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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

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Influence of waist circumference on blood pressure status in non-obese adolescents

Karima Benmohammed
  • Corresponding author
  • Department of Endocrinology and Diabetology, Dr Benbadis University Hospital, Constantine University 3, Constantine, Algeria
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/ Paul Valensi
  • Department of Endocrinology, Diabetology and Nutrition, Jean Verdier hospital, APHP, Paris Nord University, CRNH-IDF, CINFO, Bondy, France
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/ Minh Tuan Nguyen
  • Department of Endocrinology, Diabetology and Nutrition, Jean Verdier hospital, APHP, Paris Nord University, CRNH-IDF, CINFO, Bondy, France
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/ Farah Benmohammed / Moufida Benlatreche
  • Department of Animal Biology, Faculty of Life and Natural Sciences, University of Constantine 1, Biology and genetics research laboratory, Constantine, Algeria
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/ Karima Benembarek
  • Department of Biochemistry, Research Laboratory on Biology and Genetic, Constantine University3, Constantine, Algeria
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/ Alkassem Lezzar
  • Department of Endocrinology and Diabetology, Dr Benbadis University Hospital, Constantine University 3, Constantine, Algeria
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Published Online: 2018-01-15 | DOI: https://doi.org/10.1515/ijamh-2017-0127



To check whether excess in abdominal adiposity and metabolic factors were associated with blood pressure abnormalities in non-obese adolescents.


We randomly selected 1100 adolescent students, aged 12–18 years, from schools and classrooms in the city of Constantine, Algeria. Among them 179 were overweight and 51 were obese (IOTF criteria). Waist circumference (WC) was considered high if >74 cm in boys and 75 cm in girls (mean of WC of all population studied). Hypertension (HBP) and prehypertension (preHBP) were defined by the NHBPEP’s 2004 criteria.


The prevalence of HBP/preHBP were 13.0%/12.4% with no difference between boys and girls. The percentages of HBP/preHBP patients were 15.6%/15.6% in overweight adolescents, 5.9%/31.4% in obese adolescents and 12.9%/10.6% in adolescents with normal body weight (p < 0.0001).

In obese adolescents, the prevalence of HBP was higher among boys than girls (36% vs. 27%, p = 0.002). In normal and overweight adolescents, the prevalence of HBP and preHBP was similar in boys and girls (11.9% vs. 11.0% and 14.7% vs. 12.1%); the association of WC (high vs. not high) with HBP was found in boys (16.1% vs. 8.8%, p = 0.009) but not in girls (12.1% vs. 10.2%), and with preHBP in girls (15.5% vs. 8.0%, p = 0.029) but not in boys (16.2% vs. 13.6%). Waist circumference [OR: 1.04 (1.03–1.06); p < 0.0001] and HOMA index [OR: 1.65 (1.13–2.39); p = 0.009] were associated with an increased risk of HBP.


In non-obese adolescents, a high WC, defined by values over the mean WC observed in our population, is associated with a higher risk of HBP in boys.

Keywords: adolescents; Algeria; blood pressure; hypertension; insulin resistance; obesity; prehypertension; waist circumference


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About the article

Received: 2017-07-20

Accepted: 2017-10-09

Published Online: 2018-01-15

Funding: Dr Benmohammed’s work has been funded by the Algerian Ministry of Higher Education and Scientific Research (Scholarship).

Disclosure statement: The authors declare that they have no conflict of interest.

Citation Information: International Journal of Adolescent Medicine and Health, 20170127, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0127.

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