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March 21, 2015Medical Journal of IndonesiaOpen Access

Body mass index and waist-to-height ratio cut-offs as predictors of high blood pressure in adolescents

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Key result

A BMI-for-age Z-score cut-off of 0.51 predicted high systolic blood pressure with 82% sensitivity and 76% specificity, while a waist-to-height ratio cut-off of 0.45 yielded 76% sensitivity.

Why the study?

What are the optimal cut-off points for BMI and WHtR to predict high blood pressure in adolescents?

Population

928 children aged 11 to 16 years in Yogyakarta

Design

Cross-sectional

Authors

KFKurnia FebrianaUniversitas Gadjah MadaNNNeti NuraniUniversitas Gadjah MadaMJMadarina JuliaUniversitas Gadjah Mada

Discussion

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Member takes

Overview

May aid adolescent BP screening; leaves open prospective validation before clinical adoption.

Study Design

Type

Cross-Sectional (n=928)

Structured PICO

What are the optimal cut-off points for BMI and WHtR to predict high blood pressure in adolescents?

P
Population
928 children aged 11 to 16 years in Yogyakarta evaluated to determine BMI and waist-to-height ratio cut-offs for predicting high blood pressure.
E
Exposure
Body mass index-for-age Z-score (BMIZ) and waist-to-height ratio (WHtR)
O
Outcome
High blood pressure (systolic and diastolic)surrogate

A BMIZ of 0.51 and WHtR of 0.45 are optimal cut-offs for predicting high blood pressure in adolescents, which may help identify at-risk children in pediatric practice.

Cite This Study

Febriana et al. (2015) conducted a cross-sectional in High blood pressure (n=928). Body mass index and waist-to-height ratio was evaluated on High blood pressure. A BMI-for-age Z-score cut-off of 0.51 predicted high systolic blood pressure with 82% sensitivity and 76% specificity, while a waist-to-height ratio cut-off of 0.45 yielded 76% sensitivity.

synapsesocial.com/papers/6a8c28107239707559beebb0https://doi.org/10.13181/mji.v24i1.1200
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Also Consider

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  1. 1Increase in Body Mass Index, Waist Circumference and Waist-to-Height Ratio is Associated with High Blood Pressure in Children and Adolescents in China2011 · 35 citations
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  3. 3Blood Pressure Is Associated With Body Mass Index in Both Normal and Obese Children2000 · 175 citations
  4. 4Gender Differences in Diagnostic Values of Visceral Fat Area and Waist Circumference for Predicting Metabolic Syndrome in Koreans2011 · 57 citations
  5. 5Blood Pressure Variability and Classification of Prehypertension and Hypertension in Adolescence2008 · 201 citations