Malnutrition is associated with increased blood pressure in childhood

Malnutrition is associated with increased blood pressure in childhood

Author Sesso, R. Google Scholar
Barreto, G. P. Google Scholar
Neves, J. Google Scholar
Sawaya, A. L. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background/Aims: Protein-energy malnutrition remains a major public health problem in many countries. Scanty information is available about the effects of malnutrition during childhood on blood pressure ( BP). Methods: in a cross-sectional study we assessed the BP of 172 children older than 2 years living in shantytowns in São Paulo city. Ninety-one children were malnourished (height-forage or weight-for-age Z-score below -1 of the NCHS references); 20 had recovered from malnutrition after an average time of 6.4 years, and 61 were non-malnourished controls. Results: A greater percentage of children in the malnourished and recovered groups had increased systolic or diastolic BP (>95th percentile of the Update of the 2nd Task Force references) after adjusting for age, sex and height, compared to the controls ( 29, 20 and 2%, respectively, p < 0.001). Mean diastolic BP, adjusted for age, sex, race, weight, height and birth weight, was significantly increased in malnourished and recovered children compared to controls (65.2 +/- 0.6, 66.5 +/- 1.5, and 61.8 +/- 0.8 mm Hg, respectively, p < 0.01). Conclusions: BP is increased in malnourished children and in those who recovered from malnutrition after an average period of 6 years. Malnutrition occurring during childhood may represent a risk factor for increased BP later in life. Copyright (C) 2004 S. Karger AG, Basel.
Keywords birth weight
blood pressure
hypertension
protein-energy malnutrition
undernutrition
Language English
Date 2004-01-01
Published in Nephron Clinical Practice. Basel: Karger, v. 97, n. 2, p. C61-C66, 2004.
ISSN 1660-2110 (Sherpa/Romeo, impact factor)
Publisher Karger
Extent C61-C66
Origin http://dx.doi.org/10.1159/000078402
Access rights Closed access
Type Article
Web of Science ID WOS:000222255400006
URI http://repositorio.unifesp.br/handle/11600/27568

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