Yıl: 2009 Cilt: 9 Sayı: 6 Sayfa Aralığı: 450 - 456 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight

Öz:
Amaç: Türkiye’de batı bölgesinde “fazla kiloluluk” prevalansının düşük olduğu bir kentte “fazla kiloluluk” ve hipertansiyon ilişkisini tanımlamak amacı ile 15-18 yaş grubu 1346 adolesan üzerinde okul tabanlı bir enine-kesitsel çalışma yürütülmüştür. Yöntemler: Adolesanların yaş, cinsiyet özellikleri sorgulanmış, ağırlık ve boyları ölçülmüştür. Vücut kütle indeksi yüzdelikleri US CDC tarafından yaş ve cinsiyete göre geliştirilmiş olan referans veriler kullanılarak “fazla kilolu olanlar (≥95. yüzdelik)” ve “fazla kiloluluk için riskli olanlar (≤85. yüzdelik- <95. yüzdelik)” tanımlanmıştır. Hipertansiyon (yaş, cinsiyet ve boy yüzdeliğine göre sistolik ve/veya diyastolik kan basıncı 95. yüzdelik ve üzerinde olanlar) “Çocuklarda ve Adolesanlarda Yüksek Kan Basıncının Tanısı, Değerlendirmesi ve Tedavisi Konusunda Dördüncü Rapor (2004)”a göre tanımlanmıştır. İstatistiksel analizlerde Ki-kare testi, eğimde Ki-kare testi ve lojistik regresyon modeli kullanılmıştır. Bulgular: Araştırma grubunun %10.7’si “fazla kiloluluk için riskli”, %3.2’si “fazla kilolu” olarak saptanmıştır. Araştırma grubunun %3.5’i hipertansiftir. Yaş, cinsiyet, gelir düzeyi ve ailede hipertansiyon öyküsüne göre düzeltilmiş analizlerde “fazla kiloluluk açısından risk altında olma” (Olasılık Oranı [OR]=5.09, %95GA: 2.57-10.07) ve “fazla kiloluluk” (OR=7.60, %95 GA: 2.90-19.89) hipertansiyon açısından risk oluşturan faktörler olarak saptanmıştır. Sonuç: Araştırmanın sonuçları Manisa’da adolesanlarda fazla kiloluluk ve hipertansiyon prevalansının düşük olduğunu göstermektedir. Adolesanların düşük kardiyovasküler risk profilinin yetişkinlikte de sürdürülmesi önem taşımaktadır. Obesite ve hipertansiyondan primer korunmada okul tabanlı bir sağlığı geliştirme programı oluşturulmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Lobstein T, Frelut ML. Prevalence of overweight among children in Europe. Obes Rev 2003; 4: 195-200.
  • 2. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004; 113: 475-82.
  • 3. Ogden CL, Yanovski SZ, Carroll MD, Flegal KM. The epidemiology of obesity. Gastroenterology 2007; 132: 2087-102.
  • 4. Baur LA. Child and adolescent obesity in the 21st century: an Australian perspective. Asia Pac J Clin Nutr 2002; 11 (Suppl 3): 524-8.
  • 5. Özmen D, Özmen E, Ergin D, Çetinkaya AC, Şen N, Dündar PE, et al. The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health 2007; 7: 80.
  • 6. Öner N, Vatansever U, Sarı A, Ekuklu E, Güzel A, Karasalihoğlu S, et al. Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Med Wkly 2004; 134: 529-33.
  • 7. Uçkun-Kitapçı A, Teziç T, Fırat S, Sipahi T, Barrier R, Edwards LJ, et al. Obesity and type 2 diabetes mellitus: a population-based study of adolescents. J Pediatr Endocrinol Metab 2004; 17: 1633-40.
  • 8. Ağırbaşlı M, Tanrıkulu B, Arıkan S, İzci E, Özgüven S, Besimoğlu B, at al. Trends in body mass index, blood pressure and parental smoking habits in middle socio-economic level Turkish adolescents. J Hum Hypertens 2008; 22: 12-7.
  • 9. Şimşek E, Akpınar S, Bahçebaşı T, Şenses DA, Kocabay K. The prevalence of overweight and obese children aged 6-17 years in the West Black Sea region of Turkey. Int J Clin Pract 2008; 62: 1033-8.
  • 10. Türkkahraman D, Bircan I, Tosun O, Saka O. Prevalence and risk factors of obesity in school children in Antalya, Turkey. Saudi Med J 2006; 27: 1028-33.
  • 11. Özer BK. Growth reference centiles and secular changes in Turkish children and adolescents. Econ Hum Biol 2007; 5: 280-301.
  • 12. Branca F, Nikogosian H, Lobstein T; World Health Organization. Regional Office for Europe. The challenge of obesity in the WHO European Region and the strategies for response Copenhagen, Denmark: WHO Regional Office for Europe; c2007. Available from: URL: http://www.euro.who.int/document/mediacentre/fs1305e.pdf
  • 13. Sorof J, Daniels S. Overweight hypertension in children a problem of epidemic proportions. Hypertension 2002; 40: 441-7.
  • 14. Burke V, Beilin LJ, Dunbar D, Kevan M. Associations between blood pressure and overweight defined by new standards for body mass index in childhood. Prev Med 2004; 38: 558-64.
