title: Relationship of Systolic Blood Pressure and Body Mass Index With Left Ventricular Mass and Mass Index in Adolescents.
abstract: Prevalence of hypertension (HT) is growing among children and adolescents. Its diagnosis is commonly ignored as it does not produce any end-organ damage in adolescents. We evaluated whether the blood pressure (BP) and confounding factors were related to myocardial mass increase; an earlier representative of HT; among adolescents. We have demonstrated that heart rate, body mass index (BMI), left ventricular mass (LVM), interventricular septum, and LV mass indexed to body surface area (BSA) and height significantly increased as the category of BP increased. We have also showed that the systolic BP (SBP), diastolic BP (DBP), and BMI were significantly correlated with the LVM and LVM indexed to BSA and height. Linear regression analysis revealed a significant relationship between SBP, BMI, and LVM, LVM indexed to BSA and height. Hypertension may cause myocardial hypertrophy even at a young age. Height is an alternative and practical way of determining the left ventricular mass index (LVMI) in adolescents. The BMI is significantly related to LVM and LVMI as well as SBP and DBP are. The results support that overweight and obesity should be controlled strictly in the management of HT in a young population.
authors.affiliation: Department of Cardiology, Gulhane Military Medical Faculty, Ankara, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ozturk
authors.affiliation: Department of Cardiology, Etimesgut Military Hospital, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Aparci
authors.affiliation: Department of Internal Medicine, Etimesgut Military Hospital, Ankara, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Karaduman
authors.affiliation: Department of Cardiology, Eskisehir Military Hospital, Eskişehir, Turkey drsevketb@gmail.com.
authors.forename: Sevket
authors.initials: S
authors.lastname: Balta
authors.affiliation: Department of Cardiology, Gulhane Military Medical Faculty, Ankara, Turkey.
authors.forename: Turgay
authors.initials: T
authors.lastname: Çelik
authors.affiliation: Department of Cardiology, Gulhane Military Medical Faculty, Ankara, Turkey.
authors.forename: Atilla
authors.initials: A
authors.lastname: İyisoy
mesh_terms: D000293:Adolescent; D001794:Blood Pressure / Q000502:physiology*; D015992:Body Mass Index; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology*; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology*; D008297:Male; D015995:Prevalence; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
keywords: adolescents; body mass index; left ventricular mass; left ventricular mass index; systolic blood pressure