JCOGP
Journal of Controversies in Obstetrics & Gynecology and Pediatrics

As of January 2023, our "Journal of Controversies Obstetrics & Gynecology and Pediatrics" has been published under the Medihealth Academy to publish all articles, reviews and case reports on Pediatrics, especially in the field of Obstetrics and Gynecology. In order to facilitate the citation of the articles, to take our place in internationally respected indexes and to reach a wider readership, we will pay attention to the fact that our article language is only English in terms of acceptance.

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Original Article
What is the role of body mass index, waist circumference and waist to height ratio in predicting the risk of high blood pressure in children aged 3-18 years?
Abstract
Aims: Obesity has increased among children in recent years, becoming one of the most serious health issues due to an increase in the risk of cardiovascular illnesses. The aim of this study was to assess prevalence of obese and hypertensive children aged 3-18 years and to determine the role of body mass index (BMI), waist circumference (WC) and waist to height ratio (WHtR) in predicting the risk of high blood pressure (BP) and hypertension (HTN).
Methods: The demographic characteristics, BMI, waist circumference, waist to height ratio, and BP percentiles were evaluated, and the relationship between high BP and BMI, WC and WHtR was investigated.
Results: The study included 752 children aged 3-18 years, 73.9% of children aged 3 to 12 years old. Obese children were found at 8.4%, overweight at 13%, HTN at 9.6%, and high BP at 8%. The risky WHtR ratio (?0.5) for abdominal obesity was found to be 23.7%. Males had significantly higher rates of obesity, risky WHtR, and HTN (p<0.05). Being between 3 and 12 years of age, overweight, obese and risky WHtR were the most prevalent risk factors for high BP and HTN (p<0.05).
Conclusion: Obesity and HTN rate was increased, particularly in males. Since risky WHtR and increased BMI have been determined to be the most important risk factors for high BP and HTN, it is critical to monitor BP more frequently, especially in the neglected 3-12 age group, in the presence of risky WHtR and higher BMI.

Keywords : Children, high blood pressure, hypertension, abdominal obesity, waist circumference, waist to height ratio

