Body composition, blood pressure and their tracking in children and adolescents

Abstract

Blood pressure (BP) measurement reliability, year-to-year BP tracking, distinguishing characteristics of upper quintile (UQ) vs lower four quintiles' (LQ) systolic BP (SBP) tracking and the relationships of fat distribution and body composition to SBP were examined in 57 youth. Subjects were measured on two occasions approximately one year apart. Longitudinal measures included auscultatory BPs, height, weight, body circumferences, skeletal widths, bioelectrical impedance and skinfolds. Inter-trial reliability of right/left arm averaged BP (RLBP) exceeded that of either limb alone; tracking magnitude was likewise greater with RLBP. Greater total body mass and fatness as well as larger anthropometric dimensions distinguished UQ from LQ SBP trackers. Fat distribution and SBP were not consistently associated with each other across study years. Irrespective of gender differences, fatness and fat free mass per unit height2 were independently related to within year SBP, yet only initial fatness was independently predictive of future SBP.