Association between body mass index and blood pressure among children age group 5 to 15 years in a tertiary care centre: a descriptive study

Authors

  • Vinaykumar S. Department of Pediatrics, Kerala Institute of Medical Science, Trivandrum, Kerala
  • Sharanabasappa S. Dhanwadkar Department of Pediatrics, Ahalia Children Hospital, Palakkad, Kerala
  • Prameela Joji Department of Pediatrics, Kerala Institute of Medical Science, Trivandrum, Kerala

DOI:

https://doi.org/10.18203/2349-3291.ijcp20162391

Keywords:

BMI, SBP, DBP, Hypertension, WHO

Abstract

Background: The growing prevalence of obesity is increasingly recognized as one of the most important risk factors for the development of hypertension. Today the problem has started appearing even in developing countries like India. Tackling this epidemic of obesity and obesity-related hypertension requires studies specific for the local population as these vary according to ethnicity, lifestyles and dietary habits which differ among areas in India, for this reason a study was done in our hospital.

Methods: The pediatric unit of Kerala Institute of Medical Science (KIMS), which is a referral multispecialty tertiary care hospital in private sector in south India catering to a population of 100 to 200 outpatient/day, children attending OPD between 5-15years were included in the study.

Results: Pre-hypertension and hypertension was seen in 1% (2 out of 195) of normal and 0% (0 out of 30) of overweight and 60.9% (9 out of 14 obese children). P value was statistically significant indicating that there is strong association between BMI and blood pressure.

Conclusions: There is strong association between BMI and blood pressure. Prevalence of obesity in children aged 5 to 15 years attending to the outpatient department in Kerala Institute of Medical Sciences, Trivandrum is 9.2%. Prevalence of essential hypertension in children aged 5 to 15 years attending to the outpatient department in Kerala Institute of Medical Sciences, Trivandrum is 2%.

References

Naik JL, Dudekula AB, Reddy KSN. Association between body mass index and hypertension: a cross-sectional study in an adult male population. Asian J Exp Biol Sci. 2012;3(2).

Ezzati M, Martin H, Skjod S, Hoorn SV. Trends in National and State-Level Obesity in the USA after correction for self-report bias: Analysis of Health Surveys. J R Soci Med. 2006;99:250-7.

Nanaware NL, Gavkare AM, Surdi AD. Study of Correlation of Body Mass Index (BMI) With Blood Pressure in School Going Children and Adolescents. International Journal of Recent Trends in Science and Technology. 2011;1(1):20-6.

Vedavathi S, Jayashree R, Rafi M. Prevalence of Overweight and Obesity in Affluent adolescent school girls in Chennai in 1981, Indian Pediatrics. 2003;40:775-9.

Kapil U, Singh P, Pathak P, Dwivedi SN, Bhasin S. Prevalence of Obesity among Affluent adolescent school children in Delhi, Indian Pediatrics. 2002;39:449-52.

Malnick SDH, Knobler H. The Medical Complications of Obesity. Q J Med. 2006;99:565-79.

Ghosh JR, Bandyopadhyay AR. Comparative Evaluation of Obesity Measure: Relationship with Blood Pressures and Hypertension. Singapore Med J. 2007;48(3):232.

Gahagan S. Overweight and obesity, Nelson Textbook of Pediatrics 19thed, Saunders. 2012:179.

Lande MB. Systemic hypertension, Nelson Textbook of Pediatrics 19thed, Saunders. 2012:1639.

Dyson AP, Anthony D, Fento B. High rates of child hypertension associated with obesity: a community survey in China, India and Mexico, Paediatrics and International Child Health, 2013, DOI: 10.1179/2046905513Y.0000000079. Accessed 10 December 2014.

Sharma A, Grover N, Kaushik S, Bhardwaj R, Sankhyan N. Prevalence of Hypertension Among Schoolchildren in Shimla. Indian Pediatr. 2010;47:873-6.

Shivaprakash NC, Veetus S. The study of blood pressure profile and Body Mass Index among children in a rural setting, International Journal of Biomedical Research. 2014;5(4).

Krishan P, Prasanna Kumar KM, Desai N, Thennarasu K. Blood pressure reference tables for children and adolescents of Karnataka. Indian pediatr. 2006:43(6):491-501.

Keerthan K. prevalence of obesity among high school children in dakshinakannada and Udupi districts. NUJHS. 2011;1:16-9.

Raj M, Sundaram KR, Paul M. Dynamics of growth and weight transitions in a pediatric cohort from India. Nutr J. 2009;8:55.

Cherian AT, Cherian SS, Subbiah S. Prevalence of Obesity and Overweight in Urban School Children in Kerala, India. Indian Pediatrics. 2012;49:475-7.

Patil RR, Garg BS. Prevalence of Hypertension and Variation in Blood Pressure among School Children in Rural Area of Wardha. Indian Journal of Public Health. 2014;58(2):78-80.

Buch N, Goyal JP, Kumar N. Prevalence of hypertension in school going children of Surat city Western India. J Cardiovasc Dis Res. 2011;2(4):228-32.

Sundar JS, Adaikalam JMS, Parameswari S, Valarmarthi S, Kalpana S, Shantharam D. Prevalence and Determinants of Hypertension among Urban School Children in the Age Group of 13- 17 Years in Chennai, Tamilnadu. Epidemiol. 2013;3:130.

Downloads

Published

2016-12-21

Issue

Section

Original Research Articles