<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492018000600301</article-id>
<article-id pub-id-type="doi">10.31134/ap.89.5.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sobrepeso, obesidad e hipertensión arterial en niños, una aproximación al problema]]></article-title>
<article-title xml:lang="en"><![CDATA[An approach to overweight/obesity and hypertension in children]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uma abordagem ao problema do sobrepeso/obesidade e hipertensão em crianças]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estragó]]></surname>
<given-names><![CDATA[Virginia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tabárez]]></surname>
<given-names><![CDATA[Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Matías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bulla]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zelarayan]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,CHSCV  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Métodos Cuantitativos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,CHSCV  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Grupo GREHTA  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,UDELAR IESTA ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>89</volume>
<numero>5</numero>
<fpage>301</fpage>
<lpage>310</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492018000600301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492018000600301&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492018000600301&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los factores de riesgo como la hipertensión arterial (HTA) y la obesidad están presentes desde edades tempranas y tienden a persistir hasta la edad adulta. La detección precoz de estos factores de riesgo es clave para establecer estrategias preventivas eficaces. El propósito de este estudio es determinar la prevalencia de HTA en niños escolares de 10 a 13 años en escuelas públicas de Montevideo, conocer la prevalencia de sobrepeso y obesidad y su posible vínculo con la HTA.  Población y método:  se realiza un estudio transversal en una muestra representativa de escolares entre 10 y 13 años de escuelas públicas de Montevideo entre octubre de 2015 y junio de 2016. Se mide la presión arterial (PA) y se registra el estado nutricional a través de las siguientes medidas antropométricas: peso, talla, circunferencia de cintura. Se establecen los diagnósticos siguiendo las recomendaciones del cuarto reporte para el diagnóstico, evaluación y tratamiento de la HTA en niños y adolescentes. Se diagnostica estado nutricional en base al índice de masa corporal (IMC) según criterios de la Organización Mundial de la Salud (OMS) 2007 y circunferencia de cintura (CC) según las referencias de Fernández J y colaboradores.  Resultados:  se relevan 1.346 niños en 48 escuelas. Participan del estudio 1.297 niños, 708 de sexo femenino, con una edad media de 11,8 años. En la muestra se constata normotensión en 1.120 niños, prehipertensión (pre-HTA) en 79 e HTA en 98. Con respecto al estado nutricional se encuentra peso normal en 783 niños, sobrepeso en 347, obesidad en 148 y obesidad severa en 24 niños. La prevalencia estimada para niños de 10 a 13 años en escuelas públicas de Montevideo de pre-HTA es de 7,3% (IC: 5,6-8,9) y de HTA es de 7,8% (IC: 6,1-9,6). No se encuentran diferencias estadísticamente significativas en la prevalencia de pre-HTA e HTA con respecto a sexo, edad o estrato sociocultural. La prevalencia de pre-HTA e HTA en los niños con peso normal es 11,4% frente a los niños con exceso de peso que muestran 21,9% (p=0,003). Se encuentra asociación estadísticamente significativa entre CC mayor al percentil 90 (P90) y la presencia de cifras alteradas de PA.  Conclusiones: este estudio encuentra una elevada prevalencia de pre-HTA e HTA que supera las de reportes nacionales previos. Se constata una asociación positiva de pre-HTA e HTA con sobrepeso y obesidad valorado por IMC, así como con la CC mayor al P90 en la franja etaria estudiada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: The purpose of this study is to determine HBP prevalence in school children from 10 to 13 years of age at public schools in Montevideo and to learn about the link between the prevalence of excess weight/obesity and HBP.  Population and sampling methods:  transversal trial carried out in a representative sample of Montevideo public school children of 10-13 years of age from October 2015 to June 2016. We measured HBP and monitored nutritional status though the measurement of: weight, height and waist circumference. Diagnoses were carried out as per the recommendations of the Fourth Report on the Diagnosis, Evaluation, and Treatment of high Blood Pressure in Children and Adolescents. Their nutritional status based on Body Mass Index BMI was diagnosed as per the WHO 2007 criteria, and Waist Circumference WC as per the references provided by Fernández J, et al.  