OBJECTIVES: Overweight and obesity are important concerns for global health. They are characterized by excessive fat accumulation that can harm health. Childhood obesity has reached alarming levels around the world due to urbanization and changes in lifestyle. This trend highlights an urgent need for effective public health strategies to promote healthier lifestyles, prevent chronic diseases, and support the wellbeing of future generations. This study aimed to monitor the impact of the risk factors on blood pressure and lipid profile parameters. METHODS: Data were collected from 267 school-age children from Slovakia. The study assessed blood pressure using the sphygmomanometer technique, where systolic (SBP) and diastolic (DBP) blood pressure were measured in a seated position and repeated three times. The pulse rate was evaluated using Ruffier's physical fitness test. Anthropometric measurements included body weight, height, waist circumference, hip, and chest circumference, body mass index (BMI), and fat skinfolds measurement. The children's parents completed a comprehensive questionnaire. The data were statistically evaluated using IBM-SPSS version 19. RESULTS: Our analysis showed a statistically significant difference in SBP between obese and non-obese children (p < 0.001), but no significant differences for DBP and total cholesterol. Similar results were found between normal-weight and overweight children for SBP (p < 0.001), with overweight children showing higher SBP. No significant differences were noted for DBP or total cholesterol. Among children with "bad fitness", 57.9% had elevated SBP, compared to 37.86% with "good fitness" (p < 0.01). Additionally, 41.67% of children with bad fitness had elevated DBP, versus 23.05% in good fitness (p < 0.001). Significant differences in total cholesterol were also observed in these two groups (p < 0.05). CONCLUSIONS: The results of this study confirm the importance of monitoring risk factors that significantly influence cardiovascular parameters.

Department of Public Health and Hygiene Faculty of Medicine Pavol Jozef Safarik University in Kosice Kosice Slovak Republic

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World Health Organization. Obesity and overweight [Internet]. Geneva: WHO; 2021 [cited 2022 Sep 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

Katz DL, O'Connell M, Njike VY, Yeh MC, Nawaz H. Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis. Int J Obes (Lond). 2008;32(12):1780-9. PubMed DOI

Barlow SE; Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120 (Suppl 4):S164-92. PubMed DOI

Sacks G, Swinburn B, Lawrence M. A systematic policy approach to changing the food system and physical activity environments to prevent obesity. Aust New Zealand Health Policy. 2008;5(1):13. doi: 10.1186/1743-8462-5-13. PubMed DOI

Barnes HV. The Adolescent patient. In: Walker HK, Hall WD, Hurst JW, editors. Clinical methods: the history, physical, and laboratory examinations. 3rd ed. Boston: Butterworths; 1990; Chapter 223.

Parizkova J. Total body fat and skinfold thickness in children. Metabolism. 1961;10:794-807.

Durnin JV, Rahaman MM. The assessment of the amount of fat in the human body from measurements of skinfold thickness. Br J Nutr. 1967;21(3):681-9. PubMed DOI

National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114(2 Suppl 4th Report):555-76. DOI

Komadel Ľ, Dorko V, Starší M, Sovišová D, Suchá J, Beňová K, et al. [Physical education and sports medicine]. Bratislava: SPN; 1985. Slovak.

Flegal KM, Cole TJ. Construction of LMS parameters for the Centers for Disease Control and Prevention 2000 growth chart. National health statistics reports; no 63. Hyattsville, MD: National Center for Health Statistics; 2013.

Güngör NK. Overweight and obesity in children and adolescents. J Clin Res Pediatr Endocrinol. 2014; 6(3):129-43. PubMed DOI

Fábryová L', Hlavatá A. Recommendations for diagnosis and treatment of dyslipidaemia in children and adolescents. Pediatr Prax. 2011;12(Suppl. 1):3-9. Slovak.

Weaver DJ Jr. Pediatric hypertension: review of updated guidelines. Pediatr Rev. 2019;40(7):354-8. PubMed DOI

Regecová V, Kellerová E, Čižmárová E, Jurko A, Ondrisková E. [Distribution of blood pressure values in children and adolescents in Slovakia - multicentre study]. Kardiológia. 2007;16 Suppl 1:265. Slovak.

Rimárová K, Frank K, Diabelková J. [Impact of social and family factors on Body Mass Index and body fat percentage in a group of schoolchildren]. Hygiena. 2016;61(3):108-13. Slovak. DOI

Vignerová J, Brabec M, Bláha P, Riedlová J, Kobzová J, Krejčovský L, et al. [6th national anthropological research of children and youth 2001, Czech Republic: summery results]. Prague: SZÚ; 2006. Czech.

Randhir K, Angeline N, Gupta D, Sharma S, Bhattacharya A, Kaur M, et al. Association of preeclampsia with anthropometric measures and blood pressure in Indian children. PLoS One. 2020;15(5):e0231989. doi: 10.1371/journal.pone.0231989. PubMed DOI

Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990-2005. Obesity. 2008;16(2):275-84. PubMed DOI

Brug J, Lien N, Klepp K-I, van Lenthe FJ. Exploring overweight, obesity and their behavioural correlates among children and adolescents: results from the Health-promotion through Obesity Prevention across Europe project. Public Health Nutr. 2010;13(10A):1676-9. PubMed DOI

Ševčíková L', Nováková J, Hamade J. [Physical development of children and youth in SR. Results of VI national survey in 2001]. Úrad verejného zdravotníctva SR; 2004. Slovak.

Hainer V, Tsigos C, Toplak H, Micic D. Comment on the Paper by Uerlich et al: Obesity Management in Europe: Current Status and Objectives for the Future. Obes Facts 2016;9:273-83. Obes Facts. 2016;9(6):392-6. PubMed DOI

Köchli S, Endes K, Engler L, Infanger D, Schmidt-Trucksäss A, Meyