Prevalence Of Hypertension and Its Relationship with Overweight and Obesity in Adolescents and Young Adults

Authors

  • Srinivas S Fathima Institute Of Medical Sciences, Andhra Pradesh
  • Srinivas Pallerla Bhaskara Medical College, Telangana
  • Srinivas Madoori Chalmeda Anand Rao Institute Of Medical Sciences, Karimnagar
  • Ramdas J Bhaskara Medical College, Telangana
  • Sreenivas Kotla Chalmeda Anand Rao Institute Of Medical Sciences, Karimnagar
  • Sandhya Rao Jalagam Chalmeda Anand Rao Institute Of Medical Sciences, Karimnagar

Keywords:

Adolescents, Hypertension, Overweight, Obesity, Renin-angiotensin-aldosterone system (R.A.A.S.)

Abstract

Background: The rate of obesity is rapidly rising, and impacting quality of life, psychosocial situation, and health of the affected individual. The purpose of this study was to determine the role of elevated Body Mass Index (B.M.I.) in occurrence of prehyperten- sion and hypertension and their relationship with family history of hypertension among adolescent college students in Hyderabad, Telangana, India.

Methods: 1611 students aged between 17 to 25 years of two col- leges which were randomly selected in Moinabad area in out- skirts of Hyderabad, were classified as overweight and obese based on their BMI (BMI ≥ 25kg/m2 and 30 kg/m2 respectively). Subjects were categorised as prehypertensive and hypertensive based on their Blood pressure reading.

Results: Prevalence of overweight, obesity, prehypertension and hypertension were 9.15 % 2.11%, 26.95% and 4.86% respectively. Prehypertension and hypertension in males was 35.29% and 6.64% respectively and in females was 9.64% and 1.18% respec- tively. Prevalence of overweight in hypertensive individuals was

16.09 %( p<0.05) when compared in normotensive individuals 5.91%. Prevalence of obesity in hypertensive individuals was 4.22 %( p<0.05), when compared with normotensive individuals was 1.12%. Prevalence of family history of hypertension in hyperten- sive individuals was 43.86%.

Conclusion: Prevalence of prehypertension and hypertension were 26.95% and 4.86 % respectively. Our results reinforced that overweight and obesity were to be significantly associated with hypertension.

References

National High Blood Pressure Education Program Work- ing Group on High Blood Pressure in Children and Ado- lescents. The Fourth Report on the diagnosis, evaluation and treatment of high blood pressure in children and adolescents. Paediatrics 2004; 114: 555-75.

McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr. 2007; 150(6):640–644

Hall JE. The kidney, hypertension, and obesity. Hyper- tension. 2003;41(3):625–633.

Sironi AM, Gastaldelli A, Mari A, et al. Visceral fat in hypertension: influence on insulin resistance and β-cell function. Hypertension. 2004;44(2):127–133.

Dorresteijn JAN, Visseren FLJ, Spiering W. Mechanisms linking obesity to hypertension.Obesity Reviews. 2012;13(1):17–26.

Rahmouni K, Correia MLG, Haynes WG, Mark AL. Obesity-associated hypertension: new insights into mechanisms. Hypertension. 2005;45(1):9–14.

Kiess W, Galler A, Reich A, et al. Clinical aspects of obesity in childhood and adolescence.Obesity Reviews. 2001;2(1):29–36.

Padmavati S. A meta-analysis-National Heart Institute, New Delhi. Ind Heart J 2002; 54:99-102

World health organization Media centre Fact sheet N*311 updated January 2015.Retrived from http://www.who.int/mediacentre/factsheets/fs311/en/dated: 01-04-2015

Din-Dzietham R, liu Y, Bielo MV, Shamsa F. High Blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation. 2007; 116(13):1488- 1496

Munter P, He J, Cutler JA, Wildman RP, Whelton BK. Trends in blood pressure among children and adoles- cents. JAMA 2004; 291:2107-13.

