Resumen

Objective: To assess the direct effect of increasing the waistto-height ratio (WHtR) on the development of high blood pressure (HBP) in Mexican children. Material and methods: We follow-up 313 preeschool age children along one year. Height and waist circumference (WC) were measured and the WHtR was calculated (IWC cm/height cm), and the blood pressure was measured with a mercurial sphygmomanometer. Children were classified with HBP using the criteria of the Fourth Diagnostic Report, Evaluation and Treatment of the high blood pressure in children and adolescents. We assessed longitudinally the impact of body mass indicators [body mass index (BMI), WC and total body fat] and WHtR on the development of HBP in separate models. Longitudinal analysis was performed with random effects using the Husman test for assessing the adequacy of the models. Results: The increment of one unit of WHtR produced an increment of 1.75 in the risk to present HBP. Conclusion: The WHtR is a better predictor for HBP compared with body mass index (BMI), and WC in school-age children on a one year follow-up.

Palabras clave: Waist circumference waist-to-height ratio high blood pressure.

2014-11-05   |   295 visitas   |   Evalua este artículo 0 valoraciones

Vol. 66 Núm.1. Enero-Febrero 2014 Pags. 17-23 Rev Invest Clin 2014; 66(1-ENGLISH)