PROCENA UTICAJA PREKOMERNE TELESNE TEŽINE I GOJAZNOSTI NA NASTANAK PREHIPERTENZIJE I HIPERTENZIJE KOD DECE UZRASTA 6-15 GODINA

  • Marijana Jandrić-Kočić Dom zdravlja Krupa na Uni, Banja Luka, Republika Srpska
Ključne reči: prekomerna telesna težina, gojaznost, prehipertenzija, hipertenzija, osnovna škola

Sažetak


Uvod/Cilj: Prekomernu telesnu težinu ili gojaznost ima 41 milion dece mlađe od 5 godina i 340 miliona dece i adolescenata uzrasta od 5 do 19 godina. Gojaznost dece i adolescenata predstavlja najvažniji prediktor povišenog krvnog pritiska. Cilj istraživanja je bio da se ispita učestalost javljanja prekomerne telesne težine i gojaznosti kod dece uzrasta 6-15 godina, kao i da se proceni učestalost javljanja prehipertenzije i hipertenzije kod dece sa prekomernom telesnom težinom i gojaznošću.

Metode: Ovom studijom bilo je obuhvaćeno 85 od ukupno 86 dece iz Osnovne škole u Krupi na Uni. Podaci su prikupljeni upitnikom, a telesna težina i krvni pritisak su mereni. U statističkoj analizi podataka korišćeni su hi kvadrat test i t-test.

Rezultati: Studijom preseka je bilo obuhvaćeno 85 dece, i to 45 (52,9%) dečaka i 40 (47,1%) djevojčica prosečne starosti 10,87 ± 2,70 godina. Normalna uhranjenost utvrđena je kod 54 (63,5%) ispitanika, pothranjenost u 12 (14,1%), prekomerna uhranjenost kod 5 (5,9%), a gojaznost kod 14 (16,5%). Normalne vrednosti krvnog pritiska imalo je 76 (89,4%) ispitanika, prehipertenzivno stanje 5 (5,9%) i arterijsku hipertenziju 4 (4,7%). Između mlađe i starije dece nije bilo značajne razlike u odnosu na stepen uhranjenosti (p=0,477) i visinu krvnog pritiska (p=0,453). Deca sa prekomernom telesnom težinom i gojaznošću imala su značajno češće prehipertenziju i hipertenziju (p˂0,001).

Zaključak: Kod svakog petog deteta utvrđena je prekomerna uhranjenost ili gojaznost, a kod svakog desetog prehipertenzija ili hipertenzija. Pravovremena promena načina ishrane i fizičke aktivnosti, kao i svih drugih životnih navika, može doprineti regulaciji ne samo telesne težine nego i regulaciji krvnog pritiska.

Reference

Bralić I. Pretilo dijete u svakodnevnoj pedijatrijskoj praksi. Paediatria Croatica 2014; 58 (Supplement):233-237.

Yanovski JA. Pediatric obesity. An introduction. Appetite 2015; 93:3-12. 

Valerio G, Maffeis C, Saggese G, Ambruzzi MA, Balsamo A, Bellone Set al. Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics. Ital J Pediatr 2018: 31;44(1):88.

Purnell JQ. Definitions, Classification, and Epidemiology of Obesity. 2018 Apr 12. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. 

Romanelli R, Cecchi N, Carbone MG, Dinardo M, Gaudino G, Miraglia del Giudice E et al. Pediatric obesity: prevention is better than care. Ital J Pediatr 2020; 46 (1):103.

Bilić – Kirin V. Mogućnost utjecaja tima školske medicine na prehrambene navike školske djece i njihovih ro ditelja. Doktorksa disertacija. Medicinski fakultet Sveučilišta Josipa Jurja, Strossmayera: Osijek; 2016.

Lakshman R, Elks CE, Ong KK. Childhood Obesity. Circulation 2012; 126:1770–9.

Karnik S, Kanekar A. Childhood obesity: a global public health crisis. Int J Prev Med 2012; 3(1):1-7.

Bridger T. Childhood obesity and cardiovascular disease. Paediatr Child Health 2009;14(3):177-82.

Trutin I, Crnković M, Lesar T, Valent Morić B. Karakteristike kontinuiranog mjerenja arterijskog tlaka u djece i adolescenata s esencijalnom hipertenzijom ovisno o tjelesnoj masi. Physiother Croat 2017; 15:11-17.

Bashir A, Doreswamy S, Narra LR, Patel P, Guarecuco JE, Baig A, Lahori S, Heindl SE. Childhood Obesity as a Predictor of Coronary Artery Disease in Adults: A Literature Review. Cureus 2020; 12(11):e11473.