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1. World Obesity Atlas 2023. Comparing the regions https://data.worldobesity.org/publications/?cat=19.2023, s. pp:15, 210. Access: January 6, 2025.
2. Obesity Diagnosis and Treatment Guide, Turkish Endocrinology and Metabolism Association. https://file.temd.org.tr/Uploads/publications/guides/documents/obezitetanitedavikilavizu-2024.pdf. Access: January 6, 2025.
3. Kuciene R, Dulskiene V. Associations between body mass index, waist circumference, waist-to-height ratio, and high blood pressure among adolescents: a cross-sectional study. Sci Rep. 2019;9(1):9493. doi:10.1038/s41598-019-45956-9
4. Flynn JT, Kaelber DC, Baker-Smith CM, et al. Subcommittee on screening and management of high blood pressure in children. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics. 2018;142(3):e20181739. doi:10. 1542/peds.2018-1739
5. G&ouml;knar N, &Ccedil;alışkan S. New guidelines for the diagnosis, evaluation, and treatment of pediatric hypertension. Turk Pediatri Ars. 2020;55(1):11-22. doi:10.14744/TurkPediatriArs.2020.92679
6. Brady TM, Stefani-Gl&uuml;cksberg A, Simonetti GD. Management of high blood pressure in children: similarities and differences between US and European guidelines. Pediatr Nephrol. 2019;34(3):405-412. doi:10.1007/s00467-018-3946-y
7. Sorof J, Daniels S. Obesity hypertension in children: a problem of epidemic proportions. Hypertension. 2002;40(4):441-447. doi:10.1161/01.hyp.0000032940.33466.12
8. Guilherme FR, Molena-Fernandes CA, Guilherme VR, F&aacute;vero MT, dos Reis EJ, Rinaldi W. Body-mass index, waist circumference, and arterial hypertension in students. Rev Bras Enferm. 2015;68(2):190-218. doi:10. 1590/0034-7167.2015680205i
9. Lee HJ, Shim YS, Yoon JS, Jeong HR, Kang MJ, Hwang IT. Distribution of waist-to-height ratio and cardiometabolic risk in children and adolescents: a population-based study. Sci Rep. 2021;11(1):9524. doi:10. 1038/s41598-021-88951-9
10. Hampl SE, Hassink SG, Skinner AC, et al. Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics. 2023;1;151(2):e2022060640. doi:10.1542/peds.2022-060640
11. Eslami M, Pourghazi F, Khazdouz M, et al. Optimal cut-off value of waist circumference-to-height ratio to predict central obesity in children and adolescents: a systematic review and meta-analysis of diagnostic studies. Front Nutr. 2023;4;9:985319. doi:10.3389/fnut.2022.985319
12. Eslami M, Pourghazi F, Khazdouz M, et al. Trends of overweight and obesity prevalence in school-aged children among Henan Province from 2000 to 2019. Front Public Health. 2022;10:1046026. doi:10.3389/fpubh. 2022.1046026
13. Olaya B, Moneta MV, Pez O, et al. Country-level and individual correlates of overweight and obesity among primary school children: a cross-sectional study in seven European countries. BMC Public Health. 2015;15(1):475. doi:10.1186/s1288
14. Hu K, Staiano AE. Trends in obesity prevalence among children and adolescents aged 2 to 19 years in the US from 2011 to 2020. JAMA Pediatr. 2022;176(10):1037-1039. doi:10.1001/jamaped
15. Discigil G, Tekin N, Soylemez A. Obesity in Turkish children and adolescents: prevalence and non-nutritional correlates in an urban sample. Child Care Health Dev. 2009;35(2):153-158. doi:10.1111/j.1365-2214.2008.00919.x
16. Meydanlioglu A, Akcan A, Oncel S, et al. Prevalence of obesity and hypertension in children and determination of associated factors by CHAID analysis. Arch Pediatr. 2022;29(1):30-35. doi:10.1016/j.arcped. 2020.10.017
17. Song P, Zhang Y, Yu J, et al. Global prevalence of hypertension in children: a systematic review and meta-analysis. JAMA Pediatr. 2019; 173(12):1154-1163. doi:10.1001/jamapediatrics.2019.3310
18. Nur N, Cetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, S&uuml;mer H. Prevalence of hypertension among high school students in a middle Anatolian province of Turkey. J Health Popul Nutr.2008;26(1):88-94.
19. Akis N, Pala K, Irgil E, Utku AM, Bingol S. Prevalence and risk factors of hypertension among schoolchildren aged 12-14 years in Bursa, Turkey. Saudi Med J. 2007;28(8):1263-1268.
20. Polat M, Yıkılkan H, Aypak C, G&ouml;rpelioğlu S. The relationship between BMI and blood pressure in children aged 7-12 years in Ankara, Turkey. Public Health Nutr. 2014;17(11):2419-2424. doi:10.1017/S1368980014000846
21. Noubiap JJ, Essouma M, Bigna JJ, Jingi AM, Aminde LN, Nansseu JR. Prevalence of elevated blood pressure in children and adolescents in Africa: a systematic review and meta-analysis. Lancet Public Health. 2017;2(8):e375-e386. doi:10.1016/S2468-2667(17)3012
22. Kangan RZ, Cheah WL, Hazmi H. Prevalence and associated factors of hypertension among primary school children: a cross-sectional study in Kuching, Sarawak. Malays Fam Physician. 2023;18(1):6. doi:10.51866/oa.211
23. Hypertension Diagnosis and Treatment Guide, Turkish Endocrine and Metabolism Association (2022), https://file.temd.org.tr/ Uploads/publications/guides/documents /Hipertansiyon-Kilavuzu-2022.pdf, Access Date: 6.1.2025
24. Vasudevan A, Thomas T, Kurpad A, Sachdev HS. Prevalence of and factors associated with high blood pressure among adolescents in India. JAMA Netw Open. 2022;5(10):e2239282. doi:10.1001/jamanetworkopen. 2022.39282
25. Dong B, Wang Z, Yang Y, Wang HJ, Ma J. Intensified association between waist circumference and hypertension in abdominally overweight children. Obes Res Clin Pract. 2016;10(1):24-32. doi:10.1016/j.orcp.2015.04.002
26. Trandafir LM, Russu G, Moscalu M, et al. Waist circumference a clinical criterion for prediction of cardio-vascular complications in children and adolescences with overweight and obesity. Medicine (Baltimore). 2020; 99(30):e20923. doi:10.1097/MD.0000000000
27. Chung IH, Park S, Park MJ, Yoo EG. Waist-to-height ratio as an index for cardiometabolic risk in adolescents: results from the 1998-2008 KNHANES. Yonsei Med J. 2016;57(3):658-663. doi:10.3349/ymj.2016.57. 3.658
28. Akgun C, Dogan M, Akbayram S, et al. The incidence of asymptomatic hypertension in school children. J Nippon Med Sch. 2020;77(3):160-165. doi:10.1272/jnms.77.160
29. Zhao Y, Wang L, Xue B, Wang Y. Associations between general and central obesity and hypertension among children: the childhood obesity study in China Mega-Cities. Sci Rep. 2017;7(1):16895. doi:10.1038/s41598-017-16819-y
30. Ercan Ş, Aypak C, G&uuml;ven D. Association between screen time and developmental screening test performance in children under the age of five. J Controv Obstetr Gynecol Ped. 2024;2(4):72-77. doi:10.51271/JCOGP-0034
Article available in :
Volume 3, Issue 2, 2025
Page : 42-48
https://doi.org/10.51271/JCOGP-0047
Article Information
Received : 27 Şub 2025
Accepted : 04 Nis 2025
Published : 11 Nis 2025
Corresponding Author :

Deniz Güven: Department of Pediatrics, Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Ünlü D, Aypak C, Güven D. What is the role of body-mass index, waist circumference and waist to height ratio in predicting the risk of high blood pressure in children aged 3-18 years? J Controv Obstetr Gynecol Ped. 2025;3(2):42-48.

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