Prevalence of hypertension and its association with obesity among schoolchildren aged 6-15 living in Sakarya Province in Turkey

Background/aim: Childhood hypertension and its association with obesity are becoming important issues worldwide. The prevalence of hypertension and obesity are growing in both developed and developing countries. This paper aimed to determine the prevalence of hypertension among school-aged children in Sakarya (western part of Turkey) and to determine whether or not obesity is associated with hypertension. Materials and methods: Twelve schools were randomly selected from an area in the center of the Sakarya. A total of 2166 students participated in the study. The students were visited at school, and their weights, heights, and blood pressures were measured. The World Health Organization references were used to determine the prevalence of overweightness, obesity, and hypertension. Results: The prevalences of hypertension and obesity were 15.1% (n = 326) and 18.0% (n = 390), respectively. Overweightness, obesity included, was found to be present in 26.3% of the children. Sex and obesity were found to be associated with hypertension; nevertheless, a positive family history of hypertension was not associated with hypertension in children. Conclusion: The prevalence of obesity and hypertension are high among school children of 6-15 years of age in Sakarya. Obesity is associated with hypertension. Blood pressure measurements should be part of routine clinical examination, especially in obese children.

Anahtar Kelimeler:

Obesity, hypertension, school children

Prevalence of hypertension and its association with obesity among schoolchildren aged 6-15 living in Sakarya Province in Turkey

Keywords:

Obesity, hypertension, school children,

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Ostchega Y, Hughes JP, Terry A, Fakhouri TH, Miller I. Abdominal obesity, body mass index, and hypertension in US adults: NHANES 2007-2010. Am J Hypertens 2012; 25: 1271– 1278.
Luma GB, Spiotta RT. Hypertension in children and adolescents. Am Fam Physician 2006; 73: 1558–1568.
McCrindle BW. Cardiovascular risk factors in adolescents: relevance, detection, and intervention. Adolesc Med 2001; 12: 147–162.
Akis N, Pala K, Irgil E, Utku AM, Bingol S. Prevalence and risk factors of hypertension among school children aged 12-14 years in Bursa, Turkey. Saudi Med J 2007; 28: 1263–1268.
Akgun C, Doğan M, Akbayram S, Tuncer O, Peker E, Taşkın G, Arslan S, Arslan D. The incidence of asymptomatic hypertension in school children. J Nippon Med Sch 2010; 77: 160–165.
İrgil E, Erkenci Y, Aytekin N, Aytekin H. Prevalence of hypertension among schoolchildren aged 13-18 years in Gemlik, Turkey. Eur J Public Health 1998; 8: 176–178.
Uçar B, Kılıç Z, Çolak O, Öner S, Kalyoncu C. Coronary risk factors in Turkish school children: randomized cross-sectional study. Pediatr Int 2000; 42: 259–267.
Feber J, Ahmed M. Hypertension in children: new trends and challenges. Clin Sci 2010; 119: 151–161.
Buch N, Goyal JP, Kumar N, Parmar I, Shah VB, Charan J. Prevalence of hypertension in school going children of Surat city, Western India. J Cardiovasc Dis Res 2011; 2: 228–232.
Papandreou D, Stamou M, Malindretos P, Rousso I, Mavromichalis I. Prevalence of hypertension and association of dietary mineral intake with blood pressure in healthy schoolchildren from northern Greece aged 7–15 years. Ann Nutr Metab 2007; 51: 471–476.
Musaiger AO, Al-Mannai M, Al-Marzog Q. Overweight and obesity among children (10-13) in Bahrain: a comparison between two international standards. Pak J Med Sci 2014; 30: 497–500.
Paterno CA. Coronary risk factors in adolescence. The FRICELA study. Rev Esp Cardiol 2003; 56: 452–458.
Soylu A, Kavukçu S, Türkmen M, Cabuk N, Duman M. Effect of socioeconomic status on the blood pressure in children living in a developing country. Pediatr Int 2000; 42: 37–42.
Arslan S, Arslan N, Soylu A, Akgün C, Tepebasili İ, Türkmen M, Kavukçu S. High altitude and blood pressure in children. Yale J Biol Med 2003; 76: 145–148.
Akış N, Pala K, Utku AM, Bingöl S, Sarandöl E, Aytekin H. Hypertension in children (12–14 years) – a case–control study in Bursa, Turkey. Turk J Pediatr 2009; 51: 437–443.
Pileggi C, Carbone V, Nobile CG, Pavia M. Blood pressure and related cardiovascular disease risk factors in 6-18 years old students in Italy. J Paediatr Child H 2005; 41: 347–352.
Salvadori M, Sontrop JM, Garg AX, Truong J, Suri RS, Mahmud FH, Macnab JJ, Clark WF. Elevated blood pressure in relation to overweight and obesity among children in a rural Canadian community. Pediatrics 2008; 122: 821–827.
Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004; 113: 475–482.
Ostchega Y, Carroll M, Prineas RJ, McDowell MA, Louis T, Tilert T. Trends of elevated blood pressure among children and adolescents: data from the National Health and Nutrition Examination Survey 1988–2006. Am J Hypertens 2009; 22: 59–67.
Flores-Huerta S, Klunder M, Reyes de la Cruz L, Santos JI. Increase in body mass index and waist circumference is associated with high blood pressure in children and adolescents in Mexico City. Arch Med Res 2009; 40: 208–215.
Sorof J, Daniels S. Obesity hypertension in children: a problem of epidemic proportions. Hypertension 2002; 40: 441–447.
Karatzi K, Protogerou A, Rarra V, Stergiou GS. Home and office blood pressure in children and adolescents: the role of obesity. The Arsakeion School Study. J Hum Hypertens 2009; 23: 512–520.
Şimşek E, Akpınar S, Bahçebaşı T, Senses DA, Kocabay K. The prevalence of overweight and obese children aged 6-17 years in the West Black Sea region of Turkey. Int J Clin Pract 2008; 62: 1033–1038.
T.C. Sağlık Bakanlığı. Türkiye’de Okul Çağı (6-10 Yaş Grubu) Çocuklarında Büyümenin İzlenmesi (TOÇBİ) Projesi Araştırma Raporu. Sağlık Bakanlığı Yayın No: 834. Ankara, Turkey: Sağlık Bakanlığı; 2011.
National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. Update on the 1987 task force report on high blood pressure in children and adolescents: a Working Group Report from the National High Blood Pressure Education Program. Pediatrics 1996; 98: 649–658.