PMID- 23917448
OWN - NLM
STAT- MEDLINE
DCOM- 20141009
LR  - 20211021
IS  - 1436-6215 (Electronic)
IS  - 1436-6207 (Linking)
VI  - 53
IP  - 2
DP  - 2014
TI  - Comparison of blood pressure levels among children and adolescents with different 
      body mass index and waist circumference: study in a large sample in Shandong, 
      China.
PG  - 627-34
LID - 10.1007/s00394-013-0571-1 [doi]
AB  - PURPOSE: Several anthropometric indicators [such as body mass index (BMI), waist 
      circumference (WC), and waist-to-height ratio (WHtR)] have been used to 
      investigate the association between adiposity and high blood pressure (BP) in 
      both adults and children. The present study compared the BP levels among children 
      and adolescents with different BMI and WC in a large population in Shandong, 
      China. METHODS: A total of 38,822 students (19,456 boys and 19,366 girls) aged 
      7-17 years participated in this study. Height, weight, WC, and BP of all subjects 
      were measured, and BMI was calculated. The prevalence of overweight and obesity 
      was obtained according to the International Obesity Task Force (IOTF) cutoffs; 
      central obesity was defined as WC >/= 90th percentile (P 90); relatively high BP 
      status was defined as systolic blood pressure (SBP) and/or diastolic blood 
      pressure (DBP) >/= 95th percentile for age and gender. RESULTS: Within each BMI 
      categories (normal weight, overweight, and obesity), children and adolescents 
      with WC >/= P 90 had higher BP levels than those with WC < P 90 (p < 0.01). When 
      BMI and WC were combined, the highest and lowest prevalences of relatively high 
      BP were noted in obese with WC >/= P 90 group (54.52% for boys and 48.71% for 
      girls) and normal weight with WC < P 90 group (17.00% for boys and 14.13% for 
      girls). CONCLUSION: Children and adolescents with high BMI and high WC might have 
      an increased risk of elevated BP. Our results suggest that the additional 
      measurement of WC is better than BMI alone to help identify high BP risks.
FAU - Zhang, Ying-Xiu
AU  - Zhang YX
AD  - Shandong Center for Disease Control and Prevention, 16992 Jingshi Road, Jinan, 
      250014, Shandong, China, sdcdczyx@163.com.
FAU - Wang, Shu-Rong
AU  - Wang SR
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130806
PL  - Germany
TA  - Eur J Nutr
JT  - European journal of nutrition
JID - 100888704
SB  - IM
MH  - Adolescent
MH  - *Blood Pressure
MH  - Body Height
MH  - *Body Mass Index
MH  - Body Weight
MH  - Child
MH  - China/epidemiology
MH  - Female
MH  - Humans
MH  - Hypertension/epidemiology
MH  - Male
MH  - Obesity/epidemiology
MH  - Overweight/epidemiology
MH  - Sex Factors
MH  - Students
MH  - *Waist Circumference
EDAT- 2013/08/07 06:00
MHDA- 2014/10/10 06:00
CRDT- 2013/08/07 06:00
PHST- 2013/04/28 00:00 [received]
PHST- 2013/07/26 00:00 [accepted]
PHST- 2013/08/07 06:00 [entrez]
PHST- 2013/08/07 06:00 [pubmed]
PHST- 2014/10/10 06:00 [medline]
AID - 10.1007/s00394-013-0571-1 [doi]
PST - ppublish
SO  - Eur J Nutr. 2014;53(2):627-34. doi: 10.1007/s00394-013-0571-1. Epub 2013 Aug 6.