brazil. Nutrition Reviews, vol. 61. nº5, 2003.
-Schnneider, HJ et al. Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. The journal of clinical endocrinology e metabolism. 2007.
-Sichieri, R e Veiga, GV. Obesidade na adolescência. EDUERJ, Rio de Janeiro, 1998.
-Silva, MAM et al. Medida de pressão arterial em crianças e adolescentes: recomendações das diretrizes de hipertensão arterial e prática médica atual. Arq. Bras. Cardiol, 2007.
-Sorof, J e Daniels, S. Obesity hypertension in children: a problem of epidemic proportions. Hypertension 2002; Vol. 40: p. 441-7.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).
