Obesity and Hypertension among Adolescents in Jakarta, Indonesia

Authors

  • Annisa Rizkiriani Department of Community Nutrition, Bogor Agricultural University, Bogor-16680, Indonesia
  • Ali Khomsan Department of Community Nutrition, Bogor Agricultural University, Bogor-16680, Indonesia
  • Hadi Riyadi Department of Community Nutrition, Bogor Agricultural University, Bogor-16680, Indonesia

DOI:

https://doi.org/10.3923/pjn.2014.17.21

Keywords:

Adolescents, hypertension, nutrient intake, obesity

Abstract

Hypertension has been demonstrated in several populations to have a positive correlation with obesity. Persistent hypertension in adolescents is often predictive of future hypertension in adults, cardiovascular disease and early death. This study aimed to determine the prevalence of obesity and the associated risk of hypertension among adolescents in Jakarta, Indonesia. The cross sectional study was conducted to 213 adolescents. Weight, height and blood pressure were measured using standard methods. Body mass index (BMI) was calculated and categorized by age and sex. The prevalences of normal and obese among the adolescents were 69.0 and 6.1%, respectively. The prevalences of hypertensive range systolic blood pressure among the adolescents categorized as normal and obese were 42.2 and 76.9%, respectively and those of hypertensive range diastolic blood pressure among the normal and obese ones were 21.1 and 38.5%, respectively. Pearson’s correlation analyses between BMI for age and systolic blood pressure (r = 0.310; p = 0.000) and between BMI for age and diastolic blood pressure (r = 0.168; p = 0.014) demonstrated positive correlations. The sufficiency levels of energy, protein and carbohydrate had a significant association with the systolic blood pressure. The sufficiency levels of energy and carbohydrate were significantly associated with the diastolic blood pressure. The determinant factors of the systolic blood pressure were the sufficiency levels of calcium, protein, iron and carbohydrate and those of the diastolic blood pressure were the sufficiency levels of energy and carbohydrate. A long-term follow up of hypertension in adolescents into adulthood is recommended.

References

Agyemang, C., W.K. Redekop, E. Owusu-Dabo and M.A. Bruijnzeels, 2005. Blood pressure patterns in rural, semi-urban and urban children in the Ashanti region of Ghana, West Africa. BMC Public Health, Vol. 5.

Adams, L.B., 2005. Hyperlipidemia. In: Guidelines for Adolescents Nutrition Services, Stang, J. and M. Story (Eds.). Chapter 10, Center for Leadership, Education and Training in Maternal and Child Nutrition, Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN., USA., pp: 109-124.

Alton, I., 2005. Iron Deficiency Anemia. In: Guidelines for Adolescents Nutrition Services, Stang, J. and M. Story (Eds.). Chapter 9, Center for Leadership, Education and Training in Maternal and Child Nutrition, Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN., USA., pp: 101-108.

Bartosh, S.M. and A.J. Aronson, 1999. Childhood hypertension: An update on etiology, diagnosis and treatment. Pediatric Clinics North Am., 46: 235-252.

Bukoski, R.D. and D. Kremer, 1991. Calcium-regulating hormones in hypertension: Vascular actions. Am. J. Clin. Nutr., 54: 220S-226S.

Ejike, C.E.C.C., C.E. Ugwu, L.U.S. Ezeanyika and A.T. Olayemi, 2008. Blood pressure patterns in relation to geographic area of residence: A cross-sectional study of adolescents in Kogi state, Nigeria. BMC Public Health, Vol. 8.

Hanley, A.J.G., S.B. Harris, J. Gittelsohn, T.M.S. Wolever, B. Saksvig and B. Zinman, 2000. Overweight among children and adolescents in a native Canadian community: Prevalence and associated factors. Am. J. Clin. Nutr., 71: 693-700.

Jorde, R. and K.H. Bonaa, 2000. Calcium from dairy products, vitamin D intake and blood pressure: The Tromso study. Am. J. Clin. Nutr., 71: 1530-1535.

Oduwole, A.A., T.A. Ladapo, I.B. Fajolu, E.N. Ekure and O.F. Adeniyi, 2012. Obesity and elevated blood pressure among adolescents in Lagos, Nigeria: A cross-sectional study. BMC Public Health, Vol. 12.

Oduwole, A.O., J.K. Renner and E. Iroha, 2004. The effect of socio-economic class on the age of menarche in Somolu local government area of Lagos State, Lagos, Nigeria. Niger. Med. J., 45: 56-59.

Regol, A.D., J.N. Roemmich and P.A. Clark, 2002. Growth at puberty. J. Adolescent Health, 31: 192-200.

Sorof, J. and S. Daniels, 2002. Obesity hypertension in children: A problem of epidemic proportions. Hypertension, 40: 441-447.

Spear, B.A., 2002. Adolescent growth and development. J. Am. Dietetic Assoc., 102: S23-S29.

Trudeau, F., R.J. Shephard, S. Bouchard and L. Laurencelle, 2003. BMI in the Trois-Rivieres study: Child-adult and child-parent relationship. Am. J. Hum. Biol., 15: 187-191.

WHO, 2003. Diet, nutrition and the prevention of chronic diseases: Report of a joint WHO/FAO expert consultation. WHO Technical Report Series No. 916, World Health Organization, Geneva, Switzerland, pp: 1-149.

Yosephin, B., A. Khomsan, D. Briawan and Rimbawan, 2013. Lipid profiles and blood pressure among worker women, its correlation with risk factor of coronary heart disease. Pak. J. Nutr., 12: 806-810.

Downloads

Published

15.12.2013

Issue

Section

Research Article

How to Cite

Rizkiriani, A., Khomsan, A., & Riyadi, H. (2013). Obesity and Hypertension among Adolescents in Jakarta, Indonesia. Pakistan Journal of Nutrition, 13(1), 17–21. https://doi.org/10.3923/pjn.2014.17.21

Most read articles by the same author(s)