Gupta AK, Ahmed AJ. Normal blood pressure and eval- uation of sustained blood pressure and evaluation of sustained blood pressure elevation. Indian Pediatr 1990; 27:33-42.

Verma M, Chhatwal J, George SM. obesity and hyperten- sion. Indian Pediatr 1994; 1:1065-9; 20:921-5.

Verma Vivek, Singh S K. Prevalence of hypertension in Gujarati school going children and adolescents in Anand district. National Journal of Community Medi- cine; Volume 3; Issue 3; July – Sept 2012; 452-457

Jennifer S. Drukteinis, Mary J. Roman, Richard R. Fab- sitz, Elisa T. Lee, Lyle G. Best, Marie Russell and Rich- ard B. Devereux -Cardiac and Systemic Hemodynamic Characteristics of Hypertension and Prehypertension in Adolescents and Young Adults.Circulation. 2007; 115:221-227; originally published online January 8, 2007 doi: 10.1161/circulation AHA 1668921

Burke GL, Cresanta JL, Shear CL, Miner MH, Berenson GS. Cardiovascular risk factors and their modification in children Cardiol Clin 1986; 4:33-6.

Jackson LV, Thalange NK, Cole TJ. Blood pressure cen- tiles for Great Britain. Arch Dis Child 2007;92:298-303.

Soudarssanane M, Mathanraj S, Sumanth M, Sahai A, Karthigeyan M.Tracking of blood pressure among ado- lescents and young adults in an urban slum of Puducherry. Indian J Community Med 2008;33:107-12

Sanjay T Varadappa, Prashanth Kumar S Prakash, Gan- gaboraiah, Ramesh Masthi N Raju, Lakshmeesha Y Sub- banna. Prevalence of obesity among college students in rural area of Bangalore. National Journal of Community Medicine; Volume 5; Issue 1; Jan – Mar 2014; 42-45.

Falkner B, Gidding SS, Ramirez-Garnica G, Wiltrout SA, West D, Rappaport EB. The relationship of body mass index and blood pressure in primary care pediatric pa- tients. J Pediatr. 2006;148(2):195–200

Ostchega Y, Carroll M, Prineas RJ, McDowell MA, Lou- is T, Tilert T. Trends of elevated blood pressure among children and adolescents: data from the National Health and Nutrition Examination Survey1988-2006. Am J Hypertens. 2009; 22(1): 59–67

Dannenberg AL, Garrison RJ, Kennel WB. Incidence of hypertension in the Framingham study. Am J Public Health 1998;78:676-9

Torok E, Gyrafas I, Csukas M. Factors associated with stable high blood pressure in adolescents. J Hypertens 1985; 3 (Suppl 3):389-90.

Hahn L. The relation of blood pressure to weight, height and body surface area in school boys. Arch Dis Child 1952;27:43-53

Hardy R, Wadsworth ME, Langenberg C, Kuh D. Birth weight, childhood growth and blood pressure at 43 yrs in a British birth cohort. Int J Epidemiol2004; 33:121-9.

Lascaux-Lefebvre V, Ruidavets J, Arveiler D, Amouyel P, Haas B, Cottel D, et al. Influence of parental history of hypertension on blood pressure. J Hum Hypertens 1999;3:631-6.

Bagga A, Jain R, Vijaykumar M, Kanitkar M, Ali U. Evaluation and management of hypertension. Indian Pediatr 2007; 44:103-21.

World Health Organization. Preventing chronic diseas- es. A vital investment. World Global Report.Geneva: World Health Organization;2005

Downloads

Published

2015-06-30

How to Cite

1.
Srinivas S, Pallerla S, Madoori S, Ramdas J, Kotla S, Jalagam SR. Prevalence Of Hypertension and Its Relationship with Overweight and Obesity in Adolescents and Young Adults. Natl J Community Med [Internet]. 2015 Jun. 30 [cited 2024 Dec. 19];6(02):149-54. Available from: https://njcmindia.com/index.php/file/article/view/1154

Issue

Section

Original Research Articles