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Adolescent obesity and hypertension
1Division of Pediatric Cardiology, University of Minnesota Medical Center, Minneapolis.
Pediatric Clinics of North America
|February 1, 1993
Summary
Insulin resistance and high insulin levels are linked to high blood pressure. Doctors should check cholesterol and insulin sensitivity in hypertensive patients. Childhood obesity signals future heart risks.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Metabolic Syndrome
Background:
- Controversy surrounds the role of insulin resistance and hyperinsulinemia in hypertension development.
- Existing data suggest a strong link between insulin resistance, hyperlipidemia, and essential hypertension in both obese and non-obese individuals.
Purpose of the Study:
- To emphasize the mandatory evaluation of lipid profiles and insulin sensitivity in patients with essential hypertension.
- To highlight childhood obesity as a significant risk marker for future cardiovascular disease.
Main Methods:
- Review of existing data on insulin resistance, hyperlipidemia, and essential hypertension.
- Analysis of the relationship between these conditions and cardiovascular disease risk factors.
Main Results:
- Ample data support a direct relationship between selective insulin resistance, hyperlipidemia, and essential hypertension.
- Childhood obesity is identified as a key predictor of later-life cardiovascular disease.
Conclusions:
- Routine assessment of lipid profile and insulin sensitivity is crucial for managing essential hypertension.
- Early identification of at-risk children through obesity monitoring is vital for cardiovascular disease prevention.