ESPN 51th Annual Meeting

ESPN 2018


 
OBESITY-RELATED HIPERTENSION IN CHILDREN
EBRU YILMAZ 1 NIDA TEMIZKAN DINCEL 1 CEMALIYE BASARAN 1 SERKAN KEMER 1 OZLEM NALBANTOGLU 2 GULCIN ARSLAN 2 BEHZAT OZKAN 2 ERKIN SERDAROGLU 1

1- UNIVERSITY OF HEALTH SCIENCES DR. BEHCET UZ CHILDRENS HOSPITAL DEPARTMENT OF PEDIATRIC NEPHROLOGY
2- UNIVERSITY OF HEALTH SCIENCES DR. BEHCET UZ CHILDRENS HOSPITAL DEPARTMENT OF PEDIATRIC ENDOCRINOLOGY
 
Introduction:

Obesity and overweight is a major global health concern, it’s well established potential negative effect on kidney health and related to the risk of cardiovascular disease. The aim of this study was to determine the effects of obesity on blood pressure (BP) in children.

Material and methods:

 A total of 154 obese children were enrolled to prospectively conducted study. Anthropometric measurements of height, weight were made and body mass index (BMI) was calculated. Internationally accepted BMI cut-off points were used to define obesity. Office blood pressure (BP) was measured from the right arm with proper sized cuff after 20 min of resting. BP more than 95percentile for sex and height percentile was considered HT. Ambulatory blood pressere monitoring (ABMP) was done using by SpaceLabs 21907 device. BP load and mean BP values was used ambulatory HT. Dipping was calculated the percentage of the decrease of values during the night and day. Subjects with insulin dependent diabetes mellitus, kidney failure, liver failure, endocrine pathologies, or subjects receiving any medications should be effect kidney or cardiac function were excluded from study. The study population was composed by having exogenous obesity.

Results:

 The study consist of 154 obese children (72 female) with mean age of 12±3.2 years. The main anthropometric characteristics were height (152±16 cm), weight (69.9±24 kg), BMI (29.5±6 kg/m2). HT was found in 25.5% with office BP. ABPM were made in 25 patients. HT was found in 32% patients and 12% were masked HT with preliminary ABPM results. White coat hypertension ratio was found as 35%. Daytime and nighttime systolic, diastolic, and mean arterial BP increased correlated with BMI standard deviation scores. Non-dipper BP profile was determined in 16% systolic and 40% in diastolic measurements.

Conclusions:

 Obese children are at increased risk for developing cardiovascular complications later on adulthood. Masked HT ratio is high in obese children population, therefore ABPM should be performed.