Relative influence of body mass index and socioeconomic class on blood pressure levels and health
DOI:
https://doi.org/10.15584/ejcem.2019.2.4Keywords:
blood pressure, BMI, obesity, socioeconomic classAbstract
Introduction. Blood pressure (BP) is a complex entity which is influenced by many factors. The impact of socioeconomic class and body mass index (BMI) on hypertension has been reported in the past but literature on their influence on blood pressure
in healthy adolescents is very limited.
Aim. The aim of the study is to assess the influence of BMI and socioeconomic status on BP in healthy adolescents.
Material and methods. This cross sectional study includes three hundred healthy adolescents. Anthropometric and BP measurements were done. BMI categories were derived using WHO Asia Pacific guidelines. An updated Kuppuswami scale was used for determining socioeconomic status.
Results. Obese subjects of upper socioeconomic class have higher blood pressure values. Strong significant differences in the mean values of systolic blood pressure (f-23.569; p<0.00001), diastolic blood pressure (f-22.470; p<0.00001) and mean arterial pressure (f-27.454; <0.00001) were observed in different BMI classes. Except for diastolic blood pressure (f-2.713; p <0.030) rest of BP indices did not differ significantly in different SES classes.
Conclusion. Obese subjects of upper socioeconomic class are prone for development of future hypertension. High BMI is significant risk factor for high BP, however socioeconomic class of the subject should also be considered as predisposing factor for high BP.
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References
Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med. 1993;119(7, 2):655-660.
Mohan V, Deepa R. Obesity & abdominal obesity in Asian Indians. Indian J Med Res. 2006;123:593-596.
Deepa M, Farooq S, Deepa R, Manjula D, Mohan V. Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES: 47). Eur J Clin Nutr. 2009;63:25967.
Gilberts EC, Arnold MJ, Grobbee DE. Hypertension and determinants of blood pressure with special reference to socio-economic status in a rural South Indian community. J Epidemiol Community Health. 1994;48:258-261.
World Health Organization Controlling the global obesity pandemic (document on the internet) Available from:http://www.who.int/nutrition/topics/obesity/en/ [Accessed on 2018 Nov 15].
World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Report of a WHO consultation. (1-253).World Health Organ Tech Rep Ser.2000;894:i–xii.
Ehret GB, Caulfield MJ. Genes for blood pressure: an opportunity to understand hypertension. Eur Heart J. 2013;34(13):951-961.
Conen D, Glynn RJ, Ridker PM, Buring JE, Albert MA. Socioeconomic status, blood pressure progression, and incident hypertension in a prospective cohort of female health professionals. Eur Heart J. 2009;30(11):1378-1384.
Shuger SL, Sui X, Church TS, Meriwether RA, Blair SN. Body mass index as a predictor of hypertension incidence among initially healthy normotensive women. Am J Hypertens. 2008;21(6):613-619.
Gelber RP, Gaziano JM, Manson JE, Buring JE, Sesso HD. A prospective study of body mass index and the risk of developing hypertension in men. Am J Hypertens. 2007;20(4):370-377.
Galobardes B, Costanza MC, Bernstein MS, Delhumeau CH, Morabia A. Trends in risk factors for lifestyle-related diseases by socioeconomic position in Geneva, Switzerland, 1993–2000: health inequalities persist. Am J Public Health. 2003;93:1302-1309.
Matthews KA, Kiefe CI, Lewis CE, Liu K, Sidney S, Yunis C, Coronary Artery Risk Development in Young Adults Study (CARDIA)Socioeconomic trajectories and incident hypertension in a biracial cohort of young adults. Hypertension. 2002;39:772-776.
Gulliford MC, Mahabir D, Rocke B. Socioeconomic inequality in blood pressure and its determinants: cross-sectional data from Trinidad and Tobago. J Hum Hypertens. 2004;18:61-70.
Dyer AR, Liu K, Walsh M, Jacobs DR Jr, Bild DE. Ten-year incidence of elevated blood pressure and its predictors: the CARDIA Study: Coronary Artery Risk Development in (Young) Adults. J Hum Hypertens.1999;13:13-21.
Diez-Roux AV, Northridge ME, Morabia A, Bassett MT, Shea S. Prevalence and social correlates of cardiovascular disease risk factors in Harlem. Am J Public Health. 1999;89:302-307.
Hong S, Nelesen RA, Krohn PL, Mills PJ, Dimsdale JE. The association of social status and blood pressure with markers of vascular inflammation. Psychosom Med. 2006;68(4):517-523.
Anthropometry Procedures Manual. 2007. [Accessed on 7th Nov 2018]. Available from: http://www.cdc.gov/nchs/data/nhanes/nhanes_07_08/manual_an.pdf .
Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289(19):2560-2572.
World Health Organization (WHO) steering committe. The Asia–Pacific Perspective: Redefining Obesity and its Treatment. Health Communications Australia Pty Ltd. 2000:1-56.
Kuppuswamy's SES Scale for 2018, Online Tool: Available from: http://scaleupdate.weebly.com/real.html ; last accessed on 7th December 8, 2018 .
Kusuma YS, Babu BV, Naidu JM. Blood pressure levels among cross cultural/populations of Visakhapatnam district, Andhra Pradesh, India. Ann Hum Biol. 2002;29:502-512.
Rahmouni K. Obesity-associated hypertension: recent progress in deciphering the pathogenesis. Hypertension. 2014;64(2):215-221.
Sowers JR. Obesity as a cardiovascular risk factor. Am J Med. 2003;115(8A):37-41.
Kannel WB. Risk stratification in hypertension: New insight from the Framingham study. Am J Hypertens. 2000;13:3-10.
Kaplan, N. Primary hypertension: pathogenesis. In: Kaplan, N., editor. Kaplan's Clinical Hypertension. 9th ed. Lippincott Williams & Wilkins; Philadelphia: 2006:50-121.
Tuan NT, Adair LS, Stevens J, Popkin BM. Prediction of hypertension by different anthropometric indices in adults: the change in estimate approach. Public Health Nutrition. 2010;13(5):639-646.
Grotto I, Huerta M, Grossman E, Sharabi Y. Relative Impact of Socioeconomic Status on Blood Pressure, Lessons From a Large-Scale Survey of Young Adults. Am J Hypertens. 2007;20:1140-1145.
Regidor E, Banegas JR, Gutierrez-Fisac JL, Dominguez V, Rodriguez-Artalejo F. Influence of childhood socioeconomic circumstances, height, and obesity on pulse pressure and systolic and diastolic blood pressure in older people. J Hum Hypertens. 2006;20:73-82.
Pradeepa R, Anjana RM, Joshi SR, et al. Prevalence of generalized & abdominal obesity in urban & rural India – The ICMR-INDIAB study (Phase-I) [ICMR- NDIAB-3]. Indian J Med Res. 2015;142:139-150.
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