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Elevated blood pressure in relation to overweight and obesity among children in a rural Canadian community.
Pediatrics. 2008 Oct; 122(4):e821-7.Ped

Abstract

OBJECTIVE

Childhood overweight and obesity may result in premature onset of cardiovascular risk factors such as hypertension. Rural populations in North America may be at increased risk for overweight. We evaluated whether overweight and obesity were associated with prehypertension and hypertension in a well-characterized population of children in rural Canada.

METHODS

The study population for this cross-sectional study was composed of children (aged 4-17 years) who were participants of the Walkerton Health Study (Canada) in 2004. Prehypertension and hypertension were defined on the basis of percentiles from the average of 3 blood pressure measures taken on a single occasion. Percentiles for BMI and blood pressure were calculated by using the 2000 Centers for Disease Control and Prevention growth charts. Multinomial logistic regression was used to evaluate the odds for prehypertension and hypertension resulting from overweight and obesity.

RESULTS

Of 675 children (98.7% white), 122 (18.1%) were overweight and 77 (11.4%) were obese. Prehypertension and hypertension were detected in 51 (7.6%) and 50 (7.4%), respectively. After adjustment for family history of hypertension and kidney disease, obesity was associated with both prehypertension and hypertension. Overweight was associated with hypertension but not prehypertension. These associations were observed across the genders and children aged <13 and >or=13 years, except that overweight was not associated with hypertension among girls.

CONCLUSIONS

In this population of children who lived in a rural community in Canada, overweight and obesity were strongly associated with elevated blood pressure. Whether blood pressure normalizes with improvements in diet, physical activity, and environment is an area for additional study.

Authors+Show Affiliations

Department of Pediatrics, Children's Hospital, London, Ontario, Canada. marina.salvadori@lhsc.on.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

18829779

Citation

Salvadori, Marina, et al. "Elevated Blood Pressure in Relation to Overweight and Obesity Among Children in a Rural Canadian Community." Pediatrics, vol. 122, no. 4, 2008, pp. e821-7.
Salvadori M, Sontrop JM, Garg AX, et al. Elevated blood pressure in relation to overweight and obesity among children in a rural Canadian community. Pediatrics. 2008;122(4):e821-7.
Salvadori, M., Sontrop, J. M., Garg, A. X., Truong, J., Suri, R. S., Mahmud, F. H., Macnab, J. J., & Clark, W. F. (2008). Elevated blood pressure in relation to overweight and obesity among children in a rural Canadian community. Pediatrics, 122(4), e821-7. https://doi.org/10.1542/peds.2008-0951
Salvadori M, et al. Elevated Blood Pressure in Relation to Overweight and Obesity Among Children in a Rural Canadian Community. Pediatrics. 2008;122(4):e821-7. PubMed PMID: 18829779.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elevated blood pressure in relation to overweight and obesity among children in a rural Canadian community. AU - Salvadori,Marina, AU - Sontrop,Jessica M, AU - Garg,Amit X, AU - Truong,Jennifer, AU - Suri,Rita S, AU - Mahmud,Farid H, AU - Macnab,Jennifer J, AU - Clark,William F, PY - 2008/10/3/pubmed PY - 2008/10/22/medline PY - 2008/10/3/entrez SP - e821 EP - 7 JF - Pediatrics JO - Pediatrics VL - 122 IS - 4 N2 - OBJECTIVE: Childhood overweight and obesity may result in premature onset of cardiovascular risk factors such as hypertension. Rural populations in North America may be at increased risk for overweight. We evaluated whether overweight and obesity were associated with prehypertension and hypertension in a well-characterized population of children in rural Canada. METHODS: The study population for this cross-sectional study was composed of children (aged 4-17 years) who were participants of the Walkerton Health Study (Canada) in 2004. Prehypertension and hypertension were defined on the basis of percentiles from the average of 3 blood pressure measures taken on a single occasion. Percentiles for BMI and blood pressure were calculated by using the 2000 Centers for Disease Control and Prevention growth charts. Multinomial logistic regression was used to evaluate the odds for prehypertension and hypertension resulting from overweight and obesity. RESULTS: Of 675 children (98.7% white), 122 (18.1%) were overweight and 77 (11.4%) were obese. Prehypertension and hypertension were detected in 51 (7.6%) and 50 (7.4%), respectively. After adjustment for family history of hypertension and kidney disease, obesity was associated with both prehypertension and hypertension. Overweight was associated with hypertension but not prehypertension. These associations were observed across the genders and children aged <13 and >or=13 years, except that overweight was not associated with hypertension among girls. CONCLUSIONS: In this population of children who lived in a rural community in Canada, overweight and obesity were strongly associated with elevated blood pressure. Whether blood pressure normalizes with improvements in diet, physical activity, and environment is an area for additional study. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/18829779/Elevated_blood_pressure_in_relation_to_overweight_and_obesity_among_children_in_a_rural_Canadian_community_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&amp;pmid=18829779 DB - PRIME DP - Unbound Medicine ER -