High blood pressure and its association with body weight among children and adolescents in the United Arab Emirates

Abdishakur Abdulle, Abdulla Al-Junaibi, Nicolaas Nagelkerke

    Research output: Contribution to journalArticle

    Abstract

    Objectives: To estimate the prevalence of high blood pressure (BP) and its relationship with obesity among children and adolescents. Methodology/Principal Findings: In this cross-sectional population (Emirati) representative study, we invited a random sample of 1600 students (grades 1-12) attending 23 out of all 246 schools in the Emirate of Abu Dhabi, United Arab Emirates. But analysis was restricted to Emirati nationals aged 6-17 years. We measured BP, height, weight, waist circumferences (WC), and calculated body mass index (BMI) by standard methods. BP levels ≥90th percentile but <95th percentile and ≥ 95th for age, sex, and height (CDC percentiles) were classified as pre-hypertension (pre-HTN) and hypertension (HTN), respectively. Associations between BP, age, BMI, WC, and sex, were investigated by (multiple) linear regression methods. A total of 999 (47% girls) students provided complete results. The prevalence of pre-HTN was 10.5% and 11.4% and the prevalence of HTN was 15.4% and 17.8% among boys and girls, respectively. The prevalence of systolic/diastolic HTN was 14.4%/2.5% and 14.8/7.4% among boys and girls, respectively. BMI CDC percentile was positively correlated with WC percentile (r = 0.734, p<0.01), and both systolic (r = 0.34, p<0.001) and diastolic (r = 0.21, p<0.001) standardized BP. WC percentile was less strongly correlated with standardized SBP (r = 0.255, p<0.01) and DBP (r = 0.175, p<0.01) than BMI. Conclusions/Significance: The prevalence of elevated BP, notably systolic was significantly high among the Emirati children and adolescents in Abu Dhabi. High BP was strongly related to body weight, and appears more strongly associated with BMI than WC. Further studies are required to investigate the impact of childhood obesity on HTN.

    Original languageEnglish (US)
    Article numbere85129
    JournalPLoS One
    Volume9
    Issue number1
    DOIs
    StatePublished - Jan 20 2014

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    United Arab Emirates
    Blood pressure
    hypertension
    Waist Circumference
    Body Weight
    waist circumference
    Hypertension
    Body Mass Index
    body weight
    Pediatric Obesity
    Blood Pressure
    body mass index
    Prehypertension
    blood pressure
    Centers for Disease Control and Prevention (U.S.)
    childhood obesity
    Students
    students
    gender
    Linear Models

    ASJC Scopus subject areas

    • Medicine(all)
    • Biochemistry, Genetics and Molecular Biology(all)
    • Agricultural and Biological Sciences(all)

    Cite this

    High blood pressure and its association with body weight among children and adolescents in the United Arab Emirates. / Abdulle, Abdishakur; Al-Junaibi, Abdulla; Nagelkerke, Nicolaas.

    In: PLoS One, Vol. 9, No. 1, e85129, 20.01.2014.

    Research output: Contribution to journalArticle

    Abdulle, Abdishakur ; Al-Junaibi, Abdulla ; Nagelkerke, Nicolaas. / High blood pressure and its association with body weight among children and adolescents in the United Arab Emirates. In: PLoS One. 2014 ; Vol. 9, No. 1.
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    abstract = "Objectives: To estimate the prevalence of high blood pressure (BP) and its relationship with obesity among children and adolescents. Methodology/Principal Findings: In this cross-sectional population (Emirati) representative study, we invited a random sample of 1600 students (grades 1-12) attending 23 out of all 246 schools in the Emirate of Abu Dhabi, United Arab Emirates. But analysis was restricted to Emirati nationals aged 6-17 years. We measured BP, height, weight, waist circumferences (WC), and calculated body mass index (BMI) by standard methods. BP levels ≥90th percentile but <95th percentile and ≥ 95th for age, sex, and height (CDC percentiles) were classified as pre-hypertension (pre-HTN) and hypertension (HTN), respectively. Associations between BP, age, BMI, WC, and sex, were investigated by (multiple) linear regression methods. A total of 999 (47{\%} girls) students provided complete results. The prevalence of pre-HTN was 10.5{\%} and 11.4{\%} and the prevalence of HTN was 15.4{\%} and 17.8{\%} among boys and girls, respectively. The prevalence of systolic/diastolic HTN was 14.4{\%}/2.5{\%} and 14.8/7.4{\%} among boys and girls, respectively. BMI CDC percentile was positively correlated with WC percentile (r = 0.734, p<0.01), and both systolic (r = 0.34, p<0.001) and diastolic (r = 0.21, p<0.001) standardized BP. WC percentile was less strongly correlated with standardized SBP (r = 0.255, p<0.01) and DBP (r = 0.175, p<0.01) than BMI. Conclusions/Significance: The prevalence of elevated BP, notably systolic was significantly high among the Emirati children and adolescents in Abu Dhabi. High BP was strongly related to body weight, and appears more strongly associated with BMI than WC. Further studies are required to investigate the impact of childhood obesity on HTN.",
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