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|Title:||[Blood pressure variability in 24 hours in obese and non-obese adolescents with breast development 4 and 5 of Tanner's criteria]|
|Other Titles:||Variabilidad de la presion arterial en 24 horas en adolescentes obesas y no-obesas con desarrollo mamario 4 y 5 de los criterios de Tanner.|
|Author:||Bonilla Rosales, I. C.|
Parra Carrillo, J.Z.
Romero Velarde, E.
Vizmanos Lamotte, B.
García de Alba García, J.
|Abstract:||OBJECTIVE: The aim of the study was to investigate the blood pressure variability during 24 h by using ambulatory blood pressure monitoring (ABPM) in a group of obese and non-obese female adolescents with breast development status 4 and 5 of Tanner's criteria. METHODS: A cross-sectional study was conducted at the Cardiovascular Research Institute, Mexico. All subjects underwent 24 h non-invasive ABPM recording device. Pubertal status was determined by breast development. MEASUREMENTS: office systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR). Height, weight, body mass index (BMI), waist and hip circumferences, arm circumference, waist to hip ratio (W/H), and skinfold thickness measurements: triceps, subscapular, abdominal and supraspinal. RESULTS: Fifty-nine adolescents 13-16 years old; 29 obese (BMI 31.2+/-4.0), and 30 non- obese (BMI 21.2+/-2.2). Obese vs. non-obese: Office SBP 116.9 vs. 105.9+/-9.3 mmHg (p<0.001); ABPM in 24 h: SBP 113.8+/-6.3 vs. 107.6+/-5.7 mmHg (p<0.001); diurnal SBP 117.3 mmHg vs. 111.2 mmHg (p<0.001); nocturnal SBP 105.5+/-8 vs. 99.4 mmHg; absolute variability in 24 h DBP 10.0+/-1.8 vs. 8.7+/-1.5 (p<0.003); coefficient of variation 24 h DBP 17.3+/-3 vs. 15.4+/-2.6% (p<0.05); systolic non-dipper 16 (55.2%) vs. 9 (30%) (p<0.05); pulse pressure 24 h 49.3+/-8 vs. 43.5+/-9 mmHg (p<0.01). CONCLUSION: Obese adolescents are presenting changes in BP variability during 24-h in comparison with nonobese adolescents; it also includes higher pulse pressure. Thus, these can be early indicators for the development of hypertension or other cardiovascular diseases in the adult life.|
|Appears in Collections:||Producción científica UdeG (prueba)|
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