Prevalence of overweight, obesity and hypertension among school going children in District Kanpur, Uttar Pradesh, India: a longitudinal study


  • Pramod K. S. Yadav Department of Pediatrics, SMMH Government Medical College, Saharanpur, Uttar Pradesh, India
  • Mukesh B. Yadav Department of Pediatrics, Government Medical College, Banda, Uttar Pradesh, India
  • Chetna Yadav Department of Obstetrics and Gynaecology, SMMH Government Medical College, Saharanpur, Uttar Pradesh, India



Hypertension, Kanpur, Obesity, Overweight, Pre-hypertension


Background: India is undergoing a rapid epidemiological transition with increased urbanization and socio-economic development which has resulted in a dramatic change in lifestyle, consisting of physical inactivity, diet rich in fat, sugar and salt coupled with a high level of mental stress. Obesity is one of the most common diseases worldwide and the prevalence in school aged children appears to be increasing. Thus, the present study was planned to establish an association between body mass index (BMI) with hypertension among 10-16 years children.

Methods: Present longitudinal study was conducted on 350 children in private schools of District Kanpur and children 12-16yrs of age have included in the study. BMI for age charts was used to assess the obesity and blood pressure was measured by sphygmomanometer and Blood pressure values were compared to the values given by the update of 1987 task force report of the National high blood pressure Education Programme Co-ordinating Committee and children who were found prehypertensive or hypertensive were followed up after 4 weeks duration.

Results: In present study the prevalence of overweight and obesity was found 4%,2% respectively. Prevalence of Pre-hypertension and hypertension was found 1.14%, 2.57% respectively and pre-hypertension and hypertension were found more in overweight and obese participants.

Conclusions: Prevalence of pre-hypertension and hypertension is more among overweight and obese children. Overweight and obesity are not only risk factor for hypertension but also other diseases, so health education should regularly give about the obesity and its deleterious effects in later part of life.


Mohan V. Why are Indians more prone to diabetes. J Assoc Physic India. 2004;52:468-74.

World Health Organization. Obesity: preventing and managing the global epidemic. Technical Report Series No. 894, Geneva: WHO; 2000.

Ramachandran A, Snehalatha C, Vinitha R, Thayyil M, Kumar CK, Sheeba L, et al. Prevalence of overweight in urban Indian adolescent school children. Diab Res Clin Pract. 2002;57:185-90.

Kapil U, Singh P, Pathak P, Dwivedi SN, Bhasin S. Prevalence of obesity among affl uent adolescent school children in Delhi. Indian Pediatr. 2002;39:365-8.

Sidhu S, Kaur N, Kaur R. Overweight and obesity in affluent school children. Ann Hum Biol. 2006;33:255-9.

Chhatwal J, Verma M, Rair SK. Obesity among pre-adolescent and adolescents of a developing country (India). Asia Pac J Clin Nutr. 2004;13:231-3.

Ross JG, Pate RR, Lohman TG, Christenson GM. Changes in the body composition of children. J Phys Educ Recreat Dance. 1987;58:74-7.

Sorof JM, Poffenbarger T, Franco K, Bernard L, Portman RJ. Isolated systolic hypertension, obesity, and hyperkinetic hemodynamic states in children. J Pediatr. 2002;140:660-6.

Dietz WH, Bandini LG, Gortmaker S. Epidemiologic and metabolic risk factors for childhood obesity. Prepared for Fourth congress on Obesity Research, Austria. Klin Pediatr. 1998;202:69-72.

Gortmaker SL, Dietz WH Jr, Cheung LW. Inactivity, diet and the fattening of America. Am Diet Assoc. 1990;90:1247-55.

Agarwal VK, Sharan R, Srivastava AK, Kumar P, Pandey CM. Blood pressure profile is children of age 3 to 15 Yrs. Indian Pediatr. 1983;20:921-5.

Arora B, Patel S. Overweight and Obesity in Ahmedabad school going children: Magnitude in relationship to hypertension and associated risk factors. Indian J Pharma Pract. 2017;10(1):39.

Sureshbhai GS, Moitra M, Verma MR. Prevalence of obesity and overweight in school going adolescents of Surat city, Gujarat, India. Int J Med Sci Public Health. 2015;4(1):42-7.

Kannel WB. Role of blood pressure in cardiovascular diseases-The Framingham study. Angiology. 1975,26(1):1-14.

Verma M, Chhatwal J, George SM. Obesity and hypertension in children. Indian Pediatr. 1994;31:1065-9.

Lopez ER, Elizaga IV, Goni JS. Prevalence of arterial hypertension, hyperlipidemia and obesity in the infant-child population of Navarra. Association of risk factors. An Esp Pediatr. 1993;38:428-36.

Guillaume M, Lapidus L, Beckers F, Lambert A, Bjorntorp P. Cardiovascular risk factors in children from the Belgian province of Luxembourg. The Belgian Luxembourg Child Study. Am J Epidemiol. 1996;144:867-80.

Macedo ME, Trigueiros D, de Freitas F. Prevalence of high blood pressure in children and adolescents. Infl uence of obesity. Rev Port Cardiol. 1997;16:27-8.

Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatr. 1999;103:1175-82.

Morrison JA, Barton BA, Biro FM, Daniels SR, Sprecher DL. Overweight, fat patterning, and cardiovascular disease risk factors in black and whiteboys. J Pediatr. 1999;135:451-7.

Sorof JM, Poffenbarger T, Franco K, Bernard L, Portman RJ. Isolate systolic hypertension, obesity, and hyperkinetic hemodynamic states in children. J Pediatr. 2002;140:660-6.

Mohan B, Kumar N, Aslam N, Rangbulla A, Kumbkarni S, Sood NK, et al. Prevalence of sustained hypertension and obesity in urban and rural school going children in Ludhiana. Indian Heart J. 2004;56:310-4.

Anand NK, Tandon L. Prevalence of hypertension in school going children. Indian Pediatr. 1996;33:377-81.

Gupta AK, Ahmad AJ. Childhood obesity and hypertension. Indian Pediatr. 1990;27:333-7.






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