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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The relationship between resting blood pressure, body mass index and lean body mass index in British children
Michael J Duncan1, Luke James, Layla Griffiths
1Department of Biomolecular and Sports Science, Coventry University, Coventry, UK. michael.duncan@coventry.ac.uk
Insights
Childhood overweight and obesity are linked to higher blood pressure (BP). Lean body mass index (LBMI) is a more reliable indicator than body mass index (BMI) for assessing BP in youth.
Area of Science:
- Pediatric Health
- Cardiovascular Health
- Anthropometry
Background:
- Childhood elevated blood pressure (BP) is associated with overweight and obesity.
- Lean body mass index (LBMI) may be a more effective metric than body mass index (BMI) for assessing pediatric weight status and health.
Purpose of the Study:
- To investigate the relationship between resting BP and weight status in youth.
- To compare the predictive value of BMI and LBMI on BP in children and adolescents.
Main Methods:
- Resting BP, height, and body mass were measured in 384 boys and 277 girls aged 11-14 years.
- Statistical analysis was performed to assess the association between BP and weight status indicators.
Main Results:
- Systolic and diastolic BP were significantly higher in overweight and obese children compared to normal-weight children.
- Both BMI and LBMI predicted SBP and DBP, with LBMI demonstrating a more normal distribution and stronger predictive power.
- Overweight and obesity are associated with elevated BP in British youth.
Conclusions:
- Higher resting BP is linked to overweight and obesity in British children.
- LBMI is recommended over BMI for evaluating the impact of weight status on BP in pediatric populations.
Background:
Elevated blood pressure (BP) in childhood is associated with overweight and obesity. However, lean body mass index (LBMI, cm(2)/kg) has been suggested as a better means than body mass index (BMI, kg/m(2)) by which to consider the relations between weight status and health indices in children.
Objective:
To assess the relationship between resting BP and weight status in youth whilst considering BMI and LBMI when examining this issue.
Methods And Procedures:
Height, body mass and resting blood pressure were assessed in 384 boys and 277 girls, aged 11-14 years from Central England.
Results:
SBP was significantly lower in 'normal weight' children compared to overweight and obese children and in overweight compared to obese children (both p = 0.0001). DBP was significantly lower in 'normal weight' children compared to those classified as overweight (p = 0.006). BMI and LBMI were both significant predictors of SBP and DBP (p = 0.0001). However, LBMI was normally distributed, unlike BMI, and was a better predictor of BP than BMI.
Conclusions:
Overweight and obesity is associated with higher resting BP in British children. However, when examining the effect of weight status on BP, the researcher should consider use of LBMI over BMI.
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