The Risk of Hypertension in Adulthood as a Consequence of Adolescent Obesity

Demsa Simbolon, Epti Yorita, Ruzita ABD Talib


Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS  2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the  BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times.


Adolescent, overweight, obesity, BMI, hypertension

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Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in us children and adolescents, 2007-2008. Journal of the American Medical Association. 2010; 303 (3): 242-249.

Bulbul T, Haque M. Prevalence of childhood obesity and overweight in Bangladesh: Findings from a countrywide epidemiological study. BMC Pediatrics. 2014; 14(86): 2-8.

Balitbangkes. Riset Kesehatan Dasar 2013. Jakarta: Kementerian Kesehatan RI. 2013.

Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: Systematic review. Internasional Journal of Obesity. 2011; 35: 891-898. oi:10.1038/ijo.2010.222.

James J, Soyibo Ak, Hurlock L, Gordon-Strachan G, Barton EN. Cardiovascular risk factors in an eastern caribbean island: prevalence of non-communicable chronic diseases and associated lifestyle risk factors for cardiovascular morbidity and mortality in the British Virgin Islands. West Indian Med J. 2012; 61 (4): 429-436.

WHO. A global brief hypertension: Silent killer. Global Public Health Disease. Switzerland. WHO Press; 2013.

Nuraini B. Risk factors of hypertension. Jurnal Majority. 2015; 4 (5): 10-19.

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States. 2011–2012. JAMA. 2014; 311 (8): 806–814. Doi:10.1001/jama.2014.732.

Salam A. Faktor risiko kejadian obesitas pada remaja. Jurnal MKMI. 2010; 6 (3): 185-190.

de Onis M, Blossner M, Bhorgi E. Global prevalence and trends of overweight and obesity among preschool children. The American Journal of Clinical Nutrition. 2010; 92:1257-1264.

Nadeau K, Maahs DM, Daniels SR, Eckel RH. Childhood obesity and cardiovascular disease: links and prevention strategies. Nature Reviews Cardiology. 2011; 8: 513–525. Doi:10.1038/nrcardio.2011.86.

Whitlock EP, O’Connor EA, Williams SB, Beil. TL, Lutz KW. Effectiveness of primary care interventions for weight management in children and adolescent: An updated. Targeted Systematic Review for the USPSTF. Agency for Healthcare Research and Quality (US); 2010.

Bulter MG. Pediatric hypertension: genetics of hypertension. Current status. J Med Liban. 2010; 58 (3): 175–178.

Gasperin D, Netuveli G, Dias-da-Costa JS, Pattussi MP. Effect of psychological stress on blood pressure increase: A meta-analysis of cohort studies. Cad. Saúde Pública. Rio de Janeiro. 2009; 25 (4):715-726.

Virdis A, Giannarelli C, Neves MF, Taddei S, Ghiadoni L. Smoking and hypertension. Current Pharmaceutical Design. 2010; 16 (23): 2518-525.

Marc-Andre C, Julie AM, James OH, David MM, Robert HE.

Prevention of overweight/obesity as a strategy to optimize cardiovascular health. Circulation. 2011; 124 (7); 840-850. Doi: 10.1161/CIRCULATIONAHA.110.968461.

Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertension Research. 2010; 33: 386–93.

Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et all. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: A systematic review. American Journal of Preventive Medicine. 2010; 37 (4): 340–357. Available from :

Landsberg L, Aronne LJ, Beilin LJ, Burke V, Igel LI, Lloyd-Jones D, Sowers J. Obesity-related hypertension: Pathogenesis, cardiovascular risk, and treatment: A position paper of the obesity society and the American Society of Hypertension. Obesity. 2013; 21 (1): 8-24.

Rahajeng E, Tuminah S. Prevalensi hipertensi dan determinannya di Indonesia. Majalah Kedokteran Indonesia. 2009; 59 (12): 580-587.

Briasoulis A, Agarwal V, Messerli FH. Alcohol consumption and the risk of hypertension in men and women: a systematic review and meta‐analysis. The Journal of Clinical Hypertension. 2012; 14 (11); 792-798.

Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, et al. Heart disease and stroke statistics—2011 update: A report from the American Heart Association. Circulation. 2011; 123: e18–e209. Doi: 10.1161/CIR.0b013e3182009701

Nuzzo A, Rossi R, Modena MG. Hypertension alone or related to the metabolic syndrome in postmenopausal women. Expert Rev Cardiovasc Ther. 2010; 8: 1541–548.

Baojian Xue B, Badaue-Passos D, Guo F, Gomez-Sanchez CE, Hay M, Johnson AK. Sex differences and central protective effect of 17β-estradiol in the development of aldosterone/NaCl-induced hypertension. Am J Physiol Heart Circ Physiol. 2009; 296: 1577-585. doi:10.1152/ajpheart.01255.2008.



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