Key result
Central obesity in obese adolescents was associated with a 3.6-fold increased risk of developing hypertension compared to obese adolescents without central obesity.
Why the study?
The increasing prevalence of central obesity in adolescents is accompanied by increased cardiovascular disease risk factors, prompting further exploration of the relationship between central obesity and hypertension.
Does central obesity increase the risk of hypertension in obese adolescents?
Observational (n=140)
Yes
Does central obesity increase the risk of hypertension in obese adolescents?
Relative Risk: 3.6
Absolute Event Rate: 64.29% vs 17.86%
p-value: p=<0.001
Central obesity is significantly associated with an increased risk of hypertension in obese adolescents, with a more pronounced risk observed in males compared to females.
May warrant closer BP monitoring in centrally obese adolescents; hypothesis-generating and requires prospective confirmation before guiding practice.
The increasing prevalence of central obesity in adolescents is accompanied by an increase in risk factors for cardiovascular disease. The study aims to analyze the relationship between central obesity and the risk of hypertension in obese adolescents, including both male and female subjects. This study was undertaken to provide opportunities for further exploration of the relationship between central obesity and hypertension in adolescents. The study was a retrospective observational study that utilized medical record data from a previous research project entitled "Polimorfisme Gen Adiponectin ADIPOQ +45 T>G, ADIPOQ – 11377 C>G dengan Kadar Adiponektin Pada Remaja Obesitas dan Resiko Sindrom Metabolik." This data was obtained from research conducted on obese adolescents aged 13-18 years in junior and senior high schools in Surabaya and Sidoarjo who met the criteria. The sample comprised 140 obese adolescents, who were then categorized into two groups: those without central obesity and those with central obesity. Statistical data were analyzed using SPSS with the Chi Square test. There is a very strong and significant relationship between central obesity and the risk of hypertension in obese adolescents (p = 0.000; r = 0.373); central obesity and the risk of hypertension in obese male adolescents (p = 0.001; r = 0.587); and central obesity and the risk of hypertension in obese female adolescents (p = 0.003; r = 0.300). The study found a significant relationship between central obesity and hypertension risk in obese adolescents. Adolescents with central obesity were 3.6 times more likely to develop hypertension than those without. Male adolescents with central obesity were 6.5 times more likely to develop hypertension than those without. Female adolescents with central obesity were 2.9 times more likely to develop hypertension
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Maharani et al. (2023) conducted an observational in Obesity and Hypertension (n=140). Central obesity vs. No central obesity was evaluated on Incidence of hypertension (RR 3.6, p=<0.001). Central obesity in obese adolescents was associated with a 3.6-fold increased risk of developing hypertension compared to obese adolescents without central obesity.
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