Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 1
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Sinha, Manish D. and Reid, Christopher J. D. 2009. At what level of blood pressure should hypertension be defined in children?. Cardiology in the Young, Vol. 19, Issue. 05, p. 428.


The relationship of longitudinal screening of blood pressure in school-aged children in Sardinia with excessive weight

  • Andrea Raffaele Marras (a1), Pier Paolo Bassareo (a1) and Massimo Ruscazio (a2)
  • DOI:
  • Published online: 01 June 2009

Our aim in this part of the Sardinian Hypertensive Adolescents Research Programme, also known as the SHARP study, was to use longitudinal screening over a period of 3 years to search for any relationship between hypertension and excessive weight in a number of Southern Italian students. We also sought to establish if this correlation can change according to the criterion used to define children considered to be overweight.

We studied 839 children, of whom 52.6% were male, defining hypertension as an average blood pressure exceeding the 95th percentile according to previous Italian reference tables. We defined those overweight using different criterions, first those with a body mass index exceeding 25 kilograms per square metres, second those with the index exceeding the 85th percentile, third using the references established by Rolland-Cachera, and fourth according to the relative body weight. The different methods used in defining overweight produced very different estimates, ranging from 8.9% to 26.4%. Our novel findings were that systolic hypertension was present in all children deemed overweight using any of the criterions, but only use of the second and third criterions produced results related significantly to both systolic and diastolic hypertension. In short, excessive weight is strongly associated with systolic hypertension in adolescence. Definition of those being overweight on the basis of a body mass index exceeding the 85th percentile, or using the references established by Rolland-Cachera, proved to be best related with both systolic and diastolic hypertension.

Corresponding author
Correspondence to: Pier Paolo Bassareo MD, Center Study for Cardiac Disease in Pediatric Age, University of Cagliari, Via Nizza, 6 – 09129 Cagliari, Italy. Tel: +39070497926; Fax: +39070497926; E-mail:
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.AR Marras , PP Bassareo , M Ruscazio . The prevalence of paediatric hypertension, emphasising the need to use specific population references: the Sardinian Hypertensive Adolescents Research Program Study. Cardiol Young 2009; 19: xxxxxx (this issue).

2.B Livingstone . Epidemiology of childhood obesity in Europe. Eur J Pediatr 2000; 159: 1434.

3.J Sorof , S Daniels . Obesity hypertension in children: a problem of epidemic proportions. Hypertension 2002; 40: 441447.

4.Q He , ZY Ding , DY Fong , J Karlberg . Blood pressure is associated with body mass index in both normal and obese children. Hypertension 2000; 36: 165170.

6.J He , PK Whelton , LJ Appel , J Charleston , MJ Klag . Long-term effects of weight loss and dietary sodium reduction on incidence of hypertension. Hypertension 2000; 35: 544549.

7.G Csàbi , K Török , S Jeges , D Molnàr . Presence of metabolic cardiovascular syndrome in obese children. Eur J Pediatr 2000; 159: 9194.

8.S Cook , M Weitzman , P Auinger , M Nguyen , WH Dietz . Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med 2003; 157: 821827.

9.JL Baker , LW Olsen , TI Sørensen . Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med 2007; 357: 23292337.

11.JA Clark , MW Lieh-Lai , A Sarnaik , TK Mattoo . Discrepance between direct and indirect blood pressure measurements using various recommendations for arm cuff selection. Pediatrics 2002; 110: 920923.

12.E Menghetti , R Virdis , M Strambi , Blood pressure in childhood and adolescence: the Italian normal standards. Study group on Hypertension of the Italian Society of Pediatrics. J Hypertens 1999; 17: 13631372.

13.TJ Cole , MC Bellizzi , KM Flegal , WH Dietz . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 12401251.

14.JC Lòpez-Alvarenga , RA Montesinos-Cabrera , C Velàzques-Alva , J Gonzàles-Barranco . Short stature is related to high body fat composition despite body mass index in a Mexican population. Arch Med Res 2003; 34: 137140.

15.PR Nader , M O’Brien , R Houts , Identifying risk for obesity in early childhood. Pediatrics 2006; 118: 594601.

17.JM Tanner , RH Whitehouse . Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child 1976; 51: 170179.

18.A Must , RS Strauss . Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord 1999; 23: 211.

21.P Muntner , J He , JA Cutler , RP Wildman , PK Whelton . Trends in blood pressure among children and adolescents. JAMA 2004; 291: 21072113.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *