Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents
Introduction:<b> </b>High blood pressure (HBP) is a health problem the prevalence of which has increased in young populations. Overweight and obesity in early ages have been directly related to its development. Due to the impact of HBP, it is necessary to provide tools that facilitate it...
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doaj-3962c517c494496d8219bf5a4219b2a72020-11-25T03:11:16ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-06-01174415441510.3390/ijerph17124415Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and AdolescentsManuel Vaquero-Álvarez0Rafael Molina-Luque1Francisco Javier Fonseca-Pozo2Guillermo Molina-Recio3José López-Miranda4Manuel Romero-Saldaña5Primary Care Emergency Service (SUAP) South Sanitary Area, 14850 Córdoba, SpainDepartment of Nursing, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, SpainGrupo Investigación GC12 Clinical and Epidemiological Research in Primary Care, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, 14004 Córdoba, SpainDepartment of Nursing, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, SpainDepartment of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 14004 Córdoba, SpainDepartment of Nursing, Faculty of Medicine and Nursing, University of Córdoba, 14004 Córdoba, SpainIntroduction:<b> </b>High blood pressure (HBP) is a health problem the prevalence of which has increased in young populations. Overweight and obesity in early ages have been directly related to its development. Due to the impact of HBP, it is necessary to provide tools that facilitate its early diagnosis, with useful anthropometric variables being those that assess obesity. The objective of this paper was to determine the diagnostic accuracy of anthropometric variables to detect HBP. Methods:<b> </b>A cross-sectional study was conducted on 265 students aged 6–16. The diagnosis of HBP was made following the criteria proposed by the Spanish Association of Pediatrics. Through different statistical methods, the association between anthropometric variables of general obesity with HBP was analyzed.<b> </b>Results:<b> </b>Waist circumference (WC) showed the best diagnostic capacity (area under the receiver operating characteristic curve = 0.729), with a sensitivity and specificity of 72.2% and 76%, respectively, for a cut-off point of 73.5 cm. In the adjusted multivariate analysis, an association was found between HBP and anthropometric variables: WC (odds ratio (OR) = 10.7), body mass index (OR = 7.5), waist-to-height ratio (OR = 5.5) and body fat percentage (OR = 5.3) (<i>p</i> < 0.05).<b> </b>Conclusions:<b> </b>The anthropometric variables studied showed a moderate predictive capacity for HBP, highlighting WC, which showed the strongest association with HBP in the infant and child population.https://www.mdpi.com/1660-4601/17/12/4415anthropometryhigh blood pressureschool population |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manuel Vaquero-Álvarez Rafael Molina-Luque Francisco Javier Fonseca-Pozo Guillermo Molina-Recio José López-Miranda Manuel Romero-Saldaña |
spellingShingle |
Manuel Vaquero-Álvarez Rafael Molina-Luque Francisco Javier Fonseca-Pozo Guillermo Molina-Recio José López-Miranda Manuel Romero-Saldaña Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents International Journal of Environmental Research and Public Health anthropometry high blood pressure school population |
author_facet |
Manuel Vaquero-Álvarez Rafael Molina-Luque Francisco Javier Fonseca-Pozo Guillermo Molina-Recio José López-Miranda Manuel Romero-Saldaña |
author_sort |
Manuel Vaquero-Álvarez |
title |
Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents |
title_short |
Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents |
title_full |
Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents |
title_fullStr |
Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents |
title_full_unstemmed |
Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents |
title_sort |
diagnostic precision of anthropometric variables for the detection of hypertension in children and adolescents |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-06-01 |
description |
Introduction:<b> </b>High blood pressure (HBP) is a health problem the prevalence of which has increased in young populations. Overweight and obesity in early ages have been directly related to its development. Due to the impact of HBP, it is necessary to provide tools that facilitate its early diagnosis, with useful anthropometric variables being those that assess obesity. The objective of this paper was to determine the diagnostic accuracy of anthropometric variables to detect HBP. Methods:<b> </b>A cross-sectional study was conducted on 265 students aged 6–16. The diagnosis of HBP was made following the criteria proposed by the Spanish Association of Pediatrics. Through different statistical methods, the association between anthropometric variables of general obesity with HBP was analyzed.<b> </b>Results:<b> </b>Waist circumference (WC) showed the best diagnostic capacity (area under the receiver operating characteristic curve = 0.729), with a sensitivity and specificity of 72.2% and 76%, respectively, for a cut-off point of 73.5 cm. In the adjusted multivariate analysis, an association was found between HBP and anthropometric variables: WC (odds ratio (OR) = 10.7), body mass index (OR = 7.5), waist-to-height ratio (OR = 5.5) and body fat percentage (OR = 5.3) (<i>p</i> < 0.05).<b> </b>Conclusions:<b> </b>The anthropometric variables studied showed a moderate predictive capacity for HBP, highlighting WC, which showed the strongest association with HBP in the infant and child population. |
topic |
anthropometry high blood pressure school population |
url |
https://www.mdpi.com/1660-4601/17/12/4415 |
work_keys_str_mv |
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