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Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010
Journal article   Open access   Peer reviewed

Severe Obesity and High Blood Pressure Among Children, Philadelphia Health Centers, 2010

John V. Nguyen, Jessica M. Robbins, Kevin L. Houck, Elizabeth A. Nobis, Katelyn A. Inman, Khudsiya S. Khan and Susan W. Robbins
Journal of primary care & community health, v 5(2)
01 Apr 2014
PMID: 24327594
url
https://doi.org/10.1177/2150131913506437View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

General & Internal Medicine Life Sciences & Biomedicine Primary Health Care Science & Technology
Background: Child obesity is a major health problem particularly affecting disadvantaged population groups. Severe obesity carries additional health risks for children. In the context of the childhood obesity epidemic, high blood pressure among children is of increasing concern. Methods: Chart reviews were carried out to examine the prevalence of severe obesity and its association with high blood pressure measurements among randomly selected patients aged 3 to 17 years who had well-child care visits at 8 public community health centers during 2010. Results: A majority of the 691 patients reviewed were African American (58%); an additional 16% were Hispanic. The prevalence of severe obesity was 7.7% (95% confidence interval = 5.8% to 9.9%) and the prevalence of high blood pressure measurements was 17.5% (95% confidence interval = 14.8% to 20.6%). Patients who were severely obese were more than twice as likely as other children to have high blood pressure values. Conclusions: Severe obesity is associated with substantially increased frequency of high blood pressure measurements in children, and should be investigated further as a potential marker for hypertension in children. Primary care providers should be prepared to diagnose and treat hypertension in severely obese children.

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