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Journal of Tropical Pediatrics Advance Access originally published online on March 18, 2009
Journal of Tropical Pediatrics 2009 55(5):313-317; doi:10.1093/tropej/fmp014
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The Relationship of Body Mass Index and Blood Pressure in Iranian Children <7 Years Old

Neamatollah Ataeia, Mostafa Hosseinib and Mohammad Iranmanesha

aDepartment of Pediatric Nephrology, The Children's Hospital Medical Center, Faculty of Medicine, Tehran University of Medical Sciences, Tehran 14194, Iran
bDepartment of Epidemiology and Biostatistics, Faculty of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran 14194, Iran

Correspondence: Neamatollah Ataei, Department of Pediatric Nephrology, The Children's Hospital Medical Center, School of Medicine, Medical Sciences/University of Tehran, Dr. Gharib St. Azadi Avenue, 14194 Tehran, Iran. Tel.: +98 21 66929234; Fax: +98 21 66930024. E-mail: <ataiinem{at}sina.tums.ac.ir>.


   Abstract

The objective of this study was to evaluate the association between the body mass index (BMI), in healthy young children with their blood pressure (BP). The study included 3186 healthy children aged 1–6 years who were studied between March 2004 and March 2007 in different kindergartens and health centers in Tehran. Each child was classified on the basis of age- and sex-specific BMI percentile as normal weight (BMI <85th percentile), at risk for overweight (BMI >85th and <95th percentile), or overweight (BMI ≥95th percentile). Systolic BP (SBP) and diastolic BP (DBP) was compared among age–sex–BMI groups. Among children aged below 7 years in kindergartens and health centers in Tehran, 7.2% were at risk of overweight and 12.2% were overweight. These proportions were similar for boys and girls and were as follows: 6.9%, 13.9% and 7.5%, 10.5%, respectively. Analysis of variance showed that mean SBP significantly increased according to age (p < 0.0001) and BMI group (p = 0.001). Analysis of variance also showed that mean DBP significantly increased as age increased (p < 0.0001), but no significant difference was found between boys and girls in different age and BMI groups (p = 0.37). Our survey identified a high prevalence of overweight that was associated with elevated SBP among preschool-aged children in Iran. The effect of higher BMI on mean SBP is present in childhood and can be used as a predictor of high SBP even in children as young as 1–6 years.

Key Words: preschool children • body mass index • blood pressure


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