Comparison of body mass index with abdominal obesity for identifying elevated blood pressure in children and adolescents: The SNEC study

Ping Yuan, Zhengmin (Min) Qian, Michael Vaughn, Jin Huang, Patrick Ward, Yu Zhu, Xiao Di Qin, Yang Zhou, Meng Li, Shuli Xu, Ya Zhi Zhang, Wen Wen Bao, Yuan Tao Hao, Xiao Wen Zeng, Guang Hui Dong

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Abstract

Body mass index (BMI) and waist circumference (WC) are two common ways to measure obesity. There is a debate, however, about which of these two measures are more closely associated with elevated blood pressure (BP). The aim of this study is to investigate the prevalence of obesity and whether BMI and WC is better associated with elevated BP in children and adolescents. A representative sample of 8613 Chinese youth aged 7–17 years from seven cities in Northeastern China was selected and measurements of height, weight, WC, BP were taken from 2012 to 2013. The average age of the children was 11.3 ± 2.3 years. The prevalence of overweight/obese and abdominal obesity in the subjects was 35% and 44.8%, respectively. We found that both BMI and WC were significantly associated with elevated BP. An increase of 1 kg m−2 in BMI was associated with a 1.10 (1.08–1.12, 95% CI) increased risk of an elevated BP diagnosis in boys, and a 1.14 (1.11–1.16, 95% CI) increased risk in girls. Meanwhile, a 1 cm increase in WC correlated with a 1.03 (1.02–1.04, 95% CI) and a 1.05 (1.04–1.06, 95% CI) increased risk of higher BP in boys and girls, respectively. Compared to the normal-weight youth, subjects with elevated BMI (BMI > 85th) had higher risk of elevated BP (OR: 2.42, 95% CI: 2.13–2.75) than that of in elevated WC participants (OR: 2.00, 95% CI: 1.77–2.27). Therefore, BMI may associate better with elevated BP than WC in Chinese youth in our Seven Northeastern Cities study.

Original languageEnglish
Pages (from-to)406-413
Number of pages8
JournalObesity Research and Clinical Practice
Volume11
Issue number4
DOIs
Publication statusPublished - 2017 Jul

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Abdominal Obesity
Waist Circumference
Body Mass Index
Blood Pressure
Obesity
Weights and Measures
China
Hypertension

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Yuan, Ping ; Qian, Zhengmin (Min) ; Vaughn, Michael ; Huang, Jin ; Ward, Patrick ; Zhu, Yu ; Qin, Xiao Di ; Zhou, Yang ; Li, Meng ; Xu, Shuli ; Zhang, Ya Zhi ; Bao, Wen Wen ; Hao, Yuan Tao ; Zeng, Xiao Wen ; Dong, Guang Hui. / Comparison of body mass index with abdominal obesity for identifying elevated blood pressure in children and adolescents : The SNEC study. In: Obesity Research and Clinical Practice. 2017 ; Vol. 11, No. 4. pp. 406-413.
@article{291eb8d4f9614de28d698ea330591f13,
title = "Comparison of body mass index with abdominal obesity for identifying elevated blood pressure in children and adolescents: The SNEC study",
abstract = "Body mass index (BMI) and waist circumference (WC) are two common ways to measure obesity. There is a debate, however, about which of these two measures are more closely associated with elevated blood pressure (BP). The aim of this study is to investigate the prevalence of obesity and whether BMI and WC is better associated with elevated BP in children and adolescents. A representative sample of 8613 Chinese youth aged 7–17 years from seven cities in Northeastern China was selected and measurements of height, weight, WC, BP were taken from 2012 to 2013. The average age of the children was 11.3 ± 2.3 years. The prevalence of overweight/obese and abdominal obesity in the subjects was 35{\%} and 44.8{\%}, respectively. We found that both BMI and WC were significantly associated with elevated BP. An increase of 1 kg m−2 in BMI was associated with a 1.10 (1.08–1.12, 95{\%} CI) increased risk of an elevated BP diagnosis in boys, and a 1.14 (1.11–1.16, 95{\%} CI) increased risk in girls. Meanwhile, a 1 cm increase in WC correlated with a 1.03 (1.02–1.04, 95{\%} CI) and a 1.05 (1.04–1.06, 95{\%} CI) increased risk of higher BP in boys and girls, respectively. Compared to the normal-weight youth, subjects with elevated BMI (BMI > 85th) had higher risk of elevated BP (OR: 2.42, 95{\%} CI: 2.13–2.75) than that of in elevated WC participants (OR: 2.00, 95{\%} CI: 1.77–2.27). Therefore, BMI may associate better with elevated BP than WC in Chinese youth in our Seven Northeastern Cities study.",
author = "Ping Yuan and Qian, {Zhengmin (Min)} and Michael Vaughn and Jin Huang and Patrick Ward and Yu Zhu and Qin, {Xiao Di} and Yang Zhou and Meng Li and Shuli Xu and Zhang, {Ya Zhi} and Bao, {Wen Wen} and Hao, {Yuan Tao} and Zeng, {Xiao Wen} and Dong, {Guang Hui}",
year = "2017",
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Yuan, P, Qian, ZM, Vaughn, M, Huang, J, Ward, P, Zhu, Y, Qin, XD, Zhou, Y, Li, M, Xu, S, Zhang, YZ, Bao, WW, Hao, YT, Zeng, XW & Dong, GH 2017, 'Comparison of body mass index with abdominal obesity for identifying elevated blood pressure in children and adolescents: The SNEC study', Obesity Research and Clinical Practice, vol. 11, no. 4, pp. 406-413. https://doi.org/10.1016/j.orcp.2016.08.006

Comparison of body mass index with abdominal obesity for identifying elevated blood pressure in children and adolescents : The SNEC study. / Yuan, Ping; Qian, Zhengmin (Min); Vaughn, Michael; Huang, Jin; Ward, Patrick; Zhu, Yu; Qin, Xiao Di; Zhou, Yang; Li, Meng; Xu, Shuli; Zhang, Ya Zhi; Bao, Wen Wen; Hao, Yuan Tao; Zeng, Xiao Wen; Dong, Guang Hui.

In: Obesity Research and Clinical Practice, Vol. 11, No. 4, 07.2017, p. 406-413.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparison of body mass index with abdominal obesity for identifying elevated blood pressure in children and adolescents

T2 - The SNEC study

AU - Yuan, Ping

AU - Qian, Zhengmin (Min)

AU - Vaughn, Michael

AU - Huang, Jin

AU - Ward, Patrick

AU - Zhu, Yu

AU - Qin, Xiao Di

AU - Zhou, Yang

AU - Li, Meng

AU - Xu, Shuli

AU - Zhang, Ya Zhi

AU - Bao, Wen Wen

AU - Hao, Yuan Tao

AU - Zeng, Xiao Wen

AU - Dong, Guang Hui

PY - 2017/7

Y1 - 2017/7

N2 - Body mass index (BMI) and waist circumference (WC) are two common ways to measure obesity. There is a debate, however, about which of these two measures are more closely associated with elevated blood pressure (BP). The aim of this study is to investigate the prevalence of obesity and whether BMI and WC is better associated with elevated BP in children and adolescents. A representative sample of 8613 Chinese youth aged 7–17 years from seven cities in Northeastern China was selected and measurements of height, weight, WC, BP were taken from 2012 to 2013. The average age of the children was 11.3 ± 2.3 years. The prevalence of overweight/obese and abdominal obesity in the subjects was 35% and 44.8%, respectively. We found that both BMI and WC were significantly associated with elevated BP. An increase of 1 kg m−2 in BMI was associated with a 1.10 (1.08–1.12, 95% CI) increased risk of an elevated BP diagnosis in boys, and a 1.14 (1.11–1.16, 95% CI) increased risk in girls. Meanwhile, a 1 cm increase in WC correlated with a 1.03 (1.02–1.04, 95% CI) and a 1.05 (1.04–1.06, 95% CI) increased risk of higher BP in boys and girls, respectively. Compared to the normal-weight youth, subjects with elevated BMI (BMI > 85th) had higher risk of elevated BP (OR: 2.42, 95% CI: 2.13–2.75) than that of in elevated WC participants (OR: 2.00, 95% CI: 1.77–2.27). Therefore, BMI may associate better with elevated BP than WC in Chinese youth in our Seven Northeastern Cities study.

AB - Body mass index (BMI) and waist circumference (WC) are two common ways to measure obesity. There is a debate, however, about which of these two measures are more closely associated with elevated blood pressure (BP). The aim of this study is to investigate the prevalence of obesity and whether BMI and WC is better associated with elevated BP in children and adolescents. A representative sample of 8613 Chinese youth aged 7–17 years from seven cities in Northeastern China was selected and measurements of height, weight, WC, BP were taken from 2012 to 2013. The average age of the children was 11.3 ± 2.3 years. The prevalence of overweight/obese and abdominal obesity in the subjects was 35% and 44.8%, respectively. We found that both BMI and WC were significantly associated with elevated BP. An increase of 1 kg m−2 in BMI was associated with a 1.10 (1.08–1.12, 95% CI) increased risk of an elevated BP diagnosis in boys, and a 1.14 (1.11–1.16, 95% CI) increased risk in girls. Meanwhile, a 1 cm increase in WC correlated with a 1.03 (1.02–1.04, 95% CI) and a 1.05 (1.04–1.06, 95% CI) increased risk of higher BP in boys and girls, respectively. Compared to the normal-weight youth, subjects with elevated BMI (BMI > 85th) had higher risk of elevated BP (OR: 2.42, 95% CI: 2.13–2.75) than that of in elevated WC participants (OR: 2.00, 95% CI: 1.77–2.27). Therefore, BMI may associate better with elevated BP than WC in Chinese youth in our Seven Northeastern Cities study.

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