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KMID : 1044720150050020060
Journal of Lifestyle Medicine
2015 Volume.5 No. 2 p.60 ~ p.67
Obesity and Hypertension among School-going Adolescents in Peru
Nam Eun-Woo

Sharma Bimala
Kim Ha-Yun
Paja Doris Jackeline Vasquez
Yoon Young-Min
Lee Sun-Ha
Kim Eun-Hwan
Oh Chung-Hyeon
Kim Yun-Seop
Song Chang-Hoon
Kim Jong-Koo
Abstract
Background: Adolescent obesity and hypertension are global public health issues. The burden of adolescent obesity and hypertension in Peru is unclear. The aim of this study was to determine the prevalence of obesity and hypertension and their relationship among school-attending adolescents and to assess the need for health-promoting school programs in the study area.

Methods: A cross-sectional school-based survey was conducted in a randomly selected sample of 952 secondary school adolescents from 11 schools in Lima or Callao, Peru, in 2014. Weight, height, and blood pressure (BP) were measured and categorized. Obesity was defined as ¡Ã 95th percentile in body mass index (BMI) for age and sex. Hypertension was defined as average systolic blood pressure and/or diastolic blood pressure ¡Ã95th percentile in BP for sex, age, and height. Chi-square test and univariate logistic regressions were used at a 5% significance level to determine the relationship between BMI and BP category.

Results: The mean age of subjects was 14.6 years; 46.4% were boys and 53.6% were girls. The prevalence of overweight and obesity was 20.2% and 9.5% overall, 17.4% and 11.1% for boys, and 22.5% and 8.0% for girls, respectively. The prevalence of hypertension was 26.7% overall, 34.8% for boys, and 19.6% for girls. In both sexes, BMI was strongly associated with BP (p < 0.01).

Conclusion: The prevalence of obesity and hypertension observed in the study area is relatively high. Overweight and obesity are strongly associated with BP status among adolescents. Health-promoting school programs may reduce the burdens of obesity and hypertension among school-going adolescents.
KEYWORD
Obesity, Hypertension, Adolescent, School health, KOICA, Peru
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