TY - JOUR
T1 - High blood pressure in overweight and obese youth
T2 - Implications for screening
AU - Koebnick, Corinna
AU - Black, Mary Helen
AU - Wu, Jun
AU - Martinez, Mayra P.
AU - Smith, Ning
AU - Kuizon, Beatriz
AU - Cuan, David
AU - Young, Deborah Rohm
AU - Lawrence, Jean M.
AU - Jacobsen, Steven J.
PY - 2013/11
Y1 - 2013/11
N2 - In the absence of evidence-based guidelines for high blood pressure screening in asymptomatic youth, a reasonable strategy is to screen those who are at high risk. The present study aimed to identify optimal body mass index (BMI) thresholds as a marker for high-risk youth to predict hypertension prevalence. In a cross-sectional study, youth aged 6 to 17 years (n=237,248) enrolled in an integrated prepaid health plan in 2007 to 2009 were classified according to their BMI and hypertension status. In moderately and extremely obese youth, the prevalence of hypertension was 3.8% and 9.2%, respectively, compared with 0.9% in normal weight youth. The adjusted prevalence ratios (95% confidence intervals) of hypertension for normal weight, overweight, moderate obesity, and extreme obesity were 1.00 (Reference), 2.27 (2.08-2.47), 4.43 (4.10-4.79), and 10.76 (9.99-11.59), respectively. The prevalence of hypertension was best predicted by a BMI-for-age ≥94th percentile. These results suggest that all obese youth should be screened for hypertension.
AB - In the absence of evidence-based guidelines for high blood pressure screening in asymptomatic youth, a reasonable strategy is to screen those who are at high risk. The present study aimed to identify optimal body mass index (BMI) thresholds as a marker for high-risk youth to predict hypertension prevalence. In a cross-sectional study, youth aged 6 to 17 years (n=237,248) enrolled in an integrated prepaid health plan in 2007 to 2009 were classified according to their BMI and hypertension status. In moderately and extremely obese youth, the prevalence of hypertension was 3.8% and 9.2%, respectively, compared with 0.9% in normal weight youth. The adjusted prevalence ratios (95% confidence intervals) of hypertension for normal weight, overweight, moderate obesity, and extreme obesity were 1.00 (Reference), 2.27 (2.08-2.47), 4.43 (4.10-4.79), and 10.76 (9.99-11.59), respectively. The prevalence of hypertension was best predicted by a BMI-for-age ≥94th percentile. These results suggest that all obese youth should be screened for hypertension.
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U2 - 10.1111/jch.12199
DO - 10.1111/jch.12199
M3 - Article
C2 - 24119024
AN - SCOPUS:84886950717
SN - 1524-6175
VL - 15
SP - 793
EP - 805
JO - Journal of Clinical Hypertension
JF - Journal of Clinical Hypertension
IS - 11
ER -