3221.0: Monday, October 22, 2001 - Board 8

Abstract #27628

Obesity linked to elevated blood pressure among ethnic minority adolescents

Andrette T. Ward, MD, MPH1, William J. McCarthy, PhD2, Antronette K. Yancey, MD, MPH2, Eloisa L. Gonzalez, MD, MPH3, Joanne Leslie2, and Judith M. Siegel2. (1) Health Behavior/ Health Education, School of Public Health, UNC - Chapel Hill, 302 Rosenau Hall, CB #7400, Chapel Hill, NC 27599, (919) 966-6085, atward@email.unc.edu, (2) School of Public Health, UCLA, Los Angeles, CA, (3) Division of Chronic Disease Prevention, LA County Department of Health Services, Los Angeles, CA

Physical activity and fruit and vegetable consumption fall below national guidelines for adolescents. Disease sequelae, including overweight/obesity and diabetes are on the rise. Intervention strategies targeting at-risk populations may reduce these co-morbid conditions. We designed and implemented a school-based program to evaluate and educate ethnic minority adolescents about nutrition and physical activity. Sixth-grade students from a randomly assigned Los Angeles middle school were recruited for a 10-week nutrition and physical activity program to supplement their physical education class. Baseline data, including height, weight, blood pressure, one-mile run/walk time, non-fasting serum cholesterol and glycosylated hemoglobin levels, were collected. In this baseline sample (n=128), the mean age of the students was 10.55 years; 50% were African-American, and 50% were Latino; 57% were female and 43% male. Using BMI for students who were weighed and measured (n=122), 24.6% (n=30) were overweight for age and 27.0%(n=33) were obese for age; 49.2% (n=30) of African-Americans, and 54.1% (n=33) of Latinos were overweight or obese for age. Serum cholesterol levels were elevated among 46% of the students. Regression analysis of systolic blood pressure and BMI showed a positive coefficient of determination (r2=.306). Ethnic minority students 10-12 years of age are beginning to manifest health complications associated with physical inactivity and poor eating habits. Policy decisions regarding chronic disease prevention should include younger, at-risk populations.

Learning Objectives: 1. Identify early manifestations of chronic diseases exhibited by a sample of ethnic minority sixth-grade students. 2. Describe the relationship between hypertension and obesity in this sample of students.

Keywords: Adolescent Health, Hypertension

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA