Journal Mobile Options
Table of Contents
Vol. 48, No. 5, 2004
Issue release date: September–October 2004

Representative Study for the Evaluation of Age- and Gender-Specific Anthropometric Parameters and Blood Pressure in an Adolescent Hungarian Population

Antal M. · Regöly-Mérei A. · Nagy K. · Greiner E. · Biró L. · Domonkos A. · Balajti A. · Szórád I. · Szabó C. · Mozsáry E.
To view the fulltext, log in and/or choose pay-per-view option

Individual Users: Register with Karger Login Information

Please create your User ID & Password

Contact Information

I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in


Backgrounds/Aims: To assess the age- and gender-specific anthropometric parameters and blood pressure in Hungarian adolescents. Methods: A cross-sectional study was performed between 1997and 2000. Altogether 6,345 secondary school students (aged 15–18 years) were involved in the study. The representative sampling sites were selected randomly. In the capital city 3-stage and in the counties 4-stage stratified groups were assigned for the studies. Statistical analysis was performed using SPSS for Windows 9.0. Results: The age- and gender-specific percentile distributions are given with regard to body weight, body height, body mass index (BMI), waist circumference, waist-to-hip ratio and arterial blood pressure values. Elevated blood pressure values were found at the first recording in 14.1% of the boys and in 2.5% of the girls. Since it is well known that the arterial blood pressure (ABP) may exhibit considerable intra- individual fluctuation with time, we therefore categorized normotensive and hypertensive students on the basis of the mean ABP values calculated from data obtained during the course of the three separate consecutive measurement periods at least 2 weeks apart. After that, the incidence of high blood pressure was 7.5% in boys and 1.1% in girls. Conclusion: The age- and gender-specific cutoff values thus formed may serve as reference values to assess the risk of developing nutrition-related noninfectious diseases in the future on the basis of the present percentile distribution of BMI. The present study also provides data on the prevalence of hypertension in the 15- to 18-year-old age group.

Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.


  1. Astrup A: Obesity and diabetes. Public Health Nutr 2001;4:389–390.

    External Resources

  2. Guo SS, Chumlea CW: Tracking of body mass index in children in relation to overweight in adulthood. Am J Clin Nutr 1999;70:145S–148S.
  3. ILSI Europe Overweight and Obesity in Children Task Force: Overweight and Obesity in European children and adolescents. ILSI Europe Report Series. Brussels, ILSI Press, 2000, pp 5–21, 27.
  4. Martinez JA: Obesity in young Europeans: Genetic and environmental influences. Eur J Clin Nutr 2000;54(suppl 1):S56–S60.

    External Resources

  5. Biró G, Antal M, Zajkás G: Nutrition survey of the Hungarian population in a randomized trial between 1992–1994. EurJ Clin Nutr 1996;50:201–208.
  6. Garrow JS: Obesity; in Garrow JS, James WPT, Ralph A (eds): Human Nutrition and Dietetics. London, Churchill Livingstone, 2000, pp 527–545.
  7. Lytle LA: Nutritional issues for adolescents. J Am Diet Assoc 2002;102(suppl):S8–S12.

