| dc.description.abstract | Background. The prevalence of hypertension in children and adolescents
increased with the increased of obesity incidence. Recent studies found that
prevalence of hypertension is higher in the obese child or adolescent than the
normal one. Anthropometric measurement such as body mass index (BMI),
waist circumference, and skinfold thickness have been used to determine
obesity criteria in children and adolescent. Increased waist circumference
probably close related to the increase of blood pressure in adolescent.
Objective. To compare the effect of waist circumference, BMI and skinfold
thickness on the blood pressure in adolescents.
Methods. A cross sectional study was conducted on Mei 2014 in three
private senior high school in Medan, North Sumatera province. There were
253 children with normal urinalysis test enrolled in this study. Blood pressure,
waist circumference, triceps and subscapular skinfold thickeness, body
weight and body height measurement were performed to all subjects.
Subjects were categorized into underweight, normoweight, overweight and
obese according to waist circumference, BMI, and skinfold thickness. Data
analyzed using Chi square test, Fisher's Exact test and multivariate logistic
regression.
Results. There was significant correlation between systolic blood pressure
with waist circumfernce (p= 0.011, OR=9.377) and BMI (p=0.041, OR=4.137).
Significant correlation between diastolic blood pressure with waist
circumference (p=0.002, OR=3.17), BMI (p=0.0001, OR=3.69), triceps
(p=0.0001 OR=4.73) and subscapular skinfold thickness (p=0.0001,
OR=3.74) was also observed in this study. Multivariate analysis showed that
waist circumference is predictor factor for systolic blood pressure (OR=9.667)
but not for diastolic blood pressure
Conclusion. Waist circumference had the most significant effect on systolic
blood pressure. BMI and subscapular skinfold thickness had effect on
diastolic blood pressure but subskapular skinfold thickness had more
significant effect than BMI | en_US |
