Trends in Adolescents Obesity and the Association between BMI and Blood Pressure: A Cross-Sectional Study in 714,922 Healthy Teenagers

American Journal of Hypertension
Ehud ChorinYaron Arbel

Abstract

Seventeen percent of youth in the United States are obese. Obesity has been linked to higher prevalence of hypertension. Past studies were limited by their size and conflicting results. The aim of this study was to analyze trends in adolescents' obesity between 1998 and 2011 and to evaluate the relationship between blood pressure and body mass index (BMI) in healthy adolescents. All adolescents who underwent a medical exam in the years 1998-2011 and were found fit for combat duties in the Israeli Defense Force were included. The cohort included 714,922 healthy adolescents with 59% of them being males. The mean age was 17.4±0.45 and mean BMI was 22±3.5 kg/m(2). The percentage of overweight adolescents (BMI > 25 kg/m(2)) has increased from 13.2% in 1998 to 21% in 2011, P < 0.001. The mean systolic and diastolic blood pressures increased with increasing BMI deciles (systolic blood pressure by 10mm Hg and diastolic blood pressure by 3-4mm Hg from the 1st decile to the 10th decile, P < 0.001 for both). In multivariate analysis, each increase of 1 unit of BMI was associated with an increased risk of systolic blood pressure above 130 mm Hg in both males (OR = 1.108, 95% CI 1.107-1.110, P < 0.001) and females (OR = 1.114, 95% CI 1.139-...Continue Reading

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Citations

Oct 6, 2015·The Journal of Clinical Hypertension·Monesha Gupta-MalhotraKaren McNiece-Redwine
Feb 26, 2016·Revista de saúde pública·Katia Vergetti BlochTamara Beres Lederer Goldberg
Aug 15, 2018·American Journal of Hypertension·Michelle M HarbinJustin R Ryder
Jan 22, 2019·Journal of Human Hypertension·Thomaitsa NikaVasilios Kotsis
Mar 22, 2019·Journal of Paediatrics and Child Health·Nayera E HassanOmar H Dwidar
Dec 11, 2019·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Yuan WangLianguo Fu
Jul 2, 2017·The Journal of Clinical Endocrinology and Metabolism·Gilad TwigJeremy D Kark
Jun 27, 2019·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Nada YounesMarie-Hélène Gannagé-Yared
Jan 19, 2021·Brain Injury : [BI]·M Nadir HaiderJohn J Leddy
Sep 21, 2021·Frontiers in Genetics·Danick GouletMarie-Pierre Sylvestre
Feb 26, 2016·Pediatrics·Emily D ParkerPatrick J O'Connor

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