MiscellaneousBlood Pressure in 57,915 Pediatric Patients Who Are Overweight or Obese Based on Five Reference Systems
Section snippets
Methods
The “Adipositas Patienten Verlaufsbeobachtung” (APV, obese patients observational study) is a standardized multicenter database of children and adolescents who are overweight or obese (www.a-p-v.de).4 A total of 188 specialized obesity care centers (161 outpatient programs and 27 inpatient rehabilitation institutions) in Germany, Austria, and Switzerland participated in the study from January 2000 to October 2012. The data were anonymized and transmitted for central analysis to the University
Results
In Figure 2, BP in children, aged 6 to 18 years, who were overweight/obese was evaluated according to Second Task Force published in 1987, ESH European pooled data (1991), ESH Fourth Report all (2004), ESH Fourth Report nonoverweight (2008), and KiGGS (2011). Major differences were observed in the classification of hypertension: Referred to a solely nonoverweight German reference population (KiGGS), the prevalence of hypertension was highest with 47.3%, followed by Fourth Report nonoverweight
Discussion
In the study population, the prevalence of hypertension depended on the reference used. The 2 most recent reference systems based on nonoverweight reference populations (Fourth Report nonoverweight and KiGGS) resulted in the highest rates of hypertension, whereas the 2 older references (Second Task Force and European pooled data) returned lower rates. Weight or BMI is an important predictor of BP in children: consequently, the highest percentage of abnormal BP was found when nonoverweight
Acknowledgment
We thank all health professionals of the APV study group taking care of the children and contributing to the APV database (list of all participating centers is provided in the Appendix).
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