Yıl: 2017 Cilt: 9 Sayı: 2 Sayfa Aralığı: 99 - 106 Metin Dili: İngilizce DOI: 10.5336/nurses.2016-50831 İndeks Tarihi: 04-03-2019

Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study

Öz:
Objective: This study was conducted to examine the effect of the body mass index andwaist-hip ratio on blood pressure in adolescents. Material and Methods: This study, of descriptiveand correlational research design, randomly selected the sampling group in the 3 general highschools of Beşiktaş District. The research population included 2769 students in the 9th, 10th, 11thand 12th grades of high school, and the sample included 711 students. Data were obtained using aresearch question form that was developed in line with the literature as well as body mass indexpercentile, waist-hip ratio measurement and a blood pressure (BP) percentile. Results The averagewaist-hip ratio was 72 (0.04) in female adolescents and 79 (0.04) in males adolescents. A total of60.9% of the sampling had normal weight, and 87.3% had normal blood pressure. Both body massindex and waist-hip ratio had an effect on blood pressure (p<0.00), but body mass index in particularhad a greater effect. Conclusion: To determine chronic health problems at an early age, it is necessaryto follow up with adolescents at health centres and train them at school about healthylifestyles. Nursing is one of the professional groups that should assume this responsibility.
Anahtar Kelime:

Konular: Hemşirelik

Adolesanlarda Beden Kitle İndeksi ve Bel-Kalça Oranının Kan Basıncı Üzerine Etkisi: Tanımlayıcı ve İlişki Arayıcı Çalışma

Öz:
Amaç: Araştırma, adolesanlarda beden kitle indeksi ve bel-kalça oranının kan basıncı üzerine etkisini incelemek amacıyla gerçekleştirildi. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı olarak gerçekleştirilen araştırmanın evrenini, Beşiktaş ilçesinde bulunan 3 düz lisenin 9., 10., 11. ve 12. sınıflarında öğrenim gören 2769 öğrenci, örneklemini ise 711 öğrenci oluşturdu. Veriler literatür doğrultusunda geliştirilen soru formu, beden kitle indeksi persentili, bel kalça oranı ölçümü ve kan basıncı persentili kullanılarak elde edildi. Bulgular: Bel-kalça oranının ortalamasının kızlarda 0,72±0,04, erkeklerde 0,79±0,04 olduğu bulundu. Örneklemin %60,9’unun normal kiloda ve %87,3’ünün normal kan basıncına sahip olduğu bulundu. Beden kitle indeksi ve bel–kalça oranının kan basıncı üzerine etkili olduğu (p<0,00) ama özellikle beden kitle indeksinin daha büyük etkiye sahip olduğu belirlendi. Sonuç: Kronik sağlık sorunlarının erken belirlenmesi için gerek okullarda gerekse sağlık merkezlerinde, adolesanların izlenmesi ve sağlıklı yaşam biçimi kazandırılması konusunda eğitilmesi gereklidir. Bunun gerçekleştirilmesinde hemşire, sorumluluk alan önemli meslek gruplarından biridir.
Anahtar Kelime:

