Cardiorespiratory fitness and risk factors for high blood pressure among adolescents
DOI:
https://doi.org/10.15448/1980-6108.2014.4.16539Keywords:
BLOOD PRESSURE, BODY MASS INDEX, PHYSICAL FITNESS, RISK FACTORS, ADOLESCENCEAbstract
AIMS: To analyze possible associations of blood pressure level with cardiorespiratory fitness and body mass index in adolescents of low socioeconomic status. METHODS: The study included adolescents aged 14 to 17 years at a public school in Fortaleza, Ceará, which serves a population of low income and high social risk. Weight, height, systolic and diastolic blood pressure were measured, and cardiorespiratory fitness was estimated by the running test. The statistical analysis included percentages, mean, standard deviation, Student t test, chi-square and binary logistic regression, adopting p<0,05 as significant. SPSS 17.0 package was used for analysis. RESULTS: The study included 308 adolescents, being 177 boys. It was found that 12.3% of adolescents were overweight; 75.3% had low cardiorespiratory fitness; and 51% had high blood pressure. Adolescents whose body mass index was above the health criteria had higher risk of increased levels of systolic blood pressure (odds ratio 3.02; 95% confidence interval 2.94-6.13; p<0.01) and diastolic (odds ratio 3.41; 95% confidence interval 1.55-7.49; p=0.02). Cardiorespiratory fitness had no statistically significant association with blood pressure and body mass index. CONCLUSIONS: In adolescents of low socioeconomic status, high body mass index were associated with increased blood pressure. Excess weight, low cardiorespiratory fitness and blood pressure above normal were prevalent in this population.Downloads
References
World Health Organization. The Global Burden of Disease – 2004 Update. [Internet]. Geneva; 2008. [cited 2012 Aug]. Available at: http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf?ua=1
Souza EA, Barbosa Filho VC, Nogueira JAD, Azevedo Júnior MR. Atividade física e alimentação saudável em escolares brasileiros: revisão de programas de intervenção. Cad Saúde Pública. 2011;27(8):1459-71.
Petroski EL, Silva AF, Rodrigues AB, Pelegrini A. Aptidão física relacionada a saúde em adolescentes brasileiros residentes em áreas de médio/baixo índice de desenvolvimento humano. Rev Salud Pública. 2011;13(2):219-28.
Juonala M, Järvisalo MJ, Mäki-Torkko N, Kähönen M, Viikari JS, Raitakari OT. Risk factors identified in childhood and decreased carotid artery elasticity in adulthood: the Cardiovascular Risk in Young Finns Study. Circulation. 2005;112(10):1486-93.
Pinto SL, Silva RC, Priore SE, Assis AMO, Pinto EJ. Prevalência de pré-hipertensão e de hipertensão arterial e avaliação de fatores associados em crianças e adolescentes de escolas públicas de Salvador, Bahia, Brasil. Cad Saúde Pública. 2011;27(6):1065-76.
Bergmann GG, Gaya A, Halpern R, Bergmann MLA, Rech RR, Constanzi CB, Alli LR. Índice de massa corporal para triagem de fatores de risco para doenças cardiovasculares na infância. Arq Bras Endocrinol Metab. 2011; 55(2):114-20.
Barbosa Filho VC, Reges LAG, SOUZA EA, Ribeiro EAG, Lima AB. Práticas esportivas e recreativas em adolescentes com excesso de peso: análise da composição corporal e do desempenho motor. Motriz. 2011; 17(2):264-73.
Araújo TL, Lopes MVO, Cavalcante TF, Guedes NG, Moreira RP, Chaves ES, Silva VM. Análise de indicadores de risco para hipertensão arterial em crianças e adolescentes. Rev Esc Enferm USP. 2008;42(1):120-26.
Marchi-alves LM, Mazzo A. Obesidade infantil ontem e hoje: importância da avaliação antropométrica pelo enfermeiro. Esc Anna Nery 2011;87(1):238-44.
Brasil. Ministério da Saúde. Vigitel Brasil 2010: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. [Internet]. Brasília (DF); 2011. [cited 2012 Aug]. Available at: http://portal.saude.gov.br/portal/arquivos/pdf/vigitel2010_final_web.pdf
Brasil. Ministério do Planejamento, Orçamento e Gestão e Ministério da Saúde. POF Brasil: Pesquisa de Orçamentos Familiares. Instituto Brasileiro de Geografia e Estatística – IBGE: Rio de Janeiro; 2010.
