Meta-analysis of the Effect of Excess Waist Circumference on Hypertension Incidence in Adolescents

Abstract

Background: Hypertension is a condition characterized by blood pressure measurements showing a systolic pressure of >130 mmHg and a diastolic pressure of >80 mmHg. There are so many cases of hypertension in adolescents that begin with being overweight or obese. One way to determine a person's level of obesity is by measuring the Waist to Hip Ratio. This study was aimed to analyze the effect of excess waist circumference on the incidence of hypertension in adolescents. Subjects and Method: This study is a meta-analysis study with the following PICO, population: adolescents. Intervention: excess waist circumference. Comparison: normal waist circumference. Outcome: hypertension. This study uses PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using online databases, namely PubMed, Google Scholar, and Science Direct. Based on the database, there were 9 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software. Results: There are 9 cross-sectional studies originating from 2 continents, namely America and Asia. Based on the data showed that adolescents with excess waist circumference increased the risk of hypertension 1.59 times compared to adolescents with normal waist circumference (aOR= 1.59; 95% CI= 1.00 to 2.52; p= 0.050). Conclusion: Excess waist circumference increases the risk of hypertension in adolescents.