Asociación de la obesidad abdominal con lectura elevada de la presión arterial en adolescentes de la Unidad Educativa José Domingo de Santistevan de enero a febrero del 2018.

Abstract

Antecedents:Abdominal obesity in children and adolescents is associated to cardiovascular risk factors like hypertension. The studies that confirm this association in the ecuadorian population are scarce. Objective:Correlate abdominal obesity with elevated blood pressure in teenagers of the population of Guayaquil. Materials and methods:Study which has relational, observational, prospective, transversal and analytic design. It involves 448 teenagers with 12 to 18 years of age, students of the High School "Jose Domingo de Santistevan", from January to February of the 2018, anthropometric measures and arterial pressure were registered, we tried to correlate a percentile of waist circumference higher to 90 by sex and age with a percentile of systolic and diastolic pressure higher to 90 by sex, age and stature. Results:An increment in the percentile of waist circumference was associated with a increment in the blood pressure with a Kendall's tau correlation of 36.1% (p<0,001) for the systolic pressure and of 24.8% (p<0,001) for the diastolic pressure. Abdominal obesity has an ODDS ratio of 8.995 (CI 95% 5,155 – 15,554; p<0,001) of having elevated systolic blood pressure and an OR of 3,778(CI 95% 2,225 – 6,413; p<0,001) of having elevated diastolic blood pressure. Conclusions:Abdominal obesity is associated with a bigger riskof having elevated blood pressure in adolescents of the population of Guayaquil so it is necessary to register waist circumference and blood pressure in the control of the healthy adolescent.