0404/2024 - Parâmetros Antropométricos e Predição de Risco para Pressão Arterial Alterada na Adolescência Anthropometric Parameters and Altered Blood Pressure Risk Prediction in Adolescents
Fundamento: Excesso de peso têm sido associados a pressão arterial elevada (PAE) ou hipertensão arterial (HA) entre adolescentes. Objetivos: Avaliar prevalência e capacidade preditiva de variáveis antropométricas para PA alterada (PAA) (PAE + HA) em adolescentes. Métodos: Estudo transversal incluindo indivíduos entre 13 e 18 anos de idade, que avaliou a associação entre PAA e circunferência da cintura (CC), índice de massa corporal (IMC) e razão estatura-cintura (REC). A capacidade preditiva para PAA foi testada por análise da curva ROC. Resultados: Amostra de 328 indivíduos, 51% de sexo feminino, 23% com sobrepeso e 10% obesos, CC de 77 (IQR 77,3-84,3) cm e REC de 0,46 (IQR 0,44-0,51). A prevalência de PAE e de HA foram de 6% e 7%, respectivamente. A PAA predominou entre indivíduos do sexo masculino (p=0,01), obesos (p=0,03) e com maiores CC (p<0,001) e REC (p=0,007). Na predição de HA, a CC apresentou a maior área sob a curva (0.71) em comparação a REC (0.64) (p=0.02), e similar ao IMC (0.65) (p=0,14). Conclusões: A circunferência da cintura, medida de fácil obtenção, apresentou desempenho similar aos demais parâmetros antropométricos na predição de risco para PAA na presente amostra de adolescentes brasileiros.
Background: Elevated blood pressure (EBP) or high blood pressure (HBP) has been frequently linked to excess weight in adolescents. Objectives: To assess the association between altered blood pressure (ABP), including EBP and HBP, and anthropometric parameters. Methods: This cross-sectional study evaluated the association of ABP with waist circumference (WC), body mass index (BMI), and height-to-waist ratio (HWR) among adolescents aged between 13 and 18 years. Predictive performance for ABP was evaluated using receiver operating characteristic (ROC) curve analysis. Results: The study comprised 328 individuals, 51% female, 23% overweight, and 10% obese. The median WC was 77 cm (interquartile range [IQR]: 77.3-84.3 cm), and the medin HWR was 0.46 (IQR: 0.44-0.51). EBP was found to be more prevalent among males (p=0.01) and obese participants (p=0.03), with higher HWR (p=0.007) and WC (p<0.001). Regarding the prediction of HBP, WC demonstrated a larger area under the curve (0.71) compared to HWR (0.64) (p=0.02), although similar to BMI (0.65) (p=0.14). Conclusions: Waist circumference, a readily obtainable measure, exhibited predictive performance comparable to other anthropometric parameters in assessing the risk for ABP in this sample of Brazilian adolescents.
Anthropometric Parameters and Altered Blood Pressure Risk Prediction in Adolescents
Resumo (abstract):
Background: Elevated blood pressure (EBP) or high blood pressure (HBP) has been frequently linked to excess weight in adolescents. Objectives: To assess the association between altered blood pressure (ABP), including EBP and HBP, and anthropometric parameters. Methods: This cross-sectional study evaluated the association of ABP with waist circumference (WC), body mass index (BMI), and height-to-waist ratio (HWR) among adolescents aged between 13 and 18 years. Predictive performance for ABP was evaluated using receiver operating characteristic (ROC) curve analysis. Results: The study comprised 328 individuals, 51% female, 23% overweight, and 10% obese. The median WC was 77 cm (interquartile range [IQR]: 77.3-84.3 cm), and the medin HWR was 0.46 (IQR: 0.44-0.51). EBP was found to be more prevalent among males (p=0.01) and obese participants (p=0.03), with higher HWR (p=0.007) and WC (p<0.001). Regarding the prediction of HBP, WC demonstrated a larger area under the curve (0.71) compared to HWR (0.64) (p=0.02), although similar to BMI (0.65) (p=0.14). Conclusions: Waist circumference, a readily obtainable measure, exhibited predictive performance comparable to other anthropometric parameters in assessing the risk for ABP in this sample of Brazilian adolescents.
D’Amoreira, R.D, Dumith, S.C, Poma, S.A.M, Böhlke, M.. Parâmetros Antropométricos e Predição de Risco para Pressão Arterial Alterada na Adolescência. Cien Saude Colet [periódico na internet] (2024/dez). [Citado em 22/03/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/parametros-antropometricos-e-predicao-de-risco-para-pressao-arterial-alterada-na-adolescencia/19452?id=19452&id=19452
