Waist-to-Height Ratio as an Indicator of High Blood Pressure in Urban Indian School Children.
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Date
2015-09
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Abstract
Objectives: To examine the utility of waist-to-height ratio to
identify risk of high blood pressure when compared to body mass
index and waist circumference in South Indian urban school
children.
Design: Secondary data analysis from a cross-sectional study.
Settings: Urban schools around Bangalore, India.
Participants: 1913 children (58.1% males) aged 6-16 years with
no prior history of chronic illness (PEACH study).
Methods: Height, weight, waist circumference and of blood
pressure were measured. Children with blood pressure ≥90th
percentile of age-, sex-, and height-adjusted standards were
labelled as having high blood pressure.
Results: 13.9% had a high waist-to-height ratio, 15.1% were
overweight /obese and 21.7% had high waist circumference. High
obesity indicators were associated with an increased risk of high
blood pressure. The adjusted risk ratios (95% CI) of high systolic
blood pressure with waist-to-height ratio, body mass index and
waist circumference were 2.48 (1.76, 3.47), 2.59 (1.66, 4.04) and
2.38 (1.74, 3.26), respectively. Similar results were seen with high
diastolic blood pressure.
Conclusion: Obesity indicators, especially waist-to-height ratio
due to its ease of measurement, can be useful initial screening
tools for risk of high blood pressure in urban Indian school
children.
Description
Keywords
Anthropometry, Hypertension, Obesity, Risk
Citation
Mishra P E, Shastri L, Thomas T, Duggan C, Bosch R, McDonald C M, Kurpad A V, Kuriyan R. Waist-to-Height Ratio as an Indicator of High Blood Pressure in Urban Indian School Children. Indian Pediatrics. 2015 Sept; 52(9): 773-778.