Division of Social Pediatrics, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Obesity Center DGD Clinics Sachsenhausen, Institute of Pharmaceutical Chemistry, Goethe University Frankfurt, Frankfurt, Germany.
J Pediatr Endocrinol Metab. 2020 Sep 25;33(9):1203-1211. doi: 10.1515/jpem-2020-0175.
Background Obesity and obesity-related diseases are one of the common health problems worldwide and have also been proposed to be important predictors of blood pressure and cardiovascular disease risk. The aim of our study is to determine the utility of different anthropometric measurements (body mass index [BMI], skinfold thickness [SFT], waist circumference [WC], mid-upper arm circumference [MUAC], arm circumference-height ratio [AHtR], and waist circumference-height ratio [WHtR]) as markers of hypertension (HT) risk in adolescents. Methods In this cross-sectional study, 544 participants aged between 12 and 13 years were included. Anthropometric measurements and blood pressure of participants were measured. The association of different anthropometric measurements with blood pressure was evaluated. Results The frequency of both elevated blood pressure and HT was 30.2%. Biceps, triceps, and suprailiac SFT have an impact on HT in girls but only suprailiac SFT in boys. WC measurements above the 85th percentile were strongly correlated with HT conditions, and this relationship was stronger in boys than in girls (3.3 vs. 2.6 fold). MUAC, WHtR, and AHtR measurements also have strong correlation with HT in boys but only WHtR has a poor relation in girls. In boys and girls with obesity, there was a positive association between obesity and blood pressures. Conclusions Not only age-related BMI z scores but also a number of other anthropometric measurements, such as WC, SFT, MUAC, WHtR, and AHtR, could have an influence on high blood pressure. The influence changes with gender during adolescence.
肥胖和与肥胖相关的疾病是全球常见的健康问题之一，也被认为是血压和心血管疾病风险的重要预测指标。我们的研究旨在确定不同人体测量指标（体重指数[BMI]、皮褶厚度[SFT]、腰围[WC]、中上臂围[MUAC]、臂围-身高比[AHtR]和腰围-身高比[WHtR]）作为青少年高血压（HT）风险标志物的效用。
在这项横断面研究中，纳入了 544 名年龄在 12 至 13 岁之间的参与者。测量了参与者的人体测量指标和血压。评估了不同人体测量指标与血压的相关性。
高血压和 HT 的发生率分别为 30.2%和 18.4%。肱二头肌、肱三头肌和髂上 SFT 对女孩的 HT 有影响，但仅对男孩的髂上 SFT 有影响。超过第 85 百分位数的 WC 测量值与 HT 状况密切相关，且这种关系在男孩中比女孩中更强（3.3 倍比 2.6 倍）。MUAC、WHtR 和 AHtR 测量值也与男孩的 HT 密切相关，但只有 WHtR 与女孩的 HT 关系较差。在肥胖的男孩和女孩中，肥胖与血压之间存在正相关关系。
不仅是与年龄相关的 BMI z 评分，而且还有其他一些人体测量指标，如 WC、SFT、MUAC、WHtR 和 AHtR，都可能对高血压有影响。这种影响在青春期会随着性别而变化。