Burgos MS, Reuter CP, Burgos LT, Pohl HH, Pauli LTS, Horta JA, Reckziegel MB, Franke SIR, Prá D. Uma análise entre índices pressóricos, obesidade e capacidade cardiorrespiratória em escolares. Arqu Bras Cardiol. 2010;94(6):788-93.
Gomes BMR, Alvez JGBA. Prevalência de hipertensão arterial e fatores associados em estudantes de Ensino Médio de escolas públicas da Região Metropolitana do Recife, Pernambuco, Brasil, 2006. Cad Saúde Pública. 2009;25(2):375-81.
Monego ET, Jardim PCBV. Determinantes de risco para doenças cardiovasculares em escolares. Arqu Bras Cardiol. 2006;87(1):37-45.
Anderssen SA1, Cooper AR, Riddoch C, Sardinha LB, Harro M, Brage S, Andersen LB. Low cardiorespiratory fitness is a strong predictor for clustering of cardiovascular disease risk factors in children independent of country, age and sex. Eur J Cardiovasc Prev Rehabil. 2007; 14(4):526-31.
Carnethon MR, Gulati M, Greenland P. Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. JAMA. 2005; 294(23):2981-8.
Fernandes RA, Casonatto J, Christofaro DGD, Cucato GG, Romanzini M, Ronque ERV. Excesso de peso e pressão arterial elevada em adolescentes blood pressure in adolescents. Rev Bras Med Esporte 2010;16(6):404-07.
PROESP-BR. Projeto Esporte Brasil: Manual. [Internet]. Porto Alegre: 2009. [cited 2010 May 10]. Available at: http://www.proesp.ufrgs.br.
World Health Organization. Growth reference data for 5-19 years, WHO reference 2007. [Internet]. [cited 2014 Aug 4]. Available at: http://www.who.int/growthref/en/.
National High Blood Pressure Education. Program Working Group on High Blood Pressure in Children and Adolescents: the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004; 114:555-76.
Brito AKA, Silva Júnior FL., Coelho LS, França NM. Nível de atividade física e correlação com o índice de massa corporal e percentual de gordura em adolescentes escolares da cidade de Teresina-PI. Rev Bras Ativ Fís Saúde. 2012;17(3):212-16.
Pereira CH, Ferreira DS, Copetti GL, Guimarães LC, Barbacena MM, Liggeri N, Castro OG, Lobato S, de David AC. Aptidão física em escolares de uma unidade de ensino da rede pública de Brasília-DF. Rev Bras Ativ Fís Saúde. 2011;16(3):223-7.
de Visser DC, van Hooft IM, van Doornen LJ, Hofman A, Orlebeke JF, Grobbee DE. Anthropometric measures, fitness and habitual physical activity in off-spring of hypertensive parents. Dutch Hypertension and Offspring Study. Am J Hypertens. 1994; 7(3):242-48.
Guedes DP, Guedes JERP, Barbosa DS, Oliveira JA, Stanganelli LCR. Fatores de Risco Cardiovasculares am adolescentes: Indicadores Biológicos e Comportamentais. Arqu Bras Cardiol. 2006;86(6):439-50.
Falkner B, Gidding SS, Ramirez-Garnica G, Wiltrout SA, West D, Rappaport EB. The relationship of body mass index and blood pressure in primary care pediatric patients. J Pediatr. 2006; 148(2):195-200.
Nur N, Cetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, Sümer H. Prevalence of hypertension among high school students in a middle Anatolian province of Turkey. J Health Popul Nutr. 2008; 26:88-94.
Borges LMP, Peres MA, Horta BL. Prevalência de níveis pressóricos elevados em escolares de Cuiabá, Mato Grosso. Rev Saúde Pública. 2007; 41(4):530-38.
Ferreira JS, Aydos RD. Prevalência de hipertensão arterial em crianças e adolescentes obesos. Ciênc Cuid Saúde. 2010; 15(1):97-104.
Boyd GS, Koenigsberg J, Falkner B, Gidding S, Hassink S. Effect of obesity and high blood pressure on plasma lipid levels in children and adolescents. Pediatrics. 2005; 116(2):442-6.
Klasson-Heggebø L, Andersen LB, Wennlöf AH, Sardinha LB, Harro M, Froberg K, Anderssen SA. Graded associations between cardiorespiratory fitness, fatness, and blood pressure in children and adolescents. Br J Sports Med. 2006; 40(1):25-9.
National high Blood Pressure Education Program Working Group High Blood Pressure in Children and Adolescents. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004; 114(2):555-76.
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