Hypertension, overweight and obesity in adolescents: the CRO-KOP study [Arterijska hipertenzija, prekomjerna tjelesna težina i pretilost koprivničkih adolescenata: Cro-Kop studija]

Pećin, Ivan and Samovojska, Romana and Heinrich, Branko and Željković-Vrkić, Tajana and Laganović, Mario and Jelaković, Bojan (2013) Hypertension, overweight and obesity in adolescents: the CRO-KOP study [Arterijska hipertenzija, prekomjerna tjelesna težina i pretilost koprivničkih adolescenata: Cro-Kop studija]. Collegium Antropologicum, 37 (3). pp. 761-764. ISSN 0350-6134

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Abstract

The objective of this study was to determine the prevalence of hypertension, overweight and obesity in Croatian adolescents. In this cross-sectional survey (the sub-study of the EH-UH study) 375 boys and 381 girls (mean age 15.9 +/- 0.5 years) from four high schools in the city of Koprivnica were enrolled. Blood pressure, body height and body weight were measured according to the current ESH/ESC guidelines. Data on life style were obtained from questionnaire. Average blood pressure values were higher in boys than in girls (117/74 mmHg vs. 111/69 mmHg; p < 0.001). Significantly higher blood pressure values were obtained in overweight children compared to those with normal weight (119/76 mmHg us. 115/72 mmHg; p < 0.01). Prevalence of hypertension was 8.5% in the whole group being significantly higher in boys than in girls (11.2% vs. 5.8%; p = 0.0007). As expected, prevalence of hypertension was significantly higher in obese children than in those with normal weight (20.0% vs. 6.8%; p = 0.015). A significant correlation was found between body mass index and blood pressure (p = 0.0001). The overall prevalence of obesity was 3.54% (boys 2.2%; girls 4.9%). Our results confirmed positive relationship between overweight, obesity and hypertension starting from childhood pointing again the utmost importance of preventive measures beginning from early life.

Abstract in Croatian

Cilj ove studije je odrediti prevalenciju arterijske hipertenzije, prekomjerne tjelesne težine i pretilosti u hrvatskih adolescenata. U ovu studiju, koja je dio nacionalne EH-UH studije, uključeno je 375 dječaka i 381 djevojčica (srednje dobi 15,9± 0,5 godina) iz četiri srednje škole grada Koprivnice. Arterijski tlak mjeren je sukladno recentnim preporukama, uzeti su podaci o tjelesnoj masi i visini te proveden iscrpan upitnik o životnim navikama. Rezultati ukazuju kako su srednje vrijednosti arterijskog tlaka više u dječaka no u djevojčica (117/74 mmHg vs. 111/69 mmHg; p<0,001). Ukupna prevalencija petilosti je 3,54% (dječaci 2,2%; djevojčice 4,9%). Značajno više vrijednosti arterijskog tlaka imaju prekomjerno teški adolescenati u usporedbi s adolescentima uredne tjelesne težine (119/76 mmHg vs. 115/72 mmHg; p<0,01). Prevalencija arterijske hipertenzije je 8,5% u cjelokupnoj ispitivanoj populaciji, značajno viša u dječaka no u djevojčica (11,2% vs. 5,8%; p=0,0007). Prevalencija hipertenzije bila je viša u pretilih adolescentata (20,0% vs. 6,8%; p=0,015) u usporedbi s adolescentima normalne tjelesne težine. Prati se značajna korelacija između indeksa tjelesne mase i arterijskog tlaka (p=0,0001). Rezultati ove studije potvrđuju pozitivnu povezanost prekomjerne tjelesne težine, pretilosti i arterijske hipertenzije s početkom već od najranije životne dobi, pritom skrečući pozornost na važnost provođ enja preventivnih mjera već od najranije životne dobi.

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