PMID- 30664657 OWN - NLM STAT- MEDLINE DCOM- 20200713 LR - 20200713 IS - 1476-5527 (Electronic) IS - 0950-9240 (Linking) VI - 33 IP - 4 DP - 2019 Apr TI - Obesity and season as determinants of high blood pressure in a school-based screening study. PG - 277-285 LID - 10.1038/s41371-019-0168-0 [doi] AB - This school-based screening study assessed the prevalence of high blood pressure (BP) levels according to the European Society of Hypertension (ESH) 2016 guidelines. Moreover, risk factors for BP elevation, and the effect of geographic and seasonal factors on BP screening were investigated. BP and anthropometric measurements were obtained from 2832 children and adolescents, aged 6-18 years, during the period 2013-2016. Three BP measurements were performed using a mercury sphygmomanometer, and the mean of the last two was used for the analysis. Obesity was defined according to the International Obesity Task Force (IOTF) criteria. The prevalence of high-normal BP/hypertension and overweight/obesity was 3.7%/0.9%, and 22.9%/8.5%, respectively. The majority of the participants presenting high BP (>/=90th percentile) were overweight or obese. Increased prevalence of high BP was observed during spring (5.5%) and winter (5%) compared with 2.5% in autumn (P<0.05). SBP z scores were higher in males, during spring and summer, and in urban areas. In conclusion, a low rate of high-normal and hypertensive BP levels was found despite the high prevalence of overweight and obesity. Overweight and obesity were associated with higher BP levels, but there was also a seasonal difference in the prevalence of high BP levels. FAU - Nika, Thomaitsa AU - Nika T AUID- ORCID: 0000-0003-1489-8029 AD - 3rdDepartment of Pediatrics, Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece. nika.thomai@gmail.com. FAU - Stabouli, Stella AU - Stabouli S AD - 1stDepartment of Pediatrics, Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece. FAU - Kollios, Konstantinos AU - Kollios K AD - 3rdDepartment of Pediatrics, Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece. FAU - Papadopoulou-Legbelou, Kyriaki AU - Papadopoulou-Legbelou K AD - 4thDepartment of Pediatrics, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece. FAU - Printza, Nikoleta AU - Printza N AD - 1stDepartment of Pediatrics, Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece. FAU - Antza, Christina AU - Antza C AD - 3rdDepartment of Internal Medicine, Aristotle University of Thessaloniki, Hypertension-24h ABPM Center, Papageorgiou General Hospital, Thessaloniki, Greece. FAU - Papachristou, Fotios AU - Papachristou F AD - 1stDepartment of Pediatrics, Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece. FAU - Kotsis, Vasilios AU - Kotsis V AD - 3rdDepartment of Internal Medicine, Aristotle University of Thessaloniki, Hypertension-24h ABPM Center, Papageorgiou General Hospital, Thessaloniki, Greece. LA - eng PT - Journal Article DEP - 20190121 PL - England TA - J Hum Hypertens JT - Journal of human hypertension JID - 8811625 SB - IM MH - Adolescent MH - Age Factors MH - *Blood Pressure MH - Blood Pressure Determination MH - Child MH - Cross-Sectional Studies MH - Female MH - Greece/epidemiology MH - Humans MH - Hypertension/diagnosis/*epidemiology/physiopathology MH - Male MH - Pediatric Obesity/diagnosis/*epidemiology/physiopathology MH - Prevalence MH - Risk Factors MH - *School Health Services MH - *Seasons EDAT- 2019/01/22 06:00 MHDA- 2020/07/14 06:00 CRDT- 2019/01/22 06:00 PHST- 2018/10/12 00:00 [received] PHST- 2019/01/07 00:00 [accepted] PHST- 2018/12/26 00:00 [revised] PHST- 2019/01/22 06:00 [pubmed] PHST- 2020/07/14 06:00 [medline] PHST- 2019/01/22 06:00 [entrez] AID - 10.1038/s41371-019-0168-0 [pii] AID - 10.1038/s41371-019-0168-0 [doi] PST - ppublish SO - J Hum Hypertens. 2019 Apr;33(4):277-285. doi: 10.1038/s41371-019-0168-0. Epub 2019 Jan 21.