KSPM
Search
- Page Path
- HOME > Search
Original Article
- Comparison of Trends in Blood Pressure and the Prevalence of Obesity Among Korean and American Adolescents: A 12-Years Cross-sectional Study
- Somi Heo, Seyoung Kwon, Yu-Mi Lee, Ji-Yeon Shin, Duk-Hee Lee
- J Prev Med Public Health. 2020;53(1):45-55. Published online November 20, 2019
- DOI: https://doi.org/10.3961/jpmph.19.198
- 4,616 View
- 195 Download
- 7 Crossref
-
Abstract
Summary
PDF
Supplementary Material - Objectives
This study was conducted to explore recent trends in the prevalence of pediatric elevated blood pressure and hypertension (HTN) in Korea and the United States, applying the new HTN reference values for adolescents.
Methods
This study analyzed 17 339 (8755 Korean and 8584 American) adolescents aged 10 to 17 who participated in the Korea National Health and Nutrition Examination Survey and the National Health and Nutrition Examination Survey, respectively, between 2005 and 2016. HTN was defined using percentile-based reference values for non-overweight adolescents from 7 nations, and obesity was defined by body mass index (BMI) based on country-specific growth charts. All analyses were stratified by sex and year-over-year changes were evaluated by calculating the p for trend.
Results
Systolic blood pressure showed a statistically meaningful upward trend in Korean boys and girls, while diastolic blood pressure did not show any significant changes. Both systolic and diastolic blood pressure levels declined among United States boys and girls. The prevalence of elevated blood pressure and HTN remained similar in Korean adolescents, but declined in both sexes among United States adolescents. BMI increased in both sexes among Korean adolescents, although the overweight and obesity rates stayed the same. No significant trends were found in any obesity indices among United States adolescents. The prevalence of elevated blood pressure and HTN by obesity level was higher among Korean adolescents than among their United States peers in both sexes, and the gap became higher at more severe levels of obesity.
Conclusions
Despite the strong correlation between obesity and HTN, recent trends in the prevalence of HTN and obesity among Korean and United States adolescents were strikingly different. Follow-up studies are necessary to determine why the prevalence of HTN was more than twice as high among Korean adolescents than among their United States counterparts. -
SummaryKorean summary
본 연구에서는 새로운 소아청소년 고혈압 기준을 이용하여, 최근 한국과 미국 소아청소년들의 혈압 및 고혈압 유병률의 변화 추이를 비교하였다. 비만과 고혈압간의 높은 관련성에도 불구하고 한국과 미국 소아청소년의 고혈압 유병률과 비만율은 서로 다른 변화 추이를 나타내었으며, 고혈압 발생에 있어서 한국 소아청소년들이 미국 소아청소년들보다 비만에 더 취약할 가능성을 나타내고 있어 이에 관한 후속연구가 필요하다. -
Citations
Citations to this article as recorded by
- Body Mass Index, Waist Circumference, Hip Circumference, Waist-To-Height Ratio: Which Affects Adolescent Hypertension More?
Melike TELLİOĞLU, Muammer YILMAZ, İnci ARIKAN, Yaşar ÇAKMAKÇI
Phoenix Medical Journal.2023; 5(1): 17. CrossRef - Combined associations of general obesity and central obesity with hypertension stages and phenotypes among children and adolescents in Zhejiang, China
Dong Zhao, Jiali Zhou, Danting Su, Yun Li, Weidi Sun, Boren Tan, Shuting Li, Ronghua Zhang, Peige Song
The Journal of Clinical Hypertension.2023; 25(11): 983. CrossRef - Дискордантные тренды повышенного артериального давления и избыточной массы тела у подростков 14–18 лет Новосибирска (по данным популяционных исследований в Новосибирске – 1989–2019 гг.)
Д. В. Денисова, Е. А. Беляевская
Ateroscleroz.2023; 19(3): 210. CrossRef - Association between body mass index and oesophageal cancer mortality: a pooled analysis of prospective cohort studies with >800 000 individuals in the Asia Cohort Consortium
Sangjun Lee, Jieun Jang, Sarah Krull Abe, Shafiur Rahman, Eiko Saito, Rashedul Islam, Prakash C Gupta, Norie Sawada, Akiko Tamakoshi, Xiao-Ou Shu, Woon-Puay Koh, Atsuko Sadakane, Ichiro Tsuji, Jeongseon Kim, Isao Oze, Chisato Nagata, San-Lin You, Myung-He
International Journal of Epidemiology.2022; 51(4): 1190. CrossRef - Correlates of Undiagnosed Hypertension Among Chinese and Korean American Immigrants
Brittany N. Morey, Connie Valencia, Sunmin Lee
Journal of Community Health.2022; 47(3): 425. CrossRef - Association between Body Mass Index and Risk of Gastric Cancer by Anatomic and Histologic Subtypes in Over 500,000 East and Southeast Asian Cohort Participants
Jieun Jang, Sangjun Lee, Kwang-Pil Ko, Sarah K. Abe, Md. Shafiur Rahman, Eiko Saito, Md. Rashedul Islam, Norie Sawada, Xiao-Ou Shu, Woon-Puay Koh, Atsuko Sadakane, Ichiro Tsuji, Jeongseon Kim, Isao Oze, Chisato Nagata, Shoichiro Tsugane, Hui Cai, Jian-Min
Cancer Epidemiology, Biomarkers & Prevention.2022; 31(9): 1727. CrossRef - Association Between Obesity and Blood Pressure Among Iranian Children and Adolescents: A Sub-analysis from the SHED LIGHT Study
Avisa Tabib, Akbar Nikpajouh, Maryam Aryafar, Niloufar Samiei, Yousef Rezaei, Hassan Ziaodini, Azam Goodarzi, Bahareh Kazemborji, Nasim Naderi, Sepideh Taghavi, Hooman Bakhshandeh, Saeid Hosseini
Pediatric Cardiology.2022;[Epub] CrossRef
- Body Mass Index, Waist Circumference, Hip Circumference, Waist-To-Height Ratio: Which Affects Adolescent Hypertension More?
First
Prev
