A comparison between overweight cutoff points for detection of high blood pressure in adolescents
Year: 2009
Type: article
Study design: Observational Study
Abstract: OBJECTIVES: To evaluate the accuracy of three different cutoff points for the detection of high blood pressure in adolescents, given the strong relationship between overweight and high blood pressure levels. METHODS: A total of 1,021 adolescents of both sexes were enrolled in the study, selected at random from public and private schools in Londrina, Brazil. Their body weight was measured using a digital balance, and their height with a portable stadiometer with a maximum extension of 2 meters. Arterial blood pressure was measured using an automatic apparatus. The capacity of body mass index to detect high blood pressure was gauged using ROC curves and their parameters (sensitivity, specificity, and area under the curve). RESULTS: The cutoff points proposed in a Brazilian standard exhibited greater accuracy (males: 0.636+/-0.038; females: 0.585+/-0.043) than the cutoff points proposed in an international (males: 0.594+/-0.040; females: 0.570+/-0.044) and a North-American standard (males: 0.612+/-0.039; females: 0.578+/-0.044). CONCLUSIONS: The Brazilian proposal offered greatest accuracy for indicating high blood pressure levels.
Source: Jornal de Pediatria
DOI: 10.2223/jped.1911
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1906349506