Key result
Obesity in rural female adolescents linked to ~9-fold greater odds of elevated SBP.
Cross-Sectional (n=2,038)
Odds Ratio: 9
Adolescents in rural US populations exhibit significant ethnic and gender disparities in obesity and elevated systolic blood pressure, highlighting a high risk for metabolic disorders in these disadvantaged communities.
May warrant closer BP monitoring in obese rural adolescent girls; hypothesis-generating for rural gender disparities in hypertension.
A cross-sectional study was conducted to assess the prevalence of overweight, obesity, and elevated systolic blood pressure (SBP) in ethnically diverse adolescents (1064 males; 974 females; 13-17 years) in a rural community. Prevalence of overweight was 20.4% in females and 17.5% in males. In contrast, the prevalence of obesity was 29.4% in males and 14.5% in females. African American males had the highest prevalence of obesity (33.3%) compared with non-Hispanic whites (26.3%). Prevalence of elevated SBP was higher than pre-elevated SBP in males regardless of race/ethnicity, but not in females. Obese females had 4-fold and 9-fold greater odds of developing pre-elevated SBP and elevated SBP, respectively, than their normal weight cohorts. Prevalence of obesity is almost twice that of overweight in males in our rural population suggesting that adolescent males from disadvantaged, rural populations are potentially at a greater risk for metabolic disorders than those in major metropolitan areas.
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Rodríguez et al. (2010) conducted a cross-sectional in Obesity and elevated systolic blood pressure (n=2,038). Obesity vs. Normal weight was evaluated on Elevated systolic blood pressure (OR 9). Obesity in rural female adolescents was associated with a 9-fold greater odds of elevated systolic blood pressure compared to normal weight peers.
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