Adiposity indicators and blood pressure in children: nothing beyond body mass index?

Details

Serval ID
serval:BIB_11F33E5E2778
Type
Article: article from journal or magazin.
Publication sub-type
Editorial
Collection
Publications
Institution
Title
Adiposity indicators and blood pressure in children: nothing beyond body mass index?
Journal
Journal of Human Hypertension
Author(s)
Chiolero A.
ISSN
1476-5527 (Electronic)
ISSN-L
0950-9240
Publication state
Published
Issued date
04/2015
Peer-reviewed
Oui
Volume
29
Number
4
Pages
211-212
Language
english
Notes
Publication types: Comment ; Journal Article Publication Status: ppublish
Abstract
Obesity is a major risk factor for elevated blood pressure in children. For instance, in a school-based study of 5207 children aged 10-12 years, the prevalence of hypertension, which is sustained elevated blood pressure over several visits, was 1.5%, 3.9% and 17.5% in normal weight, overweight and obese children, respectively. High body mass index (BMI) is commonly used to define overweight and obesity. However, because BMI is merely a proxy for adiposity, there is a longstanding debate about its performance to predict elevated blood pressure (or any other health conditions associated with adiposity) and whether other adiposity indicators, such as waist circumference, waist-to-hip ratio or hip circumference, should not be preferred... In this study, 7.4% of boys and 6.4% of girls had elevated blood pressure. The adiposity indicators were highly correlated to each other, apart from weight, waist-to-hip ratio and skinfold thickness z-scores. All indicators were associated with blood pressure. The ability to identify children with elevated blood pressure, assessed by the area under the receiver operating curve (AUC) statistic, was superior for BMI, body adiposity index and waist-to-height ratio z-scores compared with other indicators. BMI z-scores had a slightly higher AUC than other indicators. The authors concluded that BMIz-scores could be a better predictor of elevated blood pressure in children than other adiposity indicators.
Pubmed
Web of science
Create date
31/10/2014 9:38
Last modification date
20/08/2019 12:39
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