Mangner N, Scheuermann K, Winzer E, Wagner I, Hoellriegel R, Sandri M et al. Childhood Obesity: Impact on Cardiac Geometry and Function. JACC: Cardiovascular Imaging 2014; 7(12):1198-205.

Strambi M, Giussani M, Ambruzzi MA, Brambilla P, Corrado C, Giordano U et al. Novelty in hypertension in children and adolescents: focus on hypertension during the first year of life, use and interpretation of ambulatory blood pressure monitoring, role of physical activity in prevention and treatment, simple carbohydrates and uric acid as risk factors. Ital J Pediatr 2016; 42(1):69.

De Souza Piber L, Colombo-Souza P, De Eston Armond J. Diagnostic Methods in Childhood Obesity, 2020. DOI: http://dx.doi.org/10.5772/intechopen.92880 

Al Herbish AS, El Mouzan MI, Al Salloum AA, Al Qureshi MM, Al Omar AA, Foster PJ, Kecojevic T. Body mass index in Saudi Arabian children and adolescents: a national reference and comparison with international standards. Ann Saudi Med 2009; 29(5):342-7.

Vrdoljak A, Željković Vrkić T, Kos J, Vitale K, Premužić V, Laganović M i sur. Mjerenje arterijskog tlaka. Liječ Vjesn 2014;136.

Peco-Antić.A. Arterijska hipertentija kod djece i adolescenata. Pedijatrija danas 2007; 3(2):97-111.

Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I, Invitti C et al. European Society of Hypertension. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens 2009; 27(9):1719-42.

Shah B, Tombeau Cost K, Fuller A, Birken CS, Anderson LN. Sex and gender differences in childhood obesity: contributing to the research agenda. BMJ Nutrition, Prevention & Health 2020; bmjnph-2020-000074. doi:10.1136/bmjnph-2020-000074

NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet 2017; 390(10113):2627-42.

World Obesity Federation. World obesity. Atlas of Childhood Obesity, 2019.

Garrido-Miguel M, Cavero-Redondo I, Álvarez-Bueno C, et al. Prevalence and Trends of Overweight and Obesity in European Children From 1999 to 2016: A Systematic Review and Meta-analysis. JAMA Pediatr 2019; 173(10): e192430.

DeMarco VG, Aroor AR, Sowers JR. The pathophysiology of hypertension in patients with obesity. Nat Rev Endocrinol 2014; 10(6):364-76.

Shariq OA, McKenzie TJ. Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland Surg 2020; 9(1):80-93.

Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens Res 2010; 33,386–93.

Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, Ethnicity, and the Prevalence of Hypertension in School-Aged Children. Pediatrics 2004;113(3);475-82.

Spiotta RT, Luma BL. Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents. Am Fam Physician 2008; 78(9):1052-8.

Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The Relation of Overweight to Cardiovascular Risk Factors Among Children and Adolescents: The Bogalusa Heart Study. Pediatrics 1999;103(6):1175-82.

Lu X, Shi P, Luo CY, Zhou YF, Yu HT, Guo CY, et al. Prevalence of hypertension in overweight and obese children from a large school-based population in Shanghai, China. BMC Public Health 2013;13.

Zhao Y, Wang L, Xue B, Wang Y. Associations between general and central obesity and hypertension among children: The Childhood Obesity Study in China Mega-Cities. Sci Rep 2017; 7:16895.

Verma M, Chhatwal J, George SM. Obesity and hypertensio in children. Indian pediatrics 1994; 31:1065-9.

Itagi V, Patil R. Obesity in children and adolescents and its relationship with hypertension. Turk J Med Sci 2011; 41(2):259-66.

Giussani M, Antolini L, Brambilla P, Pagani M, Zuccotti G, Valsecchi MG, Lucini D, Genovesi S. Cardiovascular risk assessment in children: role of physical activity, family history and parental smoking on BMI and blood pressure. J Hypertens 2013; 31(5):983-92.

Michalsky MP, Inge TH, Simmons M, Jenkins TM, Buncher R, Helmrath M et al. Cardiovascular Risk Factors in Severely Obese Adolescents the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) Study. AMA Pediatrics 2015; 169(5):438-44.

Rames LK, Clarke WR, Connor WE, Reiter MA, Lauer RM. Normal Blood Pressures and the Evaluation of Sustained Blood Pressure Elevation in Childhood: The Muscatine Study. Pediatrics 1978; 61(2):245-25.

Sorof J, Daniels S. Obesity Hypertension in Children. Hypertension 2002; 40:441–447.

Stabouli S, Kotsis V. Hypertension and target organ damage in obese children. Pediatric Health 2009; 3(1):3-6.

Objavljeno
2021/12/31
Rubrika
Originalni rad