Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

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dc.contributor.authorPazin, Daiane Cristina
dc.contributor.authorKaestner, Tatiana Lorena da Luz
dc.contributor.authorOlandoski, Márcia
dc.contributor.authorBaena, Cristina Pellegrino
dc.contributor.authorAbreu, Gabriela de Azevedo
dc.contributor.authorKuschnir, Maria Cristina Caetano
dc.contributor.authorBloch, Katia Vergetti
dc.contributor.authorFaria-Neto, José Rocha
dc.date.accessioned2024-10-30T19:38:00Z
dc.date.available2024-10-30T19:38:00Z
dc.date.issued2020
dc.description.abstractObesity is the most common chronic disease in adolescents. In adults, waist circumference (WC) is associated with the presence of cardiovascular risk factors and is also a better predictor of car- diovascular (CV) risk than body mass index (BMI). The association between WC and CV risk fac- tors in adolescents has been poorly explored so far, mainly in those within the normal BMI range. Objective: To evaluate the association between WC and elevated blood pressure (BP) in adoles- cents with a normal BMI. Methods: Cross-sectional analysis of 73,399 scholars between 12 and 17 years old from the ERICA study, a school-based, national representative study with Brazilian adolescents. Only those within the normal range of BMI were included. The WC was categorized into quartiles for sex and age (Q1 to Q4). For the analysis, BP values ≥ 90th percentile were considered to indicate elevated BP, what includes hypertension and pre-hypertension. The Poisson Regression model was used and the prevalence ratio was estimated. Results: A total of 53,308 adolescents with normal BMI were included. Prevalence of elevated BP in the overall group was 18.0%. In female adolescents with WC in the lowest quartile for their age, the prevalence of elevated BP was 7.3% (12–14 years) and 6.9% (15–17 years), increasing in the upper quartile to 15.2% and 19.5% respectively, with a prevalence ratio (PR) indicating chance at least two times higher for elevated BP in Q4 (p < 0.001). Similarly, this was observed in boys, with a prevalence of elevated BP of 10.0% and 18.9% in Q1, increasing to 21.4% and 49.6% in Q4 (p < 0.001). Conclusion: In adolescents, there is a strong association of increased WC with BP elevation, even when the BMI is adequate.
dc.identifier.citationPazin DC, da Luz Kaestner TL, Olandoski M, Baena CP, de Azevedo Abreu G, Kuschnir MCC, Bloch KV, Faria-Neto JR. Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index: Waist circumference and blood pressure in Adolescents. Glob Heart. 2020 Apr 3;15(1):27. doi: 10.5334/gh.779
dc.identifier.otherDOI: 10.5334/gh.779
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/564
dc.language.isoen
dc.publisherGlobal Heart
dc.subjectbody mass indexen
dc.subjectwaist circumferenceen
dc.subjectblood pressureen
dc.subjectcross-sectional studiesen
dc.subjectpublic healthen
dc.subjectadolescenten
dc.titleAssociation Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index
dc.typeArticle
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