RISK OF HYPERTENSION IN OBESE CHILDREN


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The Researchers analyzed data collected from the electronic health records of 101,606 children dn adolescents age 3-17 years without hypertension from three different health systems in the United States. There children enrolled were seen between period of January 01/2007 and December 31 2011 (followed for a about 3.1years). During this period the researches recorded the body mass index and the blood pressure percentiles and then estimated the risk for an incidence of hypertension occurring in each children and adolescents.

After Adjusting confounders such as sex, rase and baseline systolic pressure percentile they found no significant difference  in the onset of hypertension between the children of low and normal weight at baseline and the children of low, normal and overweight children. Children age 3-11 years and adolescents compared with children of low or healthy weights.

In the Study it was noted that a change in Body mass Index was strongly associated with a change in blood pressure across all body mass index categories in all groups.

Change In Body Mass Index and Risk For Hypertension
They noted that not only the baseline weight was important but also the frequency in change in weight. In the adolescents who increased from weight gain to overweight, the risk of developing hypertension increased to threefold. And amongst the children who proceeded to becoming obese from been overweight there was a fivefold increase.
The risk of developing hypertension was significant  for children and adults who changed from obese to overweight.
The fact that hypertension developed during the 3 year period follow up in the study was shocking to the physicians as stated by Dr Parker as hypertension is very rare in children and adolescents. 

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