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Abstract

TURKISH SOC CARDIOLOGY

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Objective: A school-based survey was performed in 1346 adolescents aged 15-18 years to determine the relationship between overweight and hypertension among adolescents in a western city in Turkey with a low prevalence of overweight. Methods: The data were collected by a self administered questionnaire. Weight and height of adolescents were measured. US CDC pediatric anthropometric reference data were used to establish the body mass index (BMI) percentile. At risk of overweight (BMI-for-age and sex >= 85(th), and <95(th) percentile) and overweight (BMI-for-age and sex >= 95(th) percentile) were defined. Hypertension (systolic and/or diastolic blood pressure that is >= 95(th) percentile for sex, age and height percentile) was defined according to the 4(th) Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents (2004). The Chi-square test, Chi-square test for trend and logistic regression models were used for analysis. Results: Overall, prevalence of at risk of overweight and overweight were found to be 10.7% and 3.2%, respectively. About 3.5% of the adolescents were hypertensive. After adjustment for sex and age, income, family history of hypertension, the factors positively associated with hypertension were at risk for overweight (Odds Ratio [OR]=5.09, 95% Cl: 2.57-10.07) and overweight (OR=7.60, 95% Cl: 2.90-19.89). Conclusion: The results of this study confirm low hypertension risk among adolescents in Manisa, which may be attributed to the low prevalence of overweight. The relatively low cardiovascular disease risk factor profile of these adolescents needs to be encouraged through adulthood. Thus, a school program of health promotion should be established to prevent the epidemics of cardiovascular diseases in our region. (Anadolu Kardiyol Derg 2009; 9: 450-6)

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http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/6580

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