Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents
| Autor: | Rafael Molina-Luque, Jose Lopez-Miranda, Francisco Javier Fonseca-Pozo, Guillermo Molina-Recio, Manuel Romero-Saldaña, Manuel Vaquero-Álvarez |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis Waist Adolescent Health Toxicology and Mutagenesis lcsh:Medicine 030204 cardiovascular system & hematology Overweight Body fat percentage Article Body Mass Index 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans 030212 general & internal medicine Child anthropometry Waist-Height Ratio business.industry lcsh:R Public Health Environmental and Occupational Health Odds ratio Anthropometry medicine.disease Obesity Cross-Sectional Studies ROC Curve Hypertension Female medicine.symptom Waist Circumference business Body mass index high blood pressure school population |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 12 International Journal of Environmental Research and Public Health 17(12), 4415 (2020) Helvia: Repositorio Institucional de la Universidad de Córdoba Universidad de Córdoba International Journal of Environmental Research and Public Health, Vol 17, Iss 4415, p 4415 (2020) Helvia. Repositorio Institucional de la Universidad de Córdoba instname |
| Popis: | Introduction: High blood pressure (HBP) is a health problem the prevalence of which has increased in young populations. Overweight and obesity in early ages have been directly related to its development. Due to the impact of HBP, it is necessary to provide tools that facilitate its early diagnosis, with useful anthropometric variables being those that assess obesity. The objective of this paper was to determine the diagnostic accuracy of anthropometric variables to detect HBP. Methods: A cross-sectional study was conducted on 265 students aged 6&ndash 16. The diagnosis of HBP was made following the criteria proposed by the Spanish Association of Pediatrics. Through different statistical methods, the association between anthropometric variables of general obesity with HBP was analyzed. Results: Waist circumference (WC) showed the best diagnostic capacity (area under the receiver operating characteristic curve = 0.729), with a sensitivity and specificity of 72.2% and 76%, respectively, for a cut-off point of 73.5 cm. In the adjusted multivariate analysis, an association was found between HBP and anthropometric variables: WC (odds ratio (OR) = 10.7), body mass index (OR = 7.5), waist-to-height ratio (OR = 5.5) and body fat percentage (OR = 5.3) (p < 0.05). Conclusions: The anthropometric variables studied showed a moderate predictive capacity for HBP, highlighting WC, which showed the strongest association with HBP in the infant and child population. |
| Databáze: | OpenAIRE |
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