Type of Article : Original Article

Year: 2014 | Volume 2 | Issue 6 | Page No. 777-780

Date of Publication: 11-12-2014

DOI: 10.16965/ijpr.2014.685

PREVALENCE OF OBESITY & HYPERTENSION IN ADOLESCENT SCHOOL GOING CHILDREN OF BERHAMPUR, ODISHA, INDIA  

Satyajit Bagudai *¹, Pranati Nanda ², Satyanath Reddy Kodidala ³.  

*¹Tutor, Dept. Of Physiology, M.K.C.G. Medical College,Berhampur, Orissa, India.
² Associate Professor, Dept. Of Physiology,M.K.C.G. Medical College, Berhampur, Orissa, India.
³ Tutor, Dept. Of Physiology, Santhiram Medical College, Andhra Pradesh, India.

Corresponding author: Dr. Satyajit Bagudai, Tutor,Dept Of Physiology, M.K.C.G. Medical College, Berhampur, Orissa, India.
E-Mail: sbagudai@gmail.com

Abstract:

Background: In the prevailing era of adult hypertension, limited data are available regarding the profile of childhood obesity & hypertension from India. We examined & studied the prevalence of childhood obesity & hypertension in a representative sample of school children from Berhampur, Odisha & tried to find out if any relationship is there or not between obesity & hypertension in those study population.
Methods: In a cross sectional study we select the children from different schools of Berhampur, Odisha during 2009-11. In this, 5155 student of 10-16 Yrs. of age group were taken. Blood pressure & anthropometrics data were collected. Overweight & obesity were defined by body mass index for gender & age. Gender, age & height were considered for determining hypertension. The hypertensive children were followed up at 6 monthly intervals, 3 times, to look for persistent hypertension.
Results: out of 5155 students, 10.4% students were over weight & 3.6% were obese (3.68%). 190(3.68%) students were found to have sustained hypertension. The number of girls students having hypertension (4.47%) was more then boys (3.2%). There was a significant association of hypertension in obese group in comparison to overweight & normal blood pressure group.
Conclusion: Prevalence of sustained hypertension overweight & obesity is on rise in adolescent age groups in this part of world. Possible related factors for this current trend may be the increasing sedentary life style, altered eating habits, and increased fat content of diet. The result suggests the need for more public awareness & prevention programs for childhood obesity & hypertension.
KEYWORDS:Obesity, Hypertension, Adolescent, Standards of life, Weight, Blood Pressure.

References

1. Agarwal VK, Sharan R, Srivastava AK, Kumar P, Pandey CM. Blood pressure profile is children of age 3 to 15 Yrs. Indian pediatric 1983;20:921-925.
2. WHO preventing chronic disease: a vital investment. World Global Report. Genera: World Health organization:2005.
3. Gupta AK, Ahmed AJ, normal blood pressures and the evaluation of sustained blood pressure elevation in childhood. Indian pediatric. 1990;27:33-42.
4. Sachdev Y. Normal blood pressure & hypertension in Indian children Indian pediatric 1984;21:41-48.
5. Verma M, Chhatwal J, George SM. Obesity & hypertension in children. Indian pediatric 1994;31:1065-1069.
6. Chhatwal J, Verma M, Rial SK. Obesity among pre-adolescent and adolescents of a developing country (India). Asia Pac J. Clin Nutr 2004;13:231-5.
7. Marwaha RK, Tandon N, singh Y, aggarwal R, Grewal K, Mani K. A study of growth parameters and prevalence of overweight and obesity in school children from Delhi. Indian pediatr 2006;43:943-52.
8. Khadikar VV, Khadikar AV. Prevalence of obesity in affluent school boys in pune. Indian pediatr 2004; 41:857-8.
9. Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert committee recommendation. The Maternal and child health Bureau, Health Resources and Services Administration and the department of health and human services. Pediatrics 1998;102:E29.
10. Department of health and human services. Centers for disease control and prevention, USA. CDC growth charts for the united states [database on the internet]. Available at http://www.cdc.gov/nchs/data/nhanes/growthcharts/score/bmiagerev.x/s
11. Mohan B, Kumar N et al. Prevalence of sustained hypertension and obesity in urban and rural school going children in ludhiana. Indian heart journal 2004 Jul-Aug;56 (4):210-4.
12. Gupta AK, Ahmed AJ. Normal blood pressures and the evaluation of sustained blood pressure elevation in childhood. Indian pediatr 1990;27:33-42.
13. Sachdev Y. Normal blood pressure and hypertension in Indian children. Indian pediatr 1984;21:41-48.
14. Chadha SL. Tandon R, Shekhawat S, Gopinath N. An epidemiological study of blood pressure in school children (5-14 Yrs) in Delhi. Indian heart J 1999;51:178-182.
15. Hahn L. The relation of blood pressure to weight, height and body surface area in school boys aged 11-15 Yrs. Arch Dis child 1952;27:43-53.
16. Verma M. Chhatwal J, George SM. Obesity and hypertension in children. Indian pediatr 1994;31:1065-9.
17. Rosner B, Prineas R, Daniels SR, Loggie J. blood pressure differences between blacks and whites in relation to body size among US children and adolescents. AM J Epidemiol 2000;151:1007-19.
18. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents. The Bogalusa Heart study. pediatrics 1999;103:1175-82.
19. Oh SW, Shin SA, Yun YH, Yoo T, Huh By. Cut-off point of BMI and obesity – related co-morbidities and mortality in middle – aged Koreans. Obes Res. 2004;12:2031-40.