Ellisras Longitudinal Study 2017: association of hypertension with increasing levels of adiposity in 10- to 14-year-old boys and girls in the Eastern Cape (ELS 31)

Cardiovasc J Afr. 2019 Sep/Oct;30(5):258-261. doi: 10.5830/CVJA-2019-017.

Abstract

Objectives: Previous studies suggest a strong relationship between obesity and hypertension. This study aimed at evaluating the prevalence of hypertension and pre-hypertension in 10- to 14-year-old boys and girls in the Eastern Cape Province of South Africa and to determine the association between blood pressure parameters and selected measures of adiposity.

Methods: A cross-sectional, school-based study of 540 10- to14-year-old children from seven schools in the Eastern Cape Province was carried out. Anthropometry and blood pressure parameters were determined.

Results: All measures of adiposity and blood pressure were significantly higher in the girls (p < 0.05). The prevalence of hypertension and pre-hypertension was over 20 and 12%, respectively. Systolic blood pressure and pulse pressure were associated (r > 0.27; p < 0.05) with increasing levels of adiposity.

Conclusions: This study highlights the importance of weight-control strategies for the prevention of hypertension in these adolescents and later on in life.

Keywords: adiposity; adolescent; hypertension; obesity; pre‐hypertension; school.

MeSH terms

  • Adiposity*
  • Adolescent
  • Age Factors
  • Blood Pressure*
  • Child
  • Cross-Sectional Studies
  • Female
  • Health Surveys
  • Humans
  • Hypertension / diagnosis
  • Hypertension / epidemiology*
  • Hypertension / physiopathology
  • Male
  • Pediatric Obesity / diagnosis
  • Pediatric Obesity / epidemiology*
  • Pediatric Obesity / physiopathology
  • Prehypertension / diagnosis
  • Prehypertension / epidemiology
  • Prehypertension / physiopathology
  • Prevalence
  • Risk Factors
  • Sex Factors
  • South Africa / epidemiology