Summary:
Background: The associations between elevated blood
pressure and overweight increasing now a days. Over the last
few decades the prevalence of elevated blood pressure also
increased in children due to increasing pediatric overweight
because of changing dietary habits, changing pattern of life
style.
Objective: To see the body mass index and waist hip ratio a
predictor of hypertension of adolescent boys and girls in a
metropolitan city in Bangladesh.
Methods and Materials: This cross-sectional– descriptive
study was conducted in the department of Pediatrics, Sylhet
M.A.G. Osmani Medical College Hospital, Sylhet during
the period from January 2014 to June 2014. Adolescent boys
and girls in Sylhet Metropolitan City were included
according to inclusion and exclusion criteria. Inclusion
criteria were children aged 12-16 years in Sylhet
Metropolitan City. Children aged under 12 or above 16 years
and with any systemic disorder were excluded.
Results: This study showed that 56.4% adolescents were male
and 43.6% were female with ratio of male: female = 1.3:1
and their average age was 14±2 yrs. Average height of male
was 154.82±49.08 cm and female was 148.42±38.09 cm.
Average weight of male was 49.12±10.49 kg and that of
female was 44.48±12.08 kg .Prevalence of hypertension in
adolescent boys and girls of Sylhet city was 0.70% and there
was a significant relationship of hypertension with the
obesity. Among 7 (seven) hypertensive children, 3(42.8%)
were overweight and 3(42.8%) obese (p=0.001). While waist
hip ratio among those, 2(28.6%) were excellent and 5(71.4%)
were average; was not significant (p=0.745) among the
hypertensive adolescents.
Conclusion: Prevalence of hypertension in apparently
healthy adolescent child of Sylhet city was 0.70% and had a
strong relationship with high body mass index.
Key words: Hypertension, body mass index, essential
hypertension
(J Bangladesh Coll Phys Surg 2020; 38: 110-115)
DOI: https://doi.org/10.3329/jbcps.v38i3.47057