The Effects of Physical Activity and Obesity on Hypertension in Adolescents: Meta-Analysis

Authors

  • Maria Imakulata Berek Masters Program in Public Health, Universitas Sebelas Maret
  • Agus Kristiyanto Study Program of Physical, Health, and Recreation Education, Universitas Sebelas Maret
  • Vitri Widyaningsih Faculty of Medicine, Universitas Sebelas Maret

Abstract

Background: The incidence of hypertension is always increasing every year both in Indo­nesia and in the world. Adolescents with high blood pressure are more likely to become adults with hypertension if not treated immediately. This study aimed to review the effects of phy­sical activity and obesity on hypertension in adolescents using meta-analysis.

Subjects and Method: Meta-analysis was performed by searching for articles from the database, namely Pubmed, Science Direct, Springer Link and Google Scholar. The key­words used are "physical activity" AND "obe­sity" AND "hypertension" OR "high blood pres­sure" AND "adolescent" AND "cross-sectional". The inclusion criteria in this study were full-text articles with a cross-sectional design, in English, for the period of 2010-2020. Article analysis was using RevMan 5.3.

Results: The total number of articles analyzed was 14 articles from Nigeria, Brazil, Gabon, Germany, Tunisia, Algeria, China, Egypt, Indo­nesia, Lithuania, Greece, and Ghana. The results of the meta-analysis showed that phy­sical activity increased the incidence of hyper­tension in adolescents (aOR= 2.70; 95% CI= 1.81 to 4.04; p<0.001; I2= 87%). Obesity increased the incidence of hypertension in adolescents (aOR = 1.71; CI 95% = 1.34 –2.17; p < 0.001; I2 = 41%).

Conclusion: Physical activity affects the inci­dence of hypertension in adolescents. Obesity affects the incidence of hypertension in adolescents.

Keywords: hypertension, physical activity, obesity, adolescents

Correspondence: Maria Imakulata Berek, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: imma123433@gmail.com. Mobile: 085­311622368.

Journal of Health Promotion and Behavior (2020), 05(04): 296-305
https://doi.org/10.26911/thejhpb.2020.05.04.07.

 

References

Abolfotouh MA, Sallam SA, Mohammed MS, Loutfy AA, Hasab AA (2011). Prevalence of elevated blood pressure and association with obesity in Egyp-tian school adolescents. International Journal of Hypertension. https://doi.-org/10.4061/2011/952537.

Aglony M, Acevedo M, Ambrosio G (2009). Hypertension in adolescents. Expert Rev Cardiovasc Ther. 7(12):1595-603. https://doi.org/10.1586/erc.09.150.

Amponsem-Boateng C, Zhang W, Oppong TB, Opolot G, Kyere EKD (2019). A cross-sectional study of risk factors and hypertension among adolescent senior high school students. Diabetes Metab Syndr Obes. 12: 1173-1180. https://doi.org/10.2147/DMSO.S213552.

Amra NR, Siregar FA, Mutiara E (2020). Physical activity, obesity, family his-tory, and their associations with hy-pertension among the elderly in Aceh Singkil, Aceh. J Epidemiol Public Health. 5(1): 45–51. https://doi.org/-10.26911/jepublichealth.2020.05.01.05.

Aounallah-Skhiri H, El Ati J, Traissac P, Ben Romdhane H, Eymard-Duvernay S, Delpeuch F, et al. (2012). Blood pressure and associated factors in a North African adolescent population. a national cross-sectional study in Tunisia. BMC Public Health.

(1): 98. https://doi.org/10.1186/1471-2458-12-98.

Arum YTG (2019). Hipertensi pada pen-duduk usia produktif (15-64 Tahun) (Hypertension in productive age population (15-64 years old)). J Public Health Res Development. 3(3): 345–356. https://doi.org/https://doi.org/10.15294/higeia/v3i3/30235.