Results:  1,346 children were surveyed in 48 schools and 1,297 participated in the survey, 708 girls of a median age of 11.8 years of age. Normal BP was detected in 1,120 children, pre-hypertension (preHTA) in 79 and HTA in 98. Normal weight was detected in 783 niños, overweight in 347, obesity in 148 and severe obesity in 24 children. Early Stage HBP prevalence was found in 7,3% (IC: 5,6-8,9) and HBP in 7,8% (IC: 6,1-9,6). No statistically significant differences regarding Early Stage HBP or HBP prevalence were found regarding gender, age or social or cultural level. Early Stage HBP and HBP prevalence in normal weighted children was 11.4%, compared to that of overweight children which was 21.9 % (p=0.003). A more significant link was found between WC higher than 90 and altered BP.  Conclusions: This trial found a higher prevalence of early stage HBP and HBP than that of previous national reports. We found a positive link between Early Stage HBP, HBP and overweight and obesity, assessed through BMI, WC higher than 90 in the age group surveyed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Os fatores de risco como a hipertensão arterial (HAS) e a obesidade estão presentes nas crianças desde cedo e persistem até a idade adulta. A detecção precoce desses fatores de risco é fundamental para o estabelecimento de estratégias preventivas eficazes. O objetivo deste estudo é determinar a prevalência da hipertensão arterial em escolares de 10 a 13 anos de idade em escolas públicas de Montevidéu, para conhecer a prevalência de sobrepeso e obesidade e sua possível relação com a hipertensão.  População e métodos:  realizamos um estudo transversal com amostra representativa de escolares entre 10 e 13 anos de escolas públicas em Montevidéu, entre outubro de 2015 e junho de 2016. Medimos a pressão arterial (PA) e o estado nutricional a partir das seguintes medidas antropométricas: peso, altura e circunferência da cintura. Os diagnósticos foram estabelecidos seguindo as recomendações do Quarto Relatório para o Diagnóstico, Avaliação e Tratamento da Hipertensão Arterial em Crianças e Adolescentes. O estado nutricional foi diagnosticado com base no Índice de Massa Corporal (IMC) de acordo com os critérios da OMS de 2007 e circunferência da cintura (CC) de acordo com as referências de Fernández J, et al.  Resultados: 1346 crianças foram pesquisadas em 48 escolas. O estudo incluiu 1297 crianças, 708 do sexo feminino, com uma idade média de 11,8 anos. 1120 crianças mostraram tensão arterial normal, pré-hipertensão (pré-HTA) 79 e HTA 98. O estado nutricional é o peso foi normal em 783 crianças, 347 tiveram excesso de peso, e 148 em 24 crianças tiveram obesidade ou obesidade severa. A prevalência de pré-HTA para crianças de 10 a 13 anos de escolas públicas de Montevidéu foi 7,3% (IC: 5,6 a 8,9) e a prevalência de hipertensão foi de 7,8% (IC: 6,1-9 6). Não foram encontradas diferenças estatisticamente significantes na prevalência de pré-HTA e HTA com relação a sexo, idade ou estrato sociocultural. A prevalência de pré-HTA e HTA em crianças com peso normal foi de 11,4% em comparação com crianças com excesso de peso que mostram 21,9% (p = 0,003). Encontramos uma associação estatisticamente significativa entre CC maior que P90 e a presença de valores alterados de PA.  Conclusões: Este estudo encontrou uma alta prevalência de pré-HTA e HTA, maior ainda que os dados dos relatórios nacionais anteriores. Confirmamos uma associação positiva entre pré-HTA e HTA e sobrepeso e a obesidade, avaliada pelo IMC, e com CC maior que P90 na crianças da faixa etária estudada.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Obesidad pediátrica]]></kwd>
<kwd lng="es"><![CDATA[Sobrepeso]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión]]></kwd>
<kwd lng="es"><![CDATA[Prevalencia]]></kwd>
<kwd lng="es"><![CDATA[Encuestas y cuestionarios]]></kwd>
<kwd lng="en"><![CDATA[Pediatric obesity]]></kwd>
<kwd lng="en"><![CDATA[Overweight]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Prevalence]]></kwd>
<kwd lng="en"><![CDATA[Surveys and questionnaires]]></kwd>
<kwd lng="pt"><![CDATA[Obesidade pediatrica]]></kwd>
<kwd lng="pt"><![CDATA[Sobrepeso]]></kwd>
<kwd lng="pt"><![CDATA[Hipertensão]]></kwd>
<kwd lng="pt"><![CDATA[Prevalência]]></kwd>
<kwd lng="pt"><![CDATA[Inquéritos e questionários]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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