Konular: Hemşirelik
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • World Health Organization. Adolescent Friendly Health Services. Geneva: World Health Organization; 2002. p.3-5. Erişim: 3.16.2010. http://www.searo.who.int/en/section13/section 1245 4980.htm.
  • World Health Organization. Adolescents: Health Risks and Solutions. p.1. Erişim: 3.16.2016. http://www.who.int/mediacentre/ factsheets/fs345/en/.
  • Hacettepe University Institute of Population Studies. Türkiye Nüfus ve Sağlık Araştırması. Sağlık Bakanlığı, Başbakanlık Devlet Planlama Teşkilatı Müsteşarlığı ve TÜBİTAK. Ankara: Hacettepe Üniversitesi Hastaneleri Basımevi; 2008. p.18. Erişim: 3.16.2010. http://www.hips.hacettepe.edu.tr/tnsa2008/dat a/TNSA-2008_ana_Rapor-tr.pdf.
  • Ball JW, Bindler RC, Cowen KJ. Child Health Nursing Partnering with Children and Families. 2nd ed. New Jersey: Pearson Education; 2010. p.1739.
  • Kohn MR. Nutrition. In: Neinstein LS, ed. Adolescent Health Care: A Pratical Guide. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p.114-24.
  • Kollar LM. Health promotion of the adolescent and family. In: Hockenberry MJ, Wilson D, Winkelstein ML, eds. Wong’s Essentials of Pediatric Nursing. 7th ed. St. Louis, Mo: Elsevier Mosby; 2005. p.494-506.
  • Gallieni M, Aiello A, Tucci B, Sala V, Mandal SKB, Doneda A, et al. The Burden of Hypertension and Kidney Disease in Northeast India: The Institute for Indian Mother and Child Noncommunicable Diseases Project. The Scientific World Journal 2014;1-6.
  • Aslan D, Gürtan E, Hacım A, Karaca N, Şenol E, Yıldırım E. [Nutritional status and anthropometric assessment of 10th grader girls at a high school in the Catchment Area of Eryaman District in Ankara]. C.U. Tıp Fakültesi Dergisi 2003;25(2):55-62.
  • Bilge I. [Hypertension]. Olcay N, Türkan E, editörler. Pediyatri. 2nd Volume. 4. Baskı. İstanbul: Nobel Tıp Kitabevi; 2010. p.1453-63.
  • Dinç G, Saatli G, Baydur H, Özcan C. Hypertension and overweight among Turkish adolescents in a city in Aegean region of Turkey: a strong relationship in a population with a relatively low prevalence of overweight. Anadolu Kardiyol Derg 2009;9(6):450-6.
  • Polat M, Yıkılkan H, Aypak C, Görpelioğlu S. The relationship between BMI and blood pressure in children aged 7-12 years in Ankara, Turkey. Public Health Nutr 2014;17(11):2419- 24.
  • Özdemir O. [Hypertension in childhood: etiology, diagnosis, and treatment]. Güncel İç Hastalıkları Dergisi 2008;1:33-46.
  • Bahar Z. [School Health Nursing]. DEUHYO ED 2010;3(4):195-200.
  • Nihiser AJ, Lee SM, McKenna M, Odom E, Reinold C, Thompson D, et al. Body mass index measurement in schools. J Sch Health 2012;77(10):651-71.
  • Bundak R, Furman A, Gunoz H, Darendeliler F, Baş F, Neyzi O. Body mass index references for Turkish children. Acta Pediatr 2006;95(2):194-8.
  • The National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (NHBPEP). The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents, 2004. p.1-40. Erişim: 9.9.2010. http://www.nhlbi.nih.gov/ health/prof/heart/hbp/hbp_ped.pdf.
  • Sağlam M, Güçlü MB, İnce Dİ, Savcı S, Arıkan H. Hipertansiyon ve Egzersiz. Sağlık Bakanlığı Yayın No: 730. Ankara: Klasmat Matbaacılık; 2008. p.7.
  • World Health Organization. Fight childhood obesity to help prevent diabetes, say WHO & IDF, 2010b. p.1. Geneva. Erişim: 12.26.2010. http:// www.who.int/mediacentre/ news/releases/ 2004/pr81/en/.
  • Ozturk A, Cicek B, Mazicioglu MM, Kurtoglu S. Determining abdominal obesity cut-offs and relevant risk factors for anthropometric indices in Turkish children and adolescents. J Pediatr Endocrinol Metab 2015;28(5-6):525-32.
  • Ozturk A, Mazicioglu MM, Hatipoglu N, Budak N, Keskin G, Yazlak Z, et al. Reference body mass index curves for Turkish children 6 to 18 years of age. J Pediatr Endocrinol Metab 2008;21(9):827-36.
  • Turan T, Ceylan SS, Çetinkaya B, Altundağ S. [Researching of obesity prevelance and dietary pattern in vocational high school students]. TAF Prev Med Bull 2009;8(1):5- 12.
  • Figan G, Alphan ME, Söylemez D. [Evaluation of nutritional habits of 14-18 years old adolescents in two high schools]. Türk Aile Hek Derg 2002;6(4):159-64.
