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Updated: Aug 23, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Malnutrition is associated with increased blood pressure in childhood
Ricardo Sesso1, Genia P Barreto, Janaina Neves
1Division of Nephrology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil. rsesso@nefro.epm.br
Insights
Childhood malnutrition, including protein-energy malnutrition, is linked to higher blood pressure (BP) even years after recovery. This highlights malnutrition as a significant risk factor for elevated BP later in life.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Background:
- Protein-energy malnutrition is a significant global public health issue.
- Limited data exists on the long-term effects of childhood malnutrition on blood pressure (BP).
Purpose of the Study:
- To investigate the association between childhood malnutrition and blood pressure levels in children.
- To determine if recovery from malnutrition impacts long-term blood pressure outcomes.
Main Methods:
- A cross-sectional study involving 172 children over 2 years old in São Paulo.
- Categorization into malnourished, recovered from malnutrition, and non-malnourished control groups.
- Assessment of systolic and diastolic blood pressure using standardized references.
Main Results:
- Malnourished and recovered children showed significantly higher percentages of elevated BP compared to controls (29% and 20% vs. 2%, p < 0.001).
- Adjusted mean diastolic BP was significantly increased in malnourished (65.2 mmHg) and recovered (66.5 mmHg) children versus controls (61.8 mmHg, p < 0.01).
Conclusions:
- Childhood malnutrition is associated with increased blood pressure in both currently malnourished children and those who have recovered.
- Childhood malnutrition may be a lasting risk factor for hypertension later in life.
Background/Aims:
Protein-energy malnutrition remains a major public health problem in many countries. Scanty information is available about the effects of malnutrition during childhood on blood pressure (BP).
Methods:
In a cross-sectional study we assessed the BP of 172 children older than 2 years living in shantytowns in São Paulo city. Ninety-one children were malnourished (height-for-age or weight-for-age Z-score below -1 of the NCHS references); 20 had recovered from malnutrition after an average time of 6.4 years, and 61 were non-malnourished controls.
Results:
A greater percentage of children in the malnourished and recovered groups had increased systolic or diastolic BP (>95th percentile of the Update of the 2nd Task Force references) after adjusting for age, sex and height, compared to the controls (29, 20 and 2%, respectively, p < 0.001). Mean diastolic BP, adjusted for age, sex, race, weight, height and birth weight, was significantly increased in malnourished and recovered children compared to controls (65.2 +/- 0.6, 66.5 +/- 1.5, and 61.8 +/- 0.8 mm Hg, respectively, p < 0.01).
Conclusions:
BP is increased in malnourished children and in those who recovered from malnutrition after an average period of 6 years. Malnutrition occurring during childhood may represent a risk factor for increased BP later in life.
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