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Central adiposity and the risk of hypertension in Asian Indian girls
Jyoti Ratan Ghosh, Arup Ratan Bandyopadhyay
West Bengal, India
Author Affiliations: Department of Anthropology, Visva-Bharati University, Santiniketan-731235, West Bengal, India (Ghosh JR); Department of Anthropology, University of Calcutta, 35 Ballygunge Circular Road, Kolkata 700019, West Bengal, India (Bandyopadhyay AR)
Corresponding Author: Jyoti Ratan Ghosh, Department of Anthropology, Visva-Bharati University, Santiniketan-731235, West Bengal, India (Email: jrghosh@rediffmail.com or jrghosh@visva-bharati.ac.in)
doi: 10.1007/s12519-013-0424-2
Background: Elevated blood pressure during childhood is an established predictor of elevated blood pressure in adulthood. This study was undertaken to evaluate the relationship of general and central adiposity measures with hypertension and to find out the best adiposity measure in predicting hypertension.
Methods: A cross-sectional study was carried out in 197 girls aged 5 to 16 years. Anthropometric measurements included stature, weight, waist circumference (WC) and hip circumference. Body mass index (BMI, kg/m2), waist hip ratio (WHR) and conicity index (CI) were calculated subsequently. Systolic blood pressure (SBP) and diastolic bold pressure (DBP) were taken and hypertension was defined as age and stature adjusted SBP and/or DBP ¡İ95th percentile. Linear and logistic regression analysis was made to determine the relationship of adiposity measure with blood pressure and hypertension and to find out the best adiposity measure in predicting hypertension.
Results: Both WC [odds ratio (OR)=2.20, 95% confidence interval, 1.32-3.69] and CI (OR=1.85, 95% confidence interval, 1.14-3.0) were significantly associated with hypertension. However, there was no significant association in BMI and WHR with hypertension.
Conclusion: WC is the best adiposity measure in predicting hypertension in girls.
Key words: anthropometry; girls; hypertension; waist circumference
World J Pediatr 2013;9(3):256-260
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