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Blood pressure among children and adolescents with normal weight but large waist circumference in Shandong, China

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The present study examined the blood pressure (BP) characteristics of normal weight children and adolescents with a large waist circumference (WC) in a large population in Shandong, China. A total of 38,826 students (19,460 boys and 19,366 girls) aged 7–17 years participated in this study. Height, weight, WC, and BP of all subjects were measured. Normal weight was defined by the international cutoffs of body mass index; central obesity was defined as WC ≥90th percentile; relatively high BP status was defined as systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) ≥95th percentile for age and gender. And 5.06 and 8.19 % of the normal weight boys and girls had central obesity. The Z-scores of SBP, DBP and the prevalence of relatively high BP for both boys and girls were all significantly higher in the normal weight with central obesity groups than in the normal weight with normal WC groups. Conclusion: These observations highlight that normal weight children and adolescents with central obesity might have an increased risk of elevated BP.

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This study was supported by the Medical and Health Program of Shandong, China (2009-HZ049). Surveys on students’ constitution and health are conducted under the auspices of the department of education in Shandong Province, China. We thank all the team members and all participants. Special thanks to Mr. B Yu for providing access to the survey data.

Conflicts of interest

There are no conflicts of interest on behalf of any of the authors.

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Correspondence to Zhang Ying-xiu.

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Ying-xiu, Z., Da-yong, S., Jing-yang, Z. et al. Blood pressure among children and adolescents with normal weight but large waist circumference in Shandong, China. Eur J Pediatr 173, 285–289 (2014).

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  • Blood pressure
  • Normal weight
  • Central obesity
  • Waist circumference
  • Body mass index
  • Adolescent