  • Gümüş H, Bulduk S, Akdevelioğlu Y. [Determining the relationship between body compositions and nutritional and physical activity conditions of adolescents living in orphanages]. International Journal of Human Sciences 2011;8(1):785-808.
  • Nur N, Cetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, Sümer H. Prevalence of hypertension among high school students in a middle Anatolian province of Turkey. J Health Popul Nutr 2008;26(1):88-94.
  • Flores-Huerta S, Klünder-Klünder M, Reyes de la Cruz L, Santos JI. Increase in body mass index and waist circumference is associated with high blood pressure in children and adolescents in Mexico city. Arch Med Res 2009;40(3):208-15.
  • Neovious M, Linné Y, Rossner S. BMI, waistcircumference and waist-hip-ratio as diagnostic tests for fatness in adolescents. Int J Obes (Lond) 2005;29(2):163-9.
  • Hatipoglu N, Ozturk A, Mazicioglu MM, Kurtoglu S, Seyhan S, Lokoglu F. Waist circumference percentiles for 7-to 17 year-old Turkish children and adolescents. Eur J Pediatr 2008;167(4):383-9.
  • Agyemang C, Oudeman E, Zijlmans W, Wendte J, Stronks K. Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname. BMC Cardiovasc Disord 2009;9(19):9-19.
  • Behjati M, Barkhordari K, Lookzadeh MH. The relation between blood pressure and body mass index in Iranian school age children. Iran J Med Sci 2006;31(1):33-6.
  • Hosseini M, Ataei N, Aghamohammadi A, Yousefifard M, Taslimi Sh, Ataei F. The relation of body mass index and blood pressure in Iranian children and adolescents aged 7-18 years old. Iran J Public Health 2010;39(4):126- 34.
  • Janssen J, Katzmarzyk PT, Srinivasan SR, Chen W, Malina RM, Bouchard C, et al. Combined influence of body mass index and waist circumference on coronary artery disease risk factors among children and adolescents. Pediatrics 2005;115(6):1623-30.
  • Raj M, Sundaram KR, Paul M, Sudhakar A, Kumar RK. Body mass index trend and its association with blood pressure distribution in children. J Hum Hypertens 2010;24(10):652-8.
  • Gundogdu Z. Relationship between BMI and blood pressure in girls and boys. Public Health Nutr 2008;11(10):1085-8.
  • Mazicioglu MM, Yalcin BM, Ozturk A, Ustunbas HB, Kurtoglu S. Antropometric risk factors for elevated blood pressure in adolescents in Turkey aged 11-17. Pediatr Nephrol 2010; 25(11):2327-34.
APA MENEKSE D, Balcı S (2017). Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. , 99 - 106. 10.5336/nurses.2016-50831
Chicago MENEKSE DILEK,Balcı Serap Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. (2017): 99 - 106. 10.5336/nurses.2016-50831
MLA MENEKSE DILEK,Balcı Serap Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. , 2017, ss.99 - 106. 10.5336/nurses.2016-50831
AMA MENEKSE D,Balcı S Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. . 2017; 99 - 106. 10.5336/nurses.2016-50831
Vancouver MENEKSE D,Balcı S Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. . 2017; 99 - 106. 10.5336/nurses.2016-50831
IEEE MENEKSE D,Balcı S "Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study." , ss.99 - 106, 2017. 10.5336/nurses.2016-50831
ISNAD MENEKSE, DILEK - Balcı, Serap. "Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study". (2017), 99-106. https://doi.org/10.5336/nurses.2016-50831
APA MENEKSE D, Balcı S (2017). Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 9(2), 99 - 106. 10.5336/nurses.2016-50831
Chicago MENEKSE DILEK,Balcı Serap Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 9, no.2 (2017): 99 - 106. 10.5336/nurses.2016-50831
MLA MENEKSE DILEK,Balcı Serap Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, vol.9, no.2, 2017, ss.99 - 106. 10.5336/nurses.2016-50831
AMA MENEKSE D,Balcı S Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2017; 9(2): 99 - 106. 10.5336/nurses.2016-50831
Vancouver MENEKSE D,Balcı S Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2017; 9(2): 99 - 106. 10.5336/nurses.2016-50831
IEEE MENEKSE D,Balcı S "Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study." Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 9, ss.99 - 106, 2017. 10.5336/nurses.2016-50831
ISNAD MENEKSE, DILEK - Balcı, Serap. "Effect of Body Mass Index and Waist-Hip Ratio on Blood Pressure in Adolescents: A Descriptive and Correlational Study". Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 9/2 (2017), 99-106. https://doi.org/10.5336/nurses.2016-50831