Prevalencia de pressão arterial elevada e associação com variáveis antropométricas, de composição corporal e de estilo de vida em adolescentes de uma cidade do nordeste brasileiro
Year: 2025
Type: article
Study design: Observational Study
Abstract: Objective: To assess the prevalence of high blood pressure (HBP) in adolescents and its association with lifestyle, anthropometric profile, and body composition.Methods: This is a cross-sectional study conducted with adolescents aged 12 to 19 years from public schools in Recife, between March and April 2013. HBP was defined as systolic blood pressure (SBP) > 120 mmHg and/or diastolic blood pressure (DBP) > 80 mmHg. Sociodemographic, clinical, anthropometric, and body composition data were collected, and lifestyle was assessed by dietary intake and physical activity.Results: A total of 410 adolescents participated in the study, 60% of whom were female and 63.2% were ≥ 15 years old. The majority (60%) were from a low socioeconomic status. The prevalence of HBP was 48.8%, being higher in male adolescents (PR 1.59), aged ≥ 15 years (PR 1.7) and in pubertal stage (PR 1.03). Excess weight (BMI/A) affected 27.9% of adolescents, abdominal obesity (assessed by waist circumference) was observed in 16.6%, and excessive body fat in 45.0%. All these nutritional disorders were associated with HBP. In the adjusted analysis, factors such as male gender (adjusted PR: 1.61), abdominal obesity (adjusted PR: 1.41) and overweight (adjusted PR: 1.31) showed a significant association with HBP. For male adolescents, age, height and waist circumference explained almost 50% of the variation in SBP (adjusted R2 = 0.482; p<0.001). For girls, BMI/A explained 13% of the variation in SBP (adjusted R2 = 0.135; p<0.001). Conclusion: It is concluded that there is a high prevalence of HBP, strongly associated with excess weight and male gender. Therefore, prevention and control actions should be primarily directed at this group.
DOI: 10.12873/452melo
Authors: Vanêssa da Silva Melo, Janatar Stella Vasconcelos de Melo Me Mpomo, Maria Izabel Siqueira de Andrade, Natália Mayara Menezes de Souza, Maria Lucia Diniz Araujo, Poliana Coelho Cabral, Alcides da Silva Diniz
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4410141837