Barros MVG, Ritti-Dias RM, Barros SSH, Mota J, Andersen LB (2013). Does self-reported physical activity asso-ciate with high blood pressure in ado-lescents when adiposity is adjusted for?. J Sports Sci. 31(4): 387–395. https://doi.org/10.1080/02640414.2012.734631.

Batara D, Bodhi W, Kepel BJ (2016). Hu-bungan obesitas dengan tekanan darah dan aktivitas fisik pada remaja di Kota Bitung (The relationship between obesity and blood pressure and physical activity in adolescents in Bitung City). Jurnal E-Biomedik. 4(1): 0–5. https://doi.org/10.35790/ebm.4.1.2016.10842.

Benmohammed K, Nguyen MT, Khensal S, Valensi P, Lezzar A (2011). Arterial hypertension in overweight and obese algerian adolescents: Role of abdomi-nal adiposity. Diabetes and Meta-bolism. 37(4): 291–297. https://doi.-org/10.1016/j.diabet.2010.10.010.

Bivigou EA, Ditombi BM, Nguema OM, Moutongo R, Pongui B, Ekomi BB, et al. (2020). Hypertension and pre-hypertension: prevalence and predis-posing factors in Gabonese Youth and Adolescents. 1–11. https://doi.org/10.-21203/rs.3.rs-24889/v1.

Christofaro DGD, Mesas AE, Dias RM, Fernandes RA, Saraiva BTC, Palma MR, et al. (2018). Association between hypertension in adolescents and the health risk factors of their parents: an epidemiological family study. J Am Society Hypertension. 12(3): 182–189. https://doi.org/10.-1016/j.jash.2017.12.011.

Committee on Adolescent Health Care (2017). Obesity in Adolescents. The American College of Obstetricians and Gynecologists. Washington DC.

Dulskiene V, Kuciene R, Medzioniene J, Benetis R (2014). Association between obesity and high blood pressure among Lithuanian adolescents: A cross-sectional study. Italian Journal of Pediatrics. 40(5): 1–10. https://-doi.org/10.1186/s13052-014-0102-6.

Falkner B (2010). Hypertension in children and adolescents: Epidemiology and natural history. Pediatric Nephrology: 25(7): 1219–1224. https://doi.org/10-.1007/s00467-009-1200-3.

Flynn JT, Falkner BE (2011). Obesity hypertension in adolescents: Epide-miology, evaluation, and manage-ment. Journal of Clinical Hyperten-sion. 13(5): 323–331. https://doi.org/10.1111/j.1751-7176.2011.00452.x.

Ford CA, Nonnemaker JM, Wirth KE (2008). The influence of adolescent body mass index, physical activity, and tobacco use on blood pressure and cholesterol in young adulthood. Journal of Adolescent Health. 43(6): 576–583. https://doi.org/10.1016/j.-jadohealth.2008.06.010.

Ikatan Dokter Anak Indonesia (2014). Diagnosis, tata laksana dan pencegahan obesitas pada anak dan remaja (Diagnosis, management and preven-tion of obesity in children and adolescents).

Kelly RK, Magnussen CG, Sabin MA, Cheung M, Juonala M (2015). Development of hypertension in over-weight adolescents: A review. Adoles-cent Health, Medicine and Therapeu-tics. 6: 171–187. https://doi.org/10.-2147/AHMT.S55837.

Kemenkes RI (2019). Hipertensi si pem-bunuh senyap (Hypertension the silent killer). Kementrian Kesehatan RI, 1–5. Retrieved from https://pus-datin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-hipertensi-si-pembunuh-senyap.pdf

Lembaga Demografi FEB UI (2017). Brief notes: Prioritaskan kesehatan repro-duksi remaja untuk menikmati bonus demografi (Brief notes: Prioritize ado-lescent reproductive health to enjoy the demographic bonus). 1–6. Retrieved from http://ldfebui.org/wp-con-tent/uploads/2017/08/BN-06-2017.pdf.

