PMID- 16679215 OWN - NLM STAT- MEDLINE DCOM- 20060828 LR - 20061115 IS - 0939-4753 (Print) IS - 0939-4753 (Linking) VI - 16 IP - 4 DP - 2006 May TI - Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project. PG - 239-48 AB - OBJECTIVE: To investigate the association between the degree of adiposity, assessed using the international reference values for body mass index (BMI) of the International Obesity Task Force (IOTF), the fat distribution pattern and the blood pressure (BP) profile in children. METHODS: Anthropometric indices and blood pressure were measured in 3923 children aged 6-11 years in southern Italy. RESULTS: The prevalence of overweight and obesity (by IOTF references) and pediatric hypertension was, respectively: 27, 21 and 10% for boys; 25, 21 and 14% for girls. Body mass index and waist z-scores were the strongest determinants of BP by regression analysis. Overweight and obesity were associated with a greater tendency for central fat deposition and higher BP (waist, cm; boys: 59.2+/-6.0, 69.5+/-7.9, 79.0+/-9.7; girls: 58.8+/-6.5, 68.2+/-7.4, 75.3+/-8.9; SBP/DBP, mmHg; boys: 94/60+/-12/9, 99/62+/-13/8, 103/64+/-15/10; girls: 93/59+/-12/9, 99/62+/-14/9, 101/63+/-14/9; normal weight, overweight and obese, respectively; P<0.0001; M+/-SD), and a higher risk of hypertension (overweight: RR=2.33; 95% CI 1.76-3.08; obesity: RR=3.69; 95% CI 2.78-4.90), independent of age, physical activity, birth weight, parental adiposity and education. Among normal weight children, 99% had waist <85th percentile and 93% were normotensive. CONCLUSIONS: Overweight and obese children, identified according to the IOTF growth charts, are characterized by a central fat distribution pattern and higher BP. FAU - Barba, Gianvincenzo AU - Barba G AD - Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Via Roma 52 A/C, 83100 Avellino, Italy. gbarba@isa.cnr.it FAU - Troiano, Ersilia AU - Troiano E FAU - Russo, Paola AU - Russo P FAU - Strazzullo, Pasquale AU - Strazzullo P FAU - Siani, Alfonso AU - Siani A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060427 PL - Netherlands TA - Nutr Metab Cardiovasc Dis JT - Nutrition, metabolism, and cardiovascular diseases : NMCD JID - 9111474 SB - IM MH - Abdominal Fat/*metabolism MH - Anthropometry MH - Blood Pressure/*physiology MH - Body Composition/*physiology MH - Body Mass Index MH - Child MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Hypertension/complications/*epidemiology MH - Italy/epidemiology MH - Male MH - Obesity/complications/*epidemiology MH - Risk Factors MH - Sex Factors MH - Waist-Hip Ratio EDAT- 2006/05/09 09:00 MHDA- 2006/08/29 09:00 CRDT- 2006/05/09 09:00 PHST- 2005/10/28 00:00 [received] PHST- 2006/02/16 00:00 [revised] PHST- 2006/02/17 00:00 [accepted] PHST- 2006/05/09 09:00 [pubmed] PHST- 2006/08/29 09:00 [medline] PHST- 2006/05/09 09:00 [entrez] AID - S0939-4753(06)00068-8 [pii] AID - 10.1016/j.numecd.2006.02.005 [doi] PST - ppublish SO - Nutr Metab Cardiovasc Dis. 2006 May;16(4):239-48. doi: 10.1016/j.numecd.2006.02.005. Epub 2006 Apr 27.