Life style effects on hypertension and obesity in adolescents

Sonia Bhatt, Shehraz Firoz


Background: Studies based on effects of lifestyle on hypertension and obesity in adolescent age group are lacking in India. The present study was conducted to evaluate the prevalence of lifestyle associated risk factors in school going adolescents of Kendriya Vidyalaya in district Firozabad and their effects on hypertension and obesity.

Methods: The study was carried out among 200 students of classes 9th and 11th in the age group of 13 to 17 years. Students were given a pre-designed questionnaire and feedback was taken about dietary practices and physical activity along with family history of hypertension and obesity. Height, weight, waist circumference, hip circumference, blood pressure was measured in all children. Effects of lifestyle associated risk factors were determined on obesity and hypertension.

Results: The study documents that inappropriate dietary practices (fast food consumption, low fruit intake) and less physical activity were strongly associated with high prevalence of obesity and hypertension in the adolescents. The study also showed that adolescents with positive family history of obesity and/or hypertension are also at higher risk. There was a positive correlation between high BMI and hypertension.

Conclusions: School based interventions are required to educate the adolescent children about lifestyle modifications to reduce the morbidity associated with non-communicable diseases.


Adolescence, Hypertension, Lifestyle, Obesity

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World Health Organization (WHO). Global Status Report on NCDs -2014. Burden of NCDs and their risk factors in India. Available at: Accessed 2 July 2019.

Mohan V, Deepa R. Risk factors for coronary artery disease in Indians. J Assoc Phys Ind. 2004;52:95-7.

World Health Organization (WHO). World Health Statistics 2012. Available at: Accessed 5 July 2019.

World Health Organization. Obesity: preventing and managing the global epidemic. World Health Organization; 2000.

Kosti RI, Panagiotakos DB. The epidemic of obesity in children and adolescents in the world. Cent Eur J Pub Health. 2006 Dec 1;14(4):151.

WHO consultation on obesity. Special issues in management of obesity in childhood and adolescence. In Obesity: Preventing and Managing the Global Epidemic, WHO, Geneva; 1998:231-247.

Popkin BM, Doak CM. The obesity epidemic is a worldwide phenomenon. Nutrit Rev. 1998 Apr 1;56(4):106-14.

Khadilkar VV, Khadilkar AV. Revised Indian Academy of Pediatrics 2015 growth charts for height, weight and body mass index for 5-18-year-old Indian children. Ind J Endocr Metab 2015;19(4):470-6.

Berber A, Gomez‐Santos R, Fanghanel G, Sanchez Reyes L. Anthropometric indexes in the prediction of type 2 diabetes mellitus, hypertension and dyslipidaemia in a Mexican population. Intern J Obes Related Metab Disor. 2001;25(12):1794‐9.

Kotian MS, Kumar G, Kotian SS. Prevalence and determinants of overweight and obesity among adolescent school children of South Karnataka, India. Ind J Commun Med: offici Pub Ind Assoc Prevent Soci Med. 2010;35(1):176.

Cavalcanti CB, Barros MV, Meneses AL, Santos CM, Azevedo AM Guimarres FJ, Abdominal Obesity in Adolescents: prevalence and association with physical activity and eating habits. Arq Bras Cardiol. 2010;94(3):371-7.

van der Sande MA, Walraven GE, Milligan PJ, Banya WA, Ceesay SM, Nyan OA, et al. Family history: an opportunity for early interventions and improved control of hypertension, obesity and diabetes. Bull World Health Organ. 2001;79:321-8.

Schröder H, Fito M, Covas MI. Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population. Brit J Nutr. 2007;98(6):1274-80.

McManus AM, Mellecker RR. Physical activity and obese children. J Sport Health Sci. 2012;1(3):141-8.

Malhotra K, Nistane RH. Study of obesity and hypertension in adolescents and their relationship with anthropometric indices. Int J Contemp Pediatr 2016;3:1014-5.

Narayanappa D, Rajani HS. Prevalence of prehypertension and hypertension among urban and rural school going children. Ind Pediatr. 2012.49(9):755-6.

Ramya HS, Goutham AS, Pragyee D. Body mass index, waist hip ratio and body fat percentage as early predictors of pre-diabetes and pre-hypertension in adolescents. Curr Pediatr Res. 2017;21(2):327-34.

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. Inian Heart J. 2004;56(4):310-4.