    External Resources

  8. Dietz WH: Childhood weight affects adult morbidity and mortality. J Nutr 1998;128(suppl):411S–414S.
  9. Környei V: Hypertension in children (in Hungarian). Gyermekgyógyászat 1999;5:423–437.
  10. Sinaiko AR: Hypertension in children. N Engl J Med 1996;335:1968–1973.
  11. CIOMS: Ethics and Epidemiology. International Guidelines for Ethical Review of Epidemiological Studies. Geneva, CIOMS, 1991, pp 14–69, 7–23.
  12. On the Handling and Projection of Medical and Related Personal Data. Law 47 issued in 1997(in Hungarian). Hungarian Gazette 1997;49:3518–3525.
  13. Physical status: The use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser 1995;854:1–452.
  14. Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents: A working group report from the National High Blood Pressure Education Program. National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. Pediatrics 1996;98:649–658.
  15. Report of the Second Task Force on Blood Pressure Control in Children – 1987. Task Force on Blood Pressure Control in Children. National Heart, Lung, and Blood Institute, Bethesda, Maryland. Pediatrics 1987;79:1–25.
  16. Joint statement of the National Institute for Internal Medicine, Professional College of Internal Medicine and Hungarian Society of Hypertension: Guidelines for hypertension treatment and organization (in Hungarian). Nephrologia 1998;52:25–48.
  17. Statistical Yearbooks of Hungary: 1998, 1999, 2000. Budapest, Central Statistical Office, 1999, p 37; 2000, p 37; 2001, p 37.
  18. Eiben OG, Barabás A, Pantó E: The Hungarian National Growth Study I. Reference data on the biological developmental status and physical fitness of 3–18 year old Hungarian youth in the 1980s. Humanbiologia Budapestinensis. S 21 Budapest 1991.
  19. Eiben OG, Németh Á, Barabás A, Pantó É: Data on the biological status and physical fitness of youth in Budapest (in Hungarian). Humanbiologia Budapestinensis S 24 Budapest 1998.
  20. Guillaume M: Defining obesity in childhood: Current practice. Am J Clin Nutr 1999;70:126S–130S.
  21. Rolland-Cachere MF, Cole TJ, Sempé M, Tichet J, Rossignol C, Charraud A: Body mass index variations: Centiles from birth to 87 years. Eur J Clin Nutr 1991;45:13–21.

    External Resources

  22. Bellizzi MC, Dietz WH: Workshop on childhood obesity: Summary of the discussion. Am J Clin Nutr 1999;70:173S–175S.
  23. Flegal KM, Wei R, Ogden C: Weight-for-stature compared with body mass index-for-age growth charts for the United States from the Centers for Disease Control and Prevention. Am J Clin Nutr 2002;75:761–766.
  24. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, Mei Z, Curtin LR, Roche AF, Johnson CL: CDC growth charts: United States. Adv Data 2000;314:1–27.

    External Resources

  25. Roberts SB, Dallal GE: The new childhood growth charts. Nutr Rev 2001;59:31–36.
  26. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ 2000;320:1240–1243.
  27. Ledoux M, Lambert J, Reeder BA, Després JP: A comparative analysis of weight to height and waist to hip circumference indices as indicators of the presence of cardiovascular disease risk factors. Canadian Heart Health Surveys Research Group. CMAJ 1997;157(suppl 1):32S–38S.
  28. Power C, Lake JK, Cole T: Measurement and long-term health risks of child and adolescent fatness. Int J Obes 1997;21:507–526.
  29. McCarthy HD, Jarrett KV, Crawley HF: The development of waist circumference percentiles in British children aged 5.0–16.9 y. Eur J Clin Nutr 2001;55:902–907.
  30. de Oliveira LC, Veiga GV, Sichieri R: Anthropometric markers for cardiovascular disease risk factors among overweight adolescents. Nutr Res 2001;21:1335–1345.

    External Resources

  31. Lean MEJ, Han TS, Morrison CE: Waist circumference measurement as a measure for indicating need for weight management. BMJ 1995;311:158–161.
  32. Han TS, Van Leer EM, Seidell JC: Waist circumference action levels in the identification of cardiovascular risk factors. BMJ 1995;311:1401–1405.
  33. Nelson MJ, Ragland DR, Syme SL: Longitudinal prediction of adult blood pressure from juvenile blood pressures. Am J Epidemiol 1992;136:633–645.
  34. Környei V, Farkas J, Gyódi Gy: Monitoring of blood pressure in children (in Hungarian). Gyermekgyógyászat 1988;39:93–103.
  35. Környei V, Gyódi Gy, Dóssa M, Karácsonyi E: Primary and secondary hypertension in childhood (in Hungarian). Orvosi Hetilap 1981;122:815–821.
  36. Török E, Gyárfás I, Csukás M: Prediction of stable high blood pressure in adolescents. Clin Exp Hypertens 1986;8:547–555.
  37. Páll D, Jenei Z, Katona É, Bojti T, Hunyadi B, Polgár O, Kakuk Gy: First experience with blood pressure screening of secondary school students (in Hungarian). Magy Belorv Arch 1999;52:292–297.
  38. Marques-Vidal P, Llobet S, Carvalho Rodrigues JA, Halpern MJ: Cardiovascular risk factor levels in Portuguese students. Acta Cardiol 2001;56:97–102.

Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50