Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.
J Pediatr (Rio J). 2013 May-Jun;89(3):243-9. doi: 10.1016/j.jped.2012.11.006. Epub 2013 Apr 26.
To investigate the association of blood pressure and body mass index, waist circumference, waist-to-height ratio and triceps skinfold, in children and adolescents in Curitiba, state of Paraná, Brazil.
Cross-sectional study with a random sample of 1,441 students from public schools, aged from 10 to 16 years (655 boys and 786 girls). The following indicators were assessed: weight, height, waist circumference, triceps skinfold, systolic and diastolic blood pressures, pubertal stage, and socioeconomic status. Pearson correlation tests and multivariate logistic regression were used, considering p<0.05.
We found weak correlations among all the anthropometric parameters and systolic and diastolic levels, with coefficients values ranging from 0.18 to 0.28 (p<0.001). In multivariate analysis, only body mass index [odds ratio (OR)=2.9; 95% confidence interval (95%CI) 1.9-4.5] and triceps skinfold (OR=1.9; 95%CI 1.3-3.1) were found as predictors of high blood pressure, regardless of abdominal adiposity, sexual maturation and socioeconomic status.
Total body adiposity seems to be a better predictor of high blood pressure risk than abdominal fat in this population.
研究巴西巴拉那州库里蒂巴市儿童和青少年的血压与体重指数、腰围、腰高比和肱三头肌皮褶厚度的相关性。
这是一项横断面研究，对来自公立学校的 1441 名 10 至 16 岁的学生（655 名男孩和 786 名女孩）进行了随机抽样。评估了以下指标：体重、身高、腰围、肱三头肌皮褶厚度、收缩压和舒张压、青春期阶段和社会经济状况。使用 Pearson 相关检验和多变量逻辑回归，p<0.05 时具有统计学意义。
我们发现所有人体测量参数与收缩压和舒张压之间存在弱相关，系数值范围为 0.18 至 0.28（p<0.001）。在多变量分析中，只有体重指数[比值比（OR）=2.9；95%置信区间（95%CI）1.9-4.5]和肱三头肌皮褶（OR=1.9；95%CI 1.3-3.1）被发现是高血压的预测因素，与腹部肥胖、性成熟和社会经济状况无关。
在该人群中，全身脂肪似乎比腹部脂肪更能预测高血压风险。
