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Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project.
Nutr Metab Cardiovasc Dis. 2006 May; 16(4):239-48.NM

Abstract

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.

Authors+Show Affiliations

Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Via Roma 52 A/C, 83100 Avellino, Italy. gbarba@isa.cnr.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16679215

Citation

Barba, Gianvincenzo, et al. "Body Mass, Fat Distribution and Blood Pressure in Southern Italian Children: Results of the ARCA Project." Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, vol. 16, no. 4, 2006, pp. 239-48.
Barba G, Troiano E, Russo P, et al. Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project. Nutr Metab Cardiovasc Dis. 2006;16(4):239-48.
Barba, G., Troiano, E., Russo, P., Strazzullo, P., & Siani, A. (2006). Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 16(4), 239-48.
Barba G, et al. Body Mass, Fat Distribution and Blood Pressure in Southern Italian Children: Results of the ARCA Project. Nutr Metab Cardiovasc Dis. 2006;16(4):239-48. PubMed PMID: 16679215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project. AU - Barba,Gianvincenzo, AU - Troiano,Ersilia, AU - Russo,Paola, AU - Strazzullo,Pasquale, AU - Siani,Alfonso, Y1 - 2006/04/27/ PY - 2005/10/28/received PY - 2006/02/16/revised PY - 2006/02/17/accepted PY - 2006/5/9/pubmed PY - 2006/8/29/medline PY - 2006/5/9/entrez SP - 239 EP - 48 JF - Nutrition, metabolism, and cardiovascular diseases : NMCD JO - Nutr Metab Cardiovasc Dis VL - 16 IS - 4 N2 - 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. SN - 0939-4753 UR - https://www.unboundmedicine.com/medline/citation/16679215/Body_mass_fat_distribution_and_blood_pressure_in_Southern_Italian_children:_results_of_the_ARCA_project_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0939-4753(06)00068-8 DB - PRIME DP - Unbound Medicine ER -