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Are Body Composition Parameters Better than Conventional Anthropometric Measures in Predicting Pediatric Hypertension?

Author

Listed:
  • Chih-Yu Hsu

    (Department of Family Medicine, Chang Gung Memorial Hospital, Linkou and Taipei Branches, Taoyuan 33305, Taiwan)

  • Rong-Ho Lin

    (Department of Industrial Engineering and Management, National Taipei University of Technology, Taipei 10608, Taiwan)

  • Yu-Ching Lin

    (College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Imaging and Intervention, Chang Gang Memorial Hospital, Keelung Branch, Keelung 20401, Taiwan)

  • Jau-Yuan Chen

    (Department of Family Medicine, Chang Gung Memorial Hospital, Linkou and Taipei Branches, Taoyuan 33305, Taiwan
    College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan)

  • Wen-Cheng Li

    (Department of Family Medicine, Chang Gung Memorial Hospital, Linkou and Taipei Branches, Taoyuan 33305, Taiwan)

  • Li-Ang Lee

    (College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Otorhinolaryngology—Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan
    Sleep Center, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan)

  • Keng-Hao Liu

    (Department of General Surgery, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 33305, Taiwan)

  • Hai-Hua Chuang

    (Department of Family Medicine, Chang Gung Memorial Hospital, Linkou and Taipei Branches, Taoyuan 33305, Taiwan
    Department of Industrial Engineering and Management, National Taipei University of Technology, Taipei 10608, Taiwan
    College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Obesity Institute & Genomic Medicine Institute, Geisinger, Danville, PA 17837, USA)

Abstract

Body composition (BC) parameters are associated with cardiometabolic diseases in children; however, the importance of BC parameters for predicting pediatric hypertension is inconclusive. This cross-sectional study aimed to compare the difference in predictive values of BC parameters and conventional anthropometric measures for pediatric hypertension in school-aged children. A total of 340 children (177 girls and 163 boys) with a mean age of 8.8 ± 1.7 years and mean body mass index (BMI) z-score of 0.50 ± 1.24 were enrolled (102 hypertensive children and 238 normotensive children). Significantly higher values of anthropometric measures (BMI, BMI z-score, BMI percentile, waist-to-height ratio) and BC parameters (body-fat percentage, muscle weight, fat mass, fat-free mass) were observed among the hypertensive subgroup compared to their normotensive counterparts. A prediction model combining fat mass ≥ 3.65 kg and fat-free mass ≥ 34.65 kg (area under the receiver operating characteristic curve = 0.688; sensitivity = 66.7%; specificity = 89.9%) performed better than BMI alone (area under the receiver operating characteristic curve = 0.649; sensitivity = 55.9%; specificity = 73.9%) in predicting hypertension. In conclusion, BC parameters are better than anthropometric measures in predicting pediatric hypertension. BC measuring is a reasonable approach for risk stratification in pediatric hypertension.

Suggested Citation

  • Chih-Yu Hsu & Rong-Ho Lin & Yu-Ching Lin & Jau-Yuan Chen & Wen-Cheng Li & Li-Ang Lee & Keng-Hao Liu & Hai-Hua Chuang, 2020. "Are Body Composition Parameters Better than Conventional Anthropometric Measures in Predicting Pediatric Hypertension?," IJERPH, MDPI, vol. 17(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5771-:d:396817
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    Citations

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    Cited by:

    1. Piotr Wieniawski & Bożena Werner, 2021. "Epidemiology of Obesity and Hypertension in School Adolescents Aged 15–17 from the Region of Central Poland—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(5), pages 1-15, March.
    2. Lin Zhou & Wei Liang & Yuxiu He & Yanping Duan & Ryan E. Rhodes & Hao Liu & Hongmei Liang & Xiaowei Shi & Jun Zhang & Yingzhe Cheng, 2022. "Relationship of 24-Hour Movement Behaviors with Weight Status and Body Composition in Chinese Primary School Children: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(14), pages 1-14, July.
    3. Hai-Hua Chuang & Jen-Fu Hsu & Chao-Yung Wang & Li-Pang Chuang & Min-Chi Chen & Ning-Hung Chen & Yu-Shu Huang & Hsueh-Yu Li & Li-Ang Lee, 2021. "Hypertension in Children with Obstructive Sleep Apnea Syndrome—Age, Weight Status, and Disease Severity," IJERPH, MDPI, vol. 18(18), pages 1-17, September.

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