Leung LCK, Sung RYT, So HK, Wong SN, Lee KW, Lee KP, et al. (2011). Pre-valence and risk factors for hyperten-sion in Hong Kong Chinese adoles-cents: Waist circumference predicts hypertension, exercise decreases risk. Archives of Disease in Childhood. 96(9): 804–809. https://doi.org/10.-1136/adc.2010.202770.

Manios Y, Karatzi K, Moschonis G, Ioannou G, Androutsos O, Lionis C, Chrousos G (2019). Lifestyle, anthropometric, socio-demographic and perinatal cor-relates of early adolescence hyperten-sion: The Healthy Growth Study. Nutrition, Metabolism and Cardiovas-cular Diseases. 29(2): 159–169. https-://doi.org/10.1016/j.numecd.2018.-10.007.

Murti B (2016). Prinsip dan Metode Riset Epidemiologi (Epidemiological Rese-arch Principles and Methods). Karanganyar: Bintang Fajar Offset.

Omisore AG, Omisore B, Abioye-Kuteyi EA, Bello IS, Olowookere SA (2018). In-school adolescents’ weight status and blood pressure profile in South-west-ern Nigeria: urban-rural comparison. BMC Obes. 5: 2. https://doi.org/10.1-186/s40608-018-0179-3.

Pusdatin Kemenkes RI (2017). Infodatin reproduksi remaja: Situasi kesehatan reproduksi remaja. Retrieved from https://www.kemkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin reproduksi remaja-ed.pdf

Sarganas G, Schaffrath RA, Niessner C, Woll A, Neuhauser HK (2018). Track-ing of blood pressure in children and adolescents in Germany in the context of risk factors for hypertension. International Journal of Hypertension. 2018(1). https://doi.org/10.1155/2018-/8429891.

Silva DAS, Tremblay M, Pelegrini A, Silva RJDS, De Oliveira ACC, Petroski EL (2016). Association between aerobic fitness and high blood pressure in adolescents in Brazil: Evidence for criterion-referenced cut-points. Pedi-atric Exercise Science. 28(2): 312–320. https://doi.org/10.1123/pes.2015-0172.

Stiefel EC, Field L, Replogle W, McIntyre L, Igboechi O, Savoie FH (2016). The prevalence of obesity and elevated blood pressure in adolescent student athletes from the State of Mississippi. Orthopaedic Journal of Sports Medicine, 4(2): 1–9. https://doi.org/10.11-77/2325967116629368.

Sudiasih N, Wirawan D, Sidiartha I (2019). Association between physical activity, fiber and salt intake with hypertension in adolescents with obesity. Public Health and Preventive Medicine Archive 7(1): 54-59. DOI:10.15562/phpma.v7i1.195.

WHO (2013). A global brief on hypertension WHO 2013. In Who. Retrieved from www.who.int.

Wyszyńska J, Podgórska-Bednarz J, Dereń K, Mazur A (2017). The relationship between physical activity and screen time with the risk of hypertension in children and adolescents with intellectual disability. Biomed Res Int. 2017: 1940602. https://doi.org/10.11-55/2017/1940602.

Yusrizal M, Indarto D, Akhyar M (2016). Risk of hypertension in adolescents with over nutritional status in Pangkalpinang, Indonesia. J Epide-miol Public Health. 1(1): 27–36. https://doi.org/10.26911/jepublichealth.2016.01.01.04.

Zou Y, Xia N, Zou Y, Chen Z, Wen Y (2019). Smartphone addiction may be asso-ciated with adolescent hypertension: A cross-sectional study among junior school students in China. BMC Pediatrics. 19(1): 1–8. https://doi.org-/10.1186/s12887-019-1699-9.

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Published

2020-10-16

How to Cite

Berek, M. I., Kristiyanto, A., & Widyaningsih, V. (2020). The Effects of Physical Activity and Obesity on Hypertension in Adolescents: Meta-Analysis. Journal of Health Promotion and Behavior, 5(4), 296–305. Retrieved from https://www.thejhpb.com/index.php/thejhpb/article/view/282

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