Is Office Blood Pressure Measurement Reliable in Obese Adolescents?

Is Office Blood Pressure Measurement Reliable in Obese Adolescents?

Derya Tepe,1 Songül Yılmaz2 1Department of Pediatric Endocrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, Turkey; 2Department of Pediatric Nephrology, Ankara Yıldır&inodo...

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Autores principales: Tepe D, Yılmaz S
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
adolescent
hypertension
metabolic syndrome
obesity
waist circumference
Specialties of internal medicine
RC581-951
Acceso en línea:https://doaj.org/article/6b31f5f5e1684ae587014b871f05666c
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spelling oai:doaj.org-article:6b31f5f5e1684ae587014b871f05666c2021-12-02T18:45:35ZIs Office Blood Pressure Measurement Reliable in Obese Adolescents?1178-7007https://doaj.org/article/6b31f5f5e1684ae587014b871f05666c2021-09-01T00:00:00Zhttps://www.dovepress.com/is-office-blood-pressure-measurement-reliable-in-obese-adolescents-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Derya Tepe,1 Songül Yılmaz2 1Department of Pediatric Endocrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, Turkey; 2Department of Pediatric Nephrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, TurkeyCorrespondence: Songül YılmazDepartment of Pediatric Nephrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, TurkeyTel +90 533 3558677Fax +90 312 587377Email songulyilmaz23@gmail.comBackground: Although it is not reflected in the OBP measurement in obese children, ambulatory BP changes are known to occur. MH, non-dipper pattern and nocturnal hypertension have been reported to increase in obese children. On the other hand, the factors that indicate a high risk of hypertension are still unclear. The aim of our study is to especially detect masked hypertension by 24-hour BP measurement in obese adolescents and to evaluate the relationship of masked hypertension with metabolic syndrome parameters, anthropometric measurements and hepatosteatosis in these patients.Methods: A total of 63 adolescents diagnosed with obesity were evaluated between January 2019 and December 2019. Office blood pressure was measured for all children, and all of them underwent ABPM. Patients with and without hypertension in ABPM were compared in terms of clinical and laboratory findings.Results: The mean age was 14.0 ± 1.7 years, females composed 49.2% of the study population. Office blood pressure measurement revealed hypertension in 4 (6.3%) patients and prehypertension in 15 (23.8%) patients. Thirteen patients (20.9%) were diagnosed with masked hypertension, white coat hypertension was diagnosed in 3 (4.7%) patients. Abnormal ABPM patterns were found to be significantly more frequent in patients with severely obesity (with obesity: 26.4% vs severe obesity: 55.6%, p = 0.03) and patients with a higher waist circumference and waist circumference/height ratio.Conclusion: The prevalence of masked hypertension in obese adolescents has been found to be quite high. Therefore, we recommend ABPM in adolescents with high waist circumference/height ratio and severe obesity, even if their office blood pressure measurements are normal.Keywords: adolescent, hypertension, metabolic syndrome, obesity, waist circumferenceTepe DYılmaz SDove Medical Pressarticleadolescenthypertensionmetabolic syndromeobesitywaist circumferenceSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 3809-3817 (2021)
institution DOAJ
collection DOAJ
language EN
topic adolescent
hypertension
metabolic syndrome
obesity
waist circumference
Specialties of internal medicine
RC581-951
spellingShingle adolescent
hypertension
metabolic syndrome
obesity
waist circumference
Specialties of internal medicine
RC581-951
Tepe D
Yılmaz S
Is Office Blood Pressure Measurement Reliable in Obese Adolescents?
description Derya Tepe,1 Songül Yılmaz2 1Department of Pediatric Endocrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, Turkey; 2Department of Pediatric Nephrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, TurkeyCorrespondence: Songül YılmazDepartment of Pediatric Nephrology, Ankara Yıldırım Beyazıt Üniversity, Yenimahalle Education and Research Hospital, Ankara, TurkeyTel +90 533 3558677Fax +90 312 587377Email songulyilmaz23@gmail.comBackground: Although it is not reflected in the OBP measurement in obese children, ambulatory BP changes are known to occur. MH, non-dipper pattern and nocturnal hypertension have been reported to increase in obese children. On the other hand, the factors that indicate a high risk of hypertension are still unclear. The aim of our study is to especially detect masked hypertension by 24-hour BP measurement in obese adolescents and to evaluate the relationship of masked hypertension with metabolic syndrome parameters, anthropometric measurements and hepatosteatosis in these patients.Methods: A total of 63 adolescents diagnosed with obesity were evaluated between January 2019 and December 2019. Office blood pressure was measured for all children, and all of them underwent ABPM. Patients with and without hypertension in ABPM were compared in terms of clinical and laboratory findings.Results: The mean age was 14.0 ± 1.7 years, females composed 49.2% of the study population. Office blood pressure measurement revealed hypertension in 4 (6.3%) patients and prehypertension in 15 (23.8%) patients. Thirteen patients (20.9%) were diagnosed with masked hypertension, white coat hypertension was diagnosed in 3 (4.7%) patients. Abnormal ABPM patterns were found to be significantly more frequent in patients with severely obesity (with obesity: 26.4% vs severe obesity: 55.6%, p = 0.03) and patients with a higher waist circumference and waist circumference/height ratio.Conclusion: The prevalence of masked hypertension in obese adolescents has been found to be quite high. Therefore, we recommend ABPM in adolescents with high waist circumference/height ratio and severe obesity, even if their office blood pressure measurements are normal.Keywords: adolescent, hypertension, metabolic syndrome, obesity, waist circumference
format article
author Tepe D
Yılmaz S
author_facet Tepe D
Yılmaz S
author_sort Tepe D
title Is Office Blood Pressure Measurement Reliable in Obese Adolescents?
title_short Is Office Blood Pressure Measurement Reliable in Obese Adolescents?
title_full Is Office Blood Pressure Measurement Reliable in Obese Adolescents?
title_fullStr Is Office Blood Pressure Measurement Reliable in Obese Adolescents?
title_full_unstemmed Is Office Blood Pressure Measurement Reliable in Obese Adolescents?
title_sort is office blood pressure measurement reliable in obese adolescents?
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/6b31f5f5e1684ae587014b871f05666c
work_keys_str_mv AT teped isofficebloodpressuremeasurementreliableinobeseadolescents
AT yılmazs isofficebloodpressuremeasurementreliableinobeseadolescents
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