Abstract
Blood pressure in pre-pubertal and pubertal age group is now an alarming situation to health professionals worldwide. Little knowledge is still with us about how different body composition parameters correlate with blood pressure. Blood pressure (BP) correlates with various factors like weight, height, sitting height (SH) among children and adolescents in developed countries with upper-middle socio-economic society. Intention of present research work is to contrast sitting height, relative sitting height ratio (Cormic Index), biiliocristal to biacromial ratio and BMI of rural Chakma boys and girls between the age 6-16 years of Tripura, North-eastern State, with the National Health and Nutrition Examination Survey III (NHANESIII) reference data to conclude the correlation among sitting height, relative sitting height ratio, biiliocristal-biacromial ratio and BMI with BP among Chakma children of lower socio-economic group of Tripura. A total of 1350 children (676 boys and 674 girls) of 12 government schools from Chakma community aged 6-16 years were selected by stratified cluster random sampling method of North and Dhalai district of Tripura, undergo blood pressure and anthropometric measurements using standard techniques. Multiple regression is applied for establishing the relationship between height, sitting height, relative sitting height ratio, biiliocristal-biacromial ratio and BMI with Systolic blood pressure (SBP) and Diastolic blood presure (DBP) among these children. In comparison with NHANES III reference data, Chakma children aged 6 to 16 years showed lower mean sitting height value. In the multiple regression analysis, sitting height is positively associated with systolic BP (β=0.893; 95% Ci=0.964-0.966) and diastolic BP (β=0.505; 95% Ci=0.935-0.938) in both the sexes. The results of present research work is statistically significant for both sitting height and cormic index with systolic BP (β=0.650; 95% Ci=0.963-0.970 and β=0.103; 95% Ci=0.963-0.970 respectively), whereas only sitting height remains significant with diastolic BP (β=3.519; 95% Ci=0.934-0.946) after being adjusted for age, gender and BMI among Chakma children. The present findings recommended a must large population based research work after being adjusted for factors like dietary habits, athletic performance, salt intake, socio-economic status etc. for accurate estimation of predominance of hypertension among North-eastern children and adolescents. Significant positive association was found between systolic and diastolic blood pressure together with the height, sitting height, relative sitting height ratio among studied population.
Highlights
The commencement of physiological growth and progression throughout pubescence is signifying by the inception of pubescence, that is routinely outlined because the physiological alteration of a toddler into adult one
A mess of biological changes occur throughout pubescence together with sexual satiety, which will increases in height, Cormic Index (CI), bone length, weight, muscle density associated by noticeable enhancement in body shape and composition
The present study reveals increase value of height with age and is especially because of a rise in lower trunk instead of in upper limb or sitting height [47,48,49,50]
Summary
The commencement of physiological growth and progression throughout pubescence is signifying by the inception of pubescence, that is routinely outlined because the physiological alteration of a toddler into adult one. A mess of biological changes occur throughout pubescence together with sexual satiety, which will increases in height, Cormic Index (CI), bone length, weight, muscle density associated by noticeable enhancement in body shape and composition. The pursuance of those events throughout pubescence is coherent among adolescent, there is an excellent degree of deviation within the longevity of inception, confinement and rhythm of those events among the individuals. At 13 years of age boys were completed their linear growth spurt related to pubescence and practiced important development in musculature can have remarkably totally different in nutrition and energy requirements than those 13 years old boys who practiced pubescence [2, 3]
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