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Obesity, Blood Pressure, and Intraocular Pressure: A Cross-Sectional Study in Italian Children
Claudia Pileggi1, Rosa Papadopoli1, Caterina De Sarro1
1Department of Health Sciences, University "Magna Græcia" of Catanzaro, Catanzaro, Italy.
Insights
High intraocular pressure (IOP) affects 12.5% of 8-year-old children, linked to elevated blood pressure (BP) and high body mass index (BMI). This study highlights the importance of monitoring BP and BMI in children to assess risks for high IOP.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Obesity is a known risk factor for elevated intraocular pressure (IOP) in adults.
- Data on the relationship between obesity and IOP in children is limited and conflicting.
Purpose of the Study:
- To investigate the association between body mass index (BMI), blood pressure (BP), and IOP in healthy school children.
- To determine if obesity indicators correlate with elevated IOP in a pediatric population.
Main Methods:
- A random sample of 8-year-old Italian students was surveyed.
- Data collected included health status, obesity-related behaviors, height, weight, BP, and IOP measurements.
- Physical examinations were conducted in a school setting.
Main Results:
- 12.5% of children had high IOP, and 3.6% had elevated BP/hypertension (HTN).
- 42.4% of participants were overweight or obese, with high rates of inadequate fruit/vegetable intake and sedentary activities.
- Elevated BP/HTN was the sole significant predictor of ocular hypertension (OR 5.36).
Conclusions:
- High IOP is prevalent in 12.5% of 8-year-old children.
- Elevated IOP appears associated with high BP, which is related to high BMI in this cohort.
- Findings suggest a link between cardiovascular health indicators and ocular pressure in children.
Introduction:
Several studies in the adult population have shown that obesity is an independent risk factor for elevated intraocular pressure (IOP), whereas data in the paediatric population are sparse and controversial. The purpose of the present study is to investigate the relationship between body mass index (BMI), blood pressure (BP), and IOP in healthy school children.
Methods:
The survey was conducted among a random sample of 8-year-old Italian students. Data were collected on their health status and behaviours related to obesity (physical activity, food and drinking habits, etc.). Physical examinations, conducted at school, included measurements of height, weight, BP, and IOP.
Results:
Five hundred and seventy-six subjects were recruited (92.8% response rate); 42.4% were overweight or obese, 58.9% consumed inadequate daily servings of fruit and vegetables, and 87.5% were involved in sedentary activities. Elevated BP/hypertension (HTN) affected 3.6% and high IOP was revealed in 12.5% of the children. In the multivariate analysis, elevated BP/HTN was the only significant determinant of ocular HTN (OR 5.36, 95% CI 1.95-14.73, p = 0.001).
Conclusions:
Our results show that high IOP affects 12.5% of 8-year-old school children and appears to be associated with high BP related to a high BMI.
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