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Body Mass Index Percentiles and Elevated Blood Pressure Among Children and Adolescents Publisher Pubmed



Wang M1 ; Kelishadi R2 ; Khadilkar A3 ; Mi Hong Y4 ; Nawarycz T5 ; Krzywinskawiewiorowska M6 ; Aounallahskhiri H7 ; Esmaeil Motlagh M8 ; Soon Kim H4 ; Khadilkar V3 ; Krzyzaniak A6 ; Ben Romdhane H9 ; Heshmat R10 ; Chiplonkar S3 Show All Authors
Authors
  1. Wang M1
  2. Kelishadi R2
  3. Khadilkar A3
  4. Mi Hong Y4
  5. Nawarycz T5
  6. Krzywinskawiewiorowska M6
  7. Aounallahskhiri H7
  8. Esmaeil Motlagh M8
  9. Soon Kim H4
  10. Khadilkar V3
  11. Krzyzaniak A6
  12. Ben Romdhane H9
  13. Heshmat R10
  14. Chiplonkar S3
  15. Stawinskawitoszynska B6
  16. El Ati J11
  17. Qorbani M12
  18. Kajale N3
  19. Traissac P13
  20. Ostrowskanawarycz L5
  21. Ardalan G2
  22. Ekbote V3
  23. Yang L1
  24. Zhao M14
  25. Liu X15
  26. Liang Y16
  27. Xi B1
Show Affiliations
Authors Affiliations
  1. 1. Department of Epidemiology, School of Public Health, Shandong University, Jinan, China
  2. 2. Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India
  4. 4. Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, South Korea
  5. 5. Department of Biophysics, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, Poland
  6. 6. Department of Epidemiology and Hygiene, Poznan University of Medical Sciences, Poznan, Poland
  7. 7. National Institute of Public Health (INSP), Nutrition Surveillance and Epidemiology in Tunisia (SURVEN) Research Laboratory, Tunis, 1002, Tunisia
  8. 8. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  9. 9. Cardiovascular Epidemiology and Prevention, Research Laboratory, Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia
  10. 10. Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Nutrition Surveillance and Epidemiology Unit (SURVEN), National Institute of Nutrition and Food Technology, Tunis, Tunisia
  12. 12. Department of Epidemiology, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  13. 13. Institut de Recherche pour le Developpement (IRD), UMR NUTRIPASS IRD-UM-SupAgro, Montpellier, France
  14. 14. Department of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, China
  15. 15. Department of Epidemiology and Health Statistics, School of Public Health, Jining Medical University, Jining, China
  16. 16. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden

Source: Journal of Human Hypertension Published:2020


Abstract

It is well established that obesity is associated with an increased risk of elevated and high blood pressure (BP) in children and adolescents. However, it is uncertain whether there is an increase in the risk of elevated and high BP associated with an increase of body mass index (BMI) among children and adolescents whose BMI is in the accepted normal range. Data were available for 58 899 children and adolescents aged 6–17 years from seven national cross-sectional surveys in China, India, Iran, Korea, Poland, Tunisia, and the United States. The subjects were divided into eight percentile subgroups according to their BMI levels based on the World Health Organization recommendations. Elevated BP and high BP were defined using the 2016 international child BP criteria. Compared with the reference subgroup of the 5th–24th percentiles, the odds ratios (ORs) for high BP were 1.27 (95% confidence interval [CI], 1.14–1.41; P < 0.001) in the 25th–49th percentile subgroup, 1.55 (95% CI, 1.39–1.73; P < 0.001) in the 50th–74th percentile subgroup, and 2.17 (95% CI, 1.92–2.46; P < 0.001) in the 75th–84th percentile subgroup, respectively, after adjustment for sex, age, race/ethnicity, height and country. Additionally, the corresponding ORs for elevated BP were 1.21 (95% CI, 1.10–1.32; P < 0.001), 1.55 (95% CI, 1.42–1.69; P < 0.001), and 1.80 (95% CI, 1.62–2.01; P < 0.001), respectively. In conclusion, a BMI in the 25th–84th percentiles, within the accepted normal weight range, was associated with an increased risk of elevated and high BP among children and adolescents. It is important for children and adolescents to keep a BMI at a low level in order to prevent and control hypertension. © 2019, The Author(s), under exclusive licence to Springer Nature Limited.
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