A study of adolescent obesity and hypertension in urban school in Mumbai
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20180270Keywords:
Adolescents, Body mass index Z-score, Hypertension, Obesity, Overweight, PrehypertensionAbstract
Background: Obesity and high blood pressure is increasingly prevalent, not only in adults but also in children. Initially thought to be disease of high income countries (HIC), this disease is now increasing across low middle income countries (LMIC). This study aims to estimate the prevalence of obesity and hypertension among urban school children in Mumbai.
Methods: Guidelines of Indian Academy of Pediatrics were used to calculate BMI Z Score and identify the overweight and obese adolescents. Children from the age group of 9 to 15 years were selected from schools in Mumbai. Standard guidelines of blood pressure measurement using Sex height specific blood pressure percentile charts were used. Normotensive, pre-hypertensive and hypertensive adolescents were recognized. Associations among both groups were checked using chi-square test of significance and gender wise differences were studied.
Results: Among 1486 adolescents studied prevalence of overweight and obesity was found to be 20.18% and 16.01% respectively. While the prevalence of pre-hypertension and hypertension was found to be 7.5% and 5.4% respectively. Gender wise significant difference was found; boys had blood pressure slightly higher than that of girls.
Conclusions: Study documents scenario of increasing obesity and hypertension among urban school children of India. Strong association exists between both obese/ overweight and hypertensive disorder.Metrics
References
WHO. Obesity and Overweight - Fact Sheet. March 2013. 2013. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/index.html. Accessed on 21 June 2017.
Strauss RS, Pollack HA. Epidemic Increase in Childhood Overweight, 1986-1998. J Am Med Assoc. 2001;286(22):2845–8.
Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. England; 2004;28:2-9.
Guilbert JJ. The world health report 2002 - reducing risks, promoting healthy life. Education for health (Abingdon, England). India; 2003: 230.
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.
Wang Y. Epidemiology of childhood obesity: methodological aspects and guidelines: what is new? Int J Obes. 2004;28:21–8.
Kuczmarski RJ, Flegal KM. Criteria for definition of overweight in transition: Background and recommendations for the United States. Am J Clin Nutr. 2000;72(5):1074–81.
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. Indian J Endocrinol Metab. India: Medknow Publications Media Pvt Ltd. 2015;19(4):470–6.
Khadilkar VV, Khadilkar AV, Cole TJ, Sayyad MG. Crosssectional growth curves for height, weight and body mass index for affluent Indian children, 2007. Indian Pediatr. 2009;46(6):477–89.
Freedman ADS, Goodman A, Contreras OA, DasMahapatra P, Srinivasan SR, Berenson GS. Secular Trends in BMI and Blood Pressure Among Children and Adolescents : The Bogalusa Heart Study. 2012;130(1):159-66.
James PT. Obesity: The worldwide epidemic. Clin Dermatol. 2004;22(4 SPEC. ISS.):276–80.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and prental obesity. N Engl J Med. 1997;337:869–73.
Kelly RK, Sabin MA, Cheung M, Juonala M. Development of hypertension in overweight adolescents : a review. 2015;171–87.
Heart N. Fourth report on Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114(2):555-76.
Nanaware NL, Gavkare AM, Surdi AD. Study of Correlation of Body Mass Index (BMI) With Blood Pressure in School Going Children and Adolescents. 2011;1(1):20–6.
Hospital L, Hospital A, Mahavidyalaya R. Revised IAP Growth Charts for Height, Weight and Body Mass Index for 5- to 18-year-old Indian Children. 2015.
Kulkarni S, Kumavat A, Mane A. Prevalence and determinants of overweight / obesity among affluent school children. 2016;3(1):9–14.
Vishnu PR, Bazroy J, Singh Z. Prevalence of overweight and obesity among adolescent students in Pondicherry, South India. Int J Nutr Pharma Neurol Dis. 2016;6(2):72-5.
Khadilkar VV, Khadilkar V, Choudhury P, Agarwal KN, Ugra D, Shah NK. IAP growth monitoring guidelines for children from birth to 18 years. Indian Pediatr. 2007;44(3):187–97.
Raj M, Kumar RK. Obesity in children & adolescents. Indian J Med Res. India: Medknow Publications; 2010;132(5):598–607.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2):555–76.
Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. England; 2004;5:4–104.
Czyz SH, Toriola AL, Starosciak W, Lewandowski M, Paul Y, Oyeyemi AL. Physical Fitness, Physical Activity, Sedentary Behavior, or Diet-What Are the Correlates of Obesity in Polish School Children? Int J Environ Res Public Health. Switzerland; 2017;14(6):664.
Jain S, Pant B, Chopra H, Tiwari R. Obesity among adolescents of affluent public schools in Meerut. Indian J Public Health. India; 2010;54(3):158–60.
Danasekaran R, Vinoth R. A study on relation between BMI and hypertension among adolescents in Kancheepuram district, Tamil Nadu. 2015;1(2):8–12.
Bagudai S, Nanda P, Kodidala SR. Prevalence Of Obesity & Hypertension In Adolescent School Going Children Of Berhampur, Odisha, India. Quick Response code. 2014;2(6):777–80.
Rao S, Kanade A, Kelkar R. Blood pressure among overweight adolescents from urban school children in Pune, India. Eur J Clin Nutr. 2007;61:633–41.
Sharma A, Grover N, Kaushik S, Bhardwaj R, Sankhyan N. Prevalence of Hypertension Among School children in Shimla. 2010;8:873-6.
Patil RR, Garg BS. Prevalence of Hypertension and Variation in Blood Pressure among School Children in Rural Area of Wardha. 2014;58(2):78-83.
Madhusudan S, N BV, K BA, Monika R, Amita K. A study of blood pressure profile in school (Rajasthan). 2012;3(2):242–6.