Background: Although it is not reflected in the OBP measurement in obese children, ambulatory BP changes are known to occur. MH, non-dipper pattern and nocturnal hypertension have been reported to increase in obese children. On the other hand, the factors that indicate a high risk of hypertension are still unclear. The aim of our study is to especially detect masked hypertension by 24-hour BP measurement in obese adolescents and to evaluate the relationship of masked hypertension with metabolic syndrome parameters, anthropometric measurements and hepatosteatosis in these patients.
Methods: A total of 63 adolescents diagnosed with obesity were evaluated between January 2019 and December 2019. Office blood pressure was measured for all children, and all of them underwent ABPM. Patients with and without hypertension in ABPM were compared in terms of clinical and laboratory findings.
Results: The mean age was 14.0 ± 1.7 years, females composed 49.2% of the study population. Office blood pressure measurement revealed hypertension in 4 (6.3%) patients and prehypertension in 15 (23.8%) patients. Thirteen patients (20.9%) were diagnosed with masked hypertension, white coat hypertension was diagnosed in 3 (4.7%) patients. Abnormal ABPM patterns were found to be significantly more frequent in patients with severely obesity (with obesity: 26.4% vs severe obesity: 55.6%, p = 0.03) and patients with a higher waist circumference and waist circumference/height ratio.
Conclusion: The prevalence of masked hypertension in obese adolescents has been found to be quite high. Therefore, we recommend ABPM in adolescents with high waist circumference/height ratio and severe obesity, even if their office blood pressure measurements are normal.



中文翻译：

---

肥胖青少年的办公室血压测量是否可靠？

背景：虽然肥胖儿童的 OBP 测量没有反映这一点，但已知会发生动态 BP 变化。据报道，MH、非杓型和夜间高血压在肥胖儿童中增加。另一方面，表明高血压高风险的因素仍不清楚。我们研究的目的是特别通过 24 小时 BP 测量来检测肥胖青少年的隐匿性高血压，并评估隐匿性高血压与这些患者的代谢综合征参数、人体测量学测量和肝脂肪变性之间的关系。
方法：2019 年 1 月至 2019 年 12 月期间，共有 63 名被诊断患有肥胖症的青少年接受了评估。对所有儿童进行了办公室血压测量，所有儿童都接受了 ABPM。根据临床和实验室检查结果，比较了 ABPM 中有无高血压的患者。
结果：平均年龄为 14.0 ± 1.7 岁，女性占研究人群的 49.2%。办公室血压测量显示 4 名（6.3%）患者为高血压，15 名（23.8%）患者为高血压前期。13名患者（20.9%）被诊断为隐匿性高血压，3名（4.7%）患者被诊断为白大衣高血压。发现异常 ABPM 模式在严重肥胖患者（肥胖：26.4% 与严重肥胖：55.6%，p = 0.03）和腰围和腰围/身高比较高的患者中更为常见。
结论：肥胖青少年隐匿性高血压的患病率已被发现相当高。因此，我们建议对腰围/身高比高和严重肥胖的青少年进行 ABPM，即使他们的诊室血压测量结果正常。