  • 15. Tarlton PA. Prevalence of elevated blood pressure in Hispanic versus non-Hispanic 6th graders. J Sch Nurs 2007; 23: 47-52.
  • 16. Din-Dzietham R, Liu Y, Bielo MV, Shamsa F. High blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation 2007; 116: 1488-96.
  • 17. Rosner B, Prineas R, Daniels SR, Loggie J. Blood pressure differences between blacks and whites in relation to body size among US children and adolescents. Am J Epidemiol 2000; 151: 1007-19.
  • 18. Sorof JM, Poffenbarger T, Franco K, Bernard L, Portman RJ. Isolated systolic hypertension, overweight, and hyperkinetic hemodynamic states in children. J Pediatr 2002; 140: 660-6.
  • 19. McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr 2007; 150: 640-4.
  • 20. Kaur S, Kapil U, Singh P. Pattern of chronic diseases amongst adolescent obese children in developing countries. Curr Sci 2005; 88: 1052-6.
  • 21. Moura AA, Silva M, Ferraz MR, Rivera IR. Prevalence of high blood pressure in children and adolescents from the city of Maceió, Brazil. J Pediatr (Rio J) 2004; 80: 35-40.
  • 22. Chu NF, Wang DJ, Shieh SM. Obesity, leptin and blood pressure among children in Taiwan: The Taipei Children’s Heart Study. Am J Hypertens 2001; 14: 135-40.
  • 23. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data 2000; 314: 1-27.
  • 24. Whitlock EP, Williams SB, Gold R, Smith PR, Shipman SA. Screening and interventions for childhood overweight: a summary of evidence for the US Preventive Services Task Force. Pediatrics 2005; 116: e125-44.
  • 25. 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.
  • 26. Ishikawa Y, Ishikawa J, Ishikawa S, Kayaba K, Nakamura Y, Shimada K et al. Jichi Medical School Cohort Investigators Group. Prevalence and determinants of prehypertension in a Japanese general population: the Jichi Medical School Cohort Study. Hypertens Res 2008; 31: 1323-30.
  • 27. Fredriks AM, Van Buuren S, Sing RA, Wit JM, Verloove-Vanhorick SP. Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr 2005; 94: 496-8.
  • 28. Uçar B, Kılıç Z, Çolak Ö, Öner S, Kalyoncu C. Coronary risk factors in Turkish schoolchildren: randomized cross-sectional study. Pediatr Int 2000; 42: 259-67.
  • 29. Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA 2004; 291: 2107-13.
  • 30. Stabouli S, Kotsis V, Papamichael C, Constantopoulos A, Zakopoulos N. Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness. J Pediatr 2005; 147: 651-6.
  • 31. Celal Bayar Üniversitesi, Manisa İl Sağlık Müdürlüğü. Manisa Nüfus ve Sağlık Araştırması 2005. Manisa: Yedikardeşler ofset; 2007.
  • 32. Szklo M, Nieto J F. Epidemiology: beyond the basics. 3rd ed. Massachusetts: Jones and Bartlett Publishers; 2007.
  • 33. Neyzi O, Furman A, Bundak R, Günöz H, Darendeliler F, Bas F. Growth references for Turkish children aged 6 to 18 years. Acta Paediatr 2006; 95: 1635-41.
  • 34. Öztürk A, Mazıcıoğlu MM, Hatipoğlu N, Budak N, Keskin G, Yazlak Z, et al. Reference body mass index curves for Turkish children 6 to 18 years of age. J Pediatr Endocrinol Metab 2008; 21: 827-36.
APA Dinç G, BAYDUR H, ÖZCAN C (2009). Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. , 450 - 456.
Chicago Dinç Gönül,BAYDUR Hakan,ÖZCAN Cemil Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. (2009): 450 - 456.
MLA Dinç Gönül,BAYDUR Hakan,ÖZCAN Cemil Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. , 2009, ss.450 - 456.
AMA Dinç G,BAYDUR H,ÖZCAN C Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. . 2009; 450 - 456.
Vancouver Dinç G,BAYDUR H,ÖZCAN C Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. . 2009; 450 - 456.
IEEE Dinç G,BAYDUR H,ÖZCAN C "Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight." , ss.450 - 456, 2009.
ISNAD Dinç, Gönül vd. "Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight". (2009), 450-456.
APA Dinç G, BAYDUR H, ÖZCAN C (2009). Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyoloji Dergisi, 9(6), 450 - 456.
Chicago Dinç Gönül,BAYDUR Hakan,ÖZCAN Cemil Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyoloji Dergisi 9, no.6 (2009): 450 - 456.
MLA Dinç Gönül,BAYDUR Hakan,ÖZCAN Cemil Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyoloji Dergisi, vol.9, no.6, 2009, ss.450 - 456.
AMA Dinç G,BAYDUR H,ÖZCAN C Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyoloji Dergisi. 2009; 9(6): 450 - 456.
Vancouver Dinç G,BAYDUR H,ÖZCAN C Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyoloji Dergisi. 2009; 9(6): 450 - 456.
IEEE Dinç G,BAYDUR H,ÖZCAN C "Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight." Anadolu Kardiyoloji Dergisi, 9, ss.450 - 456, 2009.
ISNAD Dinç, Gönül vd. "Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: A strong relationship in a population with a relatively low prevalence of overweight". Anadolu Kardiyoloji Dergisi 9/6 (2009), 450-456.