Blood pressure as a useful clinical marker and its association with cardiovascular risk in 9 obese children from 2 to 5 years old
DOI:
https://doi.org/10.61651/rped.2020v72n1p09-13Keywords:
Blood Pressure, Obesity, Heart Disease Risk FactorsAbstract
Objective: To assess blood pressure (BP) as a useful clinical marker and its association with cardiovascular risk (CVR) in overweight and obese children aged 2 to <5 years.
Material and Methods: Analytical cross-sectional study, included children from 2 to <5 years of age with diagnosis of exogenous overweight and obesity who had BP registration and lipid profile. High BP was defined if it was ≥ 90 percentile for age, sex and height percentile; and CVR with the TG/HDL-c index ≥ 2.32. The statistical analysis was performed estimating measures of central tendency and dispersion, evaluated by the Shapiro Wilk method. Chi2 and Fisher's exact test were applied, considering p <0.05 as significant. The statistical package STATA 15 was used.
Results: 51 children (30M / 21F) were included, 45.1% were overweight and 54.9% obese. High BP was found in 13.0% and 35.1% of overweight and obese children, respectively, without significant difference (p = 0.10). The TG/HDL-c index was ≥ 2.32 in 39.1% of overweight children and in 50.0% of children with obesity, without significant difference (p = 0.43). No association was found between TG/ HDL-c index and high BP (p = 0.92).
Conclusions: blood pressure is a useful clinical marker in overweight and obese children. However, no statistically significant association with cardiovascular risk has been found.
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