Introduction: Several studies in the adult population have shown that obesity is an independent risk factor for elevated intraocular pressure (IOP), whereas data in the paediatric population are sparse and controversial. The purpose of the present study is to investigate the relationship between body mass index (BMI), blood pressure (BP), and IOP in healthy school children. Methods: The survey was conducted among a random sample of 8-year-old Italian students. Data were collected on their health status and behaviours related to obesity (physical activity, food and drinking habits, etc.). Physical examinations, conducted at school, included measurements of height, weight, BP, and IOP. Results: Five hundred and seventy-six subjects were recruited (92.8% response rate); 42.4% were overweight or obese, 58.9% consumed inadequate daily servings of fruit and vegetables, and 87.5% were involved in sedentary activities. Elevated BP/hypertension (HTN) affected 3.6% and high IOP was revealed in 12.5% of the children. In the multivariate analysis, elevated BP/HTN was the only significant determinant of ocular HTN (OR 5.36, 95% CI 1.95–14.73, p = 0.001). Conclusions: Our results show that high IOP affects 12.5% of 8-year-old school children and appears to be associated with high BP related to a high BMI.
Obes Facts

中文翻译：

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肥胖、血压和眼压：对意大利儿童的横断面研究

简介：针对成年人的多项研究表明，肥胖是眼内压 (IOP) 升高的独立危险因素，而儿科人群的数据很少且存在争议。本研究的目的是调查健康学童的体重指数 (BMI)、血压 (BP) 和眼压之间的关系。方法：该调查是在随机抽样的 8 岁意大利学生中进行的。收集了有关他们的健康状况和与肥胖相关的行为（身体活动、饮食习惯等）的数据。在学校进行的体检包括测量身高、体重、血压和眼压。结果：招募了 576 名受试者（响应率 92.8%）；42.4% 的人超重或肥胖，58.9% 的人每日摄入的水果和蔬菜不足，87.5% 的人从事久坐活动。血压升高/高血压 (HTN) 影响 3.6%，12.5% 的儿童出现高眼压。在多变量分析中，BP/HTN 升高是眼部 HTN 的唯一重要决定因素（OR 5.36，95% CI 1.95–14.73，p = 0.001）。结论：我们的结果表明，高 IOP 影响 12.5% 的 8 岁学童，并且似乎与高 BMI 相关的高血压有关。
肥胖事实