ArticleBMC public health2012
Increasing blood pressure and its associated factors in Canadian children and adolescents from the Canadian Health Measures Survey.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Update: ambulatory blood pressure monitoring in children and adolescents: a scientific statement from the American Heart Association.Hypertension (Dallas, Tex. : 1979) · 2014Guideline
- Trends of paediatric hypertension screening and management in primary care before and during the coronavirus disease 2019 pandemic: A retrospective cohort study.Paediatrics & child health · 2025Article
- Body mass index modifies genetic susceptibility to high systolic blood pressure in adolescents and young adults: results from an 18-year longitudinal study.Journal of human hypertension · 2025Article
- Association Between Serum Essential Metal Elements and Blood Pressure in Children: A Cohort Study.Cardiovascular toxicology · 2025Article
- Double-Trouble: Atherosclerotic Risk Factors and Congenital Heart Disease.Current atherosclerosis reports · 2023Review
- Pediatric hypertension screening and recognition in primary care clinics in Canada.Paediatrics & child health · 2022Article
- Hypertension in adolescents: The role of obesity and family history.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- ANTHROPOMETRIC MEASUREMENTS, DIETARY HABITS, SERUM LIPID AND GLUCOSE LEVELS IN RELATION TO HIGH BLOOD PRESSURE AMONG ADOLESCENT BOYS AND GIRLS IN CROATIA.Acta clinica Croatica · 2020Article
- Pediatric Obesity, Hypertension, Lipids.Current treatment options in pediatrics · 2020Article
- Elevated Blood Pressure and Associations with Sodium Intake Among Multiethnic Youth in Edmonton, Canada: Findings from WHY ACT NOW.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020Article
- Dietary intake of sodium by children: Why it matters.Paediatrics & child health · 2020Review
- Parental overweight and hypertension are associated with their children's blood pressure.Nutrition & metabolism · 2019Article
- Dynamic prediction of childhood high blood pressure in a population-based birth cohort: a model development study.BMJ open · 2018Article
- Blood pressure in children with attention deficit/hyperactivity disorder.Paediatrics & child health · 2018Article
- Cardiac and Vascular Target Organ Damage in Pediatric Hypertension.Frontiers in pediatrics · 2018Article
- Impact of body mass index on high blood pressure among obese children in the western region of Saudi Arabia.Saudi medical journal · 2018Article
- Ambulatory systolic blood pressure and obesity are independently associated with left ventricular hypertrophic remodeling in children.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017Article
- Socioeconomic gradients in cardiovascular risk in Canadian children and adolescents.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2016Article
- Who is at higher risk of hypertension? Socioeconomic status differences in blood pressure among Polish adolescents: a population-based ADOPOLNOR study.European journal of pediatrics · 2015Article
- Obesity and Hypertension among School-going Adolescents in Peru.Journal of lifestyle medicine · 2015Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCanada is facing a childhood obesity epidemic. Elevated blood pressure (BP) is a major complication of obesity. Reports on the impact of excess adiposity on BP in children and adolescents have varied significantly across studies. We evaluated the independent effects of obesity, physical activity, family history of hypertension, and socioeconomic status on BP in a nationally representative sample of children and adolescents.
methodsWe analysed cross-sectional data for 1850 children aged 6 to 17 years who participated in the Canadian Health Measures Survey, Cycle 1, 2007-2009. Systolic BP (SBP) and diastolic BP (DBP) were age-, sex-, and height-adjusted to z-scores (SBPZ and DBPZ). Body mass index (BMI) z-scores were calculated based on World Health Organization growth standards. Multivariate linear regression was used to evaluate the independent effects of relevant variables on SBPZ and DBPZ.
resultsFor most age/sex groups, obesity was positively associated with SBP. Being obese was associated with higher DBP in adolescent boys only. The BP effect of obesity showed earlier in young girls than boys. Obese adolescents were estimated to have an average 7.6 mmHg higher SBP than normal weight adolescents. BMI had the strongest effect on BP among obese children and adolescents. Moderately active adolescent boys had higher SBP (3.9 mmHg) and DBP (4.9 mmHg) than physically active boys. Family history of hypertension showed effects on SBP and DBP in younger girls and adolescent boys. Both family income and parent education demonstrated independent associations with BP in young children.
conclusionsOur findings demonstrate the early impact of excess adiposity, insufficient physical activity, family history of hypertension, and socioeconomic inequalities on BP. Early interventions to reduce childhood obesity can, among other things, reduce exposure to prolonged BP elevation and the future risk of cardiovascular disease.
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