Body Weight Category between 1988 and 2012

Details

• Alternative Title:
  J Pediatr
• Personal Author:
  Yang, Quanhe ; Zhong, Yuna ; Merritt, Robert ; Cogswell, Mary E.
• Description:
  Objective
  
  To examine trends in pre-high blood pressure (BP [HBP]) and HBP among US adolescents by body weight category during 1988-2012.
  
  Study design
  
  We estimated pre-HBP and HBP prevalence among 14 844 participants aged 12-19 years using National Health and Nutrition Examination Surveys from 1988-1994, 1999-2002, 2003-2006, and 2007-2012. Pre-HBP and HBP were defined based on age-sex-height-specific BP percentiles. We examined the temporal trends in pre-HBP and HBP across category of body weight (normal weight vs overweight/obese), adjusted for potential explanatory factors, and estimated the number of adolescents with pre-HBP and HBP.
  
  Results
  
  Between 1988 and 2012, the prevalence of HBP decreased and pre-HBP did not change. Among normal weight adolescents, multivariable adjusted pre-HBP prevalence was 11.0% during 1988-2012, and 10.9% during 2007-2012 (P = .923 for trend); adjusted HBP prevalence increased from 1988-1994 (0.9%) to 1999-2002 (2.3%), then declined significantly to 1.4% during 2007-2012 (P = .049). Among overweight/obese adolescents, adjusted pre-HBP prevalence was 17.5% during 1988-2012, and 20.9% during 2007-2012 (P = .323); adjusted HBP prevalence declined significantly from 7.2% during 1988-1994 to 3.2% during 2007-2012 (P = .018). Because of population growth, estimated number of adolescents with pre-HBP or HBP increased, from 4.18 million during 1988-1994 to 5.59 million during 2007-2012.
  
  Conclusions
  
  Between 1988 and 2012, pre-HBP prevalence was consistently higher among overweight/obese adolescent than those of normal weight, and the pattern remain unchanged. HBP prevalence declined significantly, especially among overweight/obese adolescent that are not completely explained by sociodemographic or lifestyle characteristics.
  
  
• Subjects:
  Adolescent Body Weight Child Female Humans Hypertension Male Overweight Prevalence Time Factors Young Adult

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• Source:
  J Pediatr. 169:166-73.e3
• Pubmed ID:
  26563532
• Pubmed Central ID:
  PMC8886792
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  169
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c4e4be1e0f3b21ba4aed9c8a06ec41856cb365f4b08c825f93fe8d35489452f6
• Download URL:
  https://stacks.cdc.gov/view/cdc/114981/cdc_114981_DS1.pdf
• File Type:
  [PDF - 289.27 KB ]