AN OBSERVATIONAL STUDY TO DETERMINE CORRELATION BETWEEN BLOOD PRESSURE AND BODY MASS INDEX AMONG ADOLESCENTS OF JHARKHAND
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Keywords
Body Mass Index, Blood Pressure, Adolescents, Hypertension, Obesity, India
Abstract
Background: The rising prevalence of obesity among adolescents has become a major public health concern. Body Mass Index (BMI), a widely used indicator of adiposity, has been associated with elevated blood pressure (BP), increasing the risk of future cardiovascular diseases. Aim and Objective: To assess the relationship between BMI and blood pressure among adolescents in Jharkhand. Methods: A cross-sectional observational study was conducted among adolescents aged 10–19 years. Anthropometric measurements were recorded, and BMI was calculated. Blood pressure was measured using standardized techniques. Statistical analysis was performed using Pearson’s correlation test to determine the association between BMI and BP. Results: A statistically significant positive correlation was observed between BMI and both systolic and diastolic blood pressure. Adolescents with higher BMI exhibited increased BP levels compared to those with normal BMI. Conclusion: BMI is significantly associated with blood pressure among adolescents. Early screening and preventive strategies targeting obesity may help reduce the burden of hypertension and cardiovascular diseases.
References
2. GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377:13–27.
3. Afshin A, et al. Health effects of overweight and obesity in children and adults. N Engl J Med. 2017;377:13–27.
4. Hruby A, Hu FB. The epidemiology of obesity: a big picture. Pharmacoeconomics. 2015;33:673–689.
5. Blair SN, et al. Physical fitness and all-cause mortality. JAMA. 1989;262:2395– 2401.
6. Simmonds M, et al. Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obes Rev. 2016;17:95–107.
7. Hall JE, et al. Obesity-induced hypertension: mechanisms, cardio-renal consequences. Circ Res. 2015;116:991–1006.
8. World Health Organization. BMI classification. Geneva: WHO; 2000.
9. Cole TJ, et al. Establishing BMI cut-offs for child overweight and obesity worldwide. BMJ. 2000;320:1240–1243.
10. Ashwell M, Gibson S. Waist-to-height ratio as a screening tool. BMJ Open. 2016;6:e010159.
11. Freedman DS, et al. Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations. Am J Clin Nutr. 1999;69:308–317.
12. Sorof JM, Daniels SR. Obesity hypertension in children. Hypertension. 2002;40:441–447.
13. Flynn JT, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017;140:e20171904.
14. Azegami T, et al. Blood Pressure Tracking From Childhood to Adulthood. Front Pediatr. 2021;9:785356.
15. Drozdz D, et al. Obesity and Cardiometabolic Risk Factors: From Childhood to Adulthood. Nutrients. 2021;13:4176.
16. Jeong SI, Kim SH. Obesity and hypertension in children and adolescents. Clin Hypertens. 2024;30:23.
17. Mao S, et al. Relationship between BMI and blood pressure indices in children aged 7–17. Front Public Health. 2024;12:1409214.
18. Li M, et al. Prevalence and risk factors for hypertension among children and adolescents in Northwestern China. Sci Rep. 2025;15:18963.
19. Falkner B, Daniels SR. Summary of the Fourth Report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2 Suppl 4th Report):555–576.
20. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics. 2004;113(3 Pt 1):475–482.
21. Bao W, Threefoot SA, Srinivasan SR, Berenson GS. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: The Bogalusa Heart Study. Hypertension. 1995;26(3):464–468.
22. Juonala M, Magnussen CG, Berenson GS, et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med. 2011;365(20):1876– 1885.
23. Urbina EM, Williams RV, Alpert BS, et al. Noninvasive assessment of subclinical atherosclerosis in children and adolescents: recommendations for standard assessment. J Am Soc Hypertens. 2009;3(3):181–196.
24. Reinehr T. Obesity and hypertension in children and adolescents. J Clin Hypertens (Greenwich). 2013;15(8):568–572.
25. Kelishadi R, Ardalan G, Gheiratmand R, et al. Association of anthropometric indices with cardiovascular risk factors among children and adolescents: CASPIAN Study. J Pediatr. 2014;164(4):887–893.
26. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatrics. 1999;103(6 Pt 1):1175–1182.
27. Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation. 2008;117(25):3171–3180.
28. Lo JC, Sinaiko AR, Chandra M, et al. Prehypertension and hypertension in community-based pediatric practice. Pediatrics. 2013;131(2):e415–e424.
29. Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Obes Rev. 2012;13(6):545–556.
30. McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr. 2007;150(6):640–644.
31. Muntner P, Carey RM, Gidding S, et al. Potential US population impact of the 2017 AAP blood pressure guideline. Hypertension. 2018;71(6):e1–e8.
32. Litwin M, Kułaga Z. Obesity, metabolic syndrome, and primary hypertension in children and adolescents. Pediatr Nephrol. 2021;36(4):825–837. 105. Brady TM. Obesity-related hypertension in children. Hypertension. 2017;70(4):689–695.
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Dr Rajesh Kumar Sinha
Professor, Department of Physiology, Rajendra Institute of Medical Sciences, Ranchi
Dr Bijay Hansda
Junior Resident Department of Physiology, Rajendra Institute of Medical Sciences, Ranchi
Dr Bhavya Srivastava
Junior Resident Department of Physiology, Rajendra Institute of Medical Sciences, Ranchi
Dr Garima Prakash
Junior Resident Department of Physiology, Rajendra Institute of Medical Sciences, Ranchi
