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oai:repisalud.isciii.es:20.500.12105/172582025-04-30T06:41:39Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16963

00925njm 22002777a 4500 dc Ortiz-Pinto, Maira Alejandra author Ortiz-Marrón, Honorato author Ferriz-Vidal, Isabel author Martínez-Rubio, María V author Esteban-Vasallo, María author Ordobás-Gavín, María author Galan, Iñaki author 2019-08 Objectives: To evaluate the association of general and abdominal obesity with high blood pressure in young children. Methods: A longitudinal study including 1796 participants from the Madrid region (Spain) with baseline at age 4 years and a follow-up 2 years later. Blood pressure, body mass index and waist circumference were measured during a physical examination. We evaluated the association between obesity at baseline and weight changes between the ages of 4 and 6 years and high blood pressure. Data were analysed using linear and logistic regressions adjusted for covariates. Results: Obese 4 year olds (general or abdominal obesity) experienced an average 4-5 mmHg increase in systolic blood pressure and a 2.5-3 mmHg increase in diastolic blood pressure by the age of 6 years. Compared to children maintaining a non-excess weight (based on body mass index) during follow-up incident and persistent cases of excess weight (overweight or obesity) had an odds ratio (OR) for high blood pressure of 2.49 (95% confidence interval (CI) 1.50-4.13) and OR 2.54 (95% CI 1.27-5.07), respectively. Regarding abdominal obesity we estimated OR 2.81 (95% CI 0.98-8.02) for incident cases and OR 3.42 (95% CI 1.38-8.49) for persistent cases. Similar estimates for the waist-height ratio were observed. Individuals who experienced remission to non-excess weight did not have an increased risk of high blood pressure. Conclusions: We observed an increased risk for high blood pressure among 4-year-olds who presented with persistent or incident cases of excess weight (body mass index) or abdominal obesity after 2 years of follow-up. Children with excess weight or obesity at baseline who remitted to non-excess weight did not exhibit an increased risk of high blood pressure. Eur J Prev Cardiol. 2019 Aug;26(12):1326-1334. http://hdl.handle.net/20.500.12105/17258 31189345 10.1177/2047487319839264 2047-4881 European journal of preventive cardiology Childhood Obesity Abdominal obesity Arterial hypertension Association between general and central adiposity and development of hypertension in early childhood