Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010
Background: Child obesity is a major health problem particularly affecting disadvantaged population groups. Severe obesity carries additional health risks for children. In the context of the childhood obesity epidemic, high blood pressure among children is of increasing concern. Methods: Chart revie...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2014-04-01
|
Series: | Journal of Primary Care & Community Health |
Online Access: | https://doi.org/10.1177/2150131913506437 |
id |
doaj-dc9434848c7b4f318f211176902f57aa |
---|---|
record_format |
Article |
spelling |
doaj-dc9434848c7b4f318f211176902f57aa2020-11-25T03:40:40ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272014-04-01510.1177/2150131913506437Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010John V. Nguyen0Jessica M. Robbins1Kevin L. Houck2Elizabeth A. Nobis3Katelyn A. Inman4Khudsiya S. Khan5Susan W. Robbins6Drexel University School of Public Health, Philadelphia, PA, USAPhiladelphia Department of Public Health, Philadelphia, PA, USADrexel University School of Public Health, Philadelphia, PA, USADrexel University School of Public Health, Philadelphia, PA, USADrexel University School of Public Health, Philadelphia, PA, USAPhiladelphia Department of Public Health, Philadelphia, PA, USAPhiladelphia Department of Public Health, Philadelphia, PA, USABackground: Child obesity is a major health problem particularly affecting disadvantaged population groups. Severe obesity carries additional health risks for children. In the context of the childhood obesity epidemic, high blood pressure among children is of increasing concern. Methods: Chart reviews were carried out to examine the prevalence of severe obesity and its association with high blood pressure measurements among randomly selected patients aged 3 to 17 years who had well-child care visits at 8 public community health centers during 2010. Results: A majority of the 691 patients reviewed were African American (58%); an additional 16% were Hispanic. The prevalence of severe obesity was 7.7% (95% confidence interval = 5.8% to 9.9%) and the prevalence of high blood pressure measurements was 17.5% (95% confidence interval = 14.8% to 20.6%). Patients who were severely obese were more than twice as likely as other children to have high blood pressure values. Conclusions: Severe obesity is associated with substantially increased frequency of high blood pressure measurements in children, and should be investigated further as a potential marker for hypertension in children. Primary care providers should be prepared to diagnose and treat hypertension in severely obese children.https://doi.org/10.1177/2150131913506437 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
John V. Nguyen Jessica M. Robbins Kevin L. Houck Elizabeth A. Nobis Katelyn A. Inman Khudsiya S. Khan Susan W. Robbins |
spellingShingle |
John V. Nguyen Jessica M. Robbins Kevin L. Houck Elizabeth A. Nobis Katelyn A. Inman Khudsiya S. Khan Susan W. Robbins Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010 Journal of Primary Care & Community Health |
author_facet |
John V. Nguyen Jessica M. Robbins Kevin L. Houck Elizabeth A. Nobis Katelyn A. Inman Khudsiya S. Khan Susan W. Robbins |
author_sort |
John V. Nguyen |
title |
Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010 |
title_short |
Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010 |
title_full |
Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010 |
title_fullStr |
Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010 |
title_full_unstemmed |
Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010 |
title_sort |
severe obesity and high blood pressure among children, philadelphia health centers, 2010 |
publisher |
SAGE Publishing |
series |
Journal of Primary Care & Community Health |
issn |
2150-1319 2150-1327 |
publishDate |
2014-04-01 |
description |
Background: Child obesity is a major health problem particularly affecting disadvantaged population groups. Severe obesity carries additional health risks for children. In the context of the childhood obesity epidemic, high blood pressure among children is of increasing concern. Methods: Chart reviews were carried out to examine the prevalence of severe obesity and its association with high blood pressure measurements among randomly selected patients aged 3 to 17 years who had well-child care visits at 8 public community health centers during 2010. Results: A majority of the 691 patients reviewed were African American (58%); an additional 16% were Hispanic. The prevalence of severe obesity was 7.7% (95% confidence interval = 5.8% to 9.9%) and the prevalence of high blood pressure measurements was 17.5% (95% confidence interval = 14.8% to 20.6%). Patients who were severely obese were more than twice as likely as other children to have high blood pressure values. Conclusions: Severe obesity is associated with substantially increased frequency of high blood pressure measurements in children, and should be investigated further as a potential marker for hypertension in children. Primary care providers should be prepared to diagnose and treat hypertension in severely obese children. |
url |
https://doi.org/10.1177/2150131913506437 |
work_keys_str_mv |
AT johnvnguyen severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 AT jessicamrobbins severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 AT kevinlhouck severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 AT elizabethanobis severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 AT katelynainman severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 AT khudsiyaskhan severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 AT susanwrobbins severeobesityandhighbloodpressureamongchildrenphiladelphiahealthcenters2010 |
_version_ |
1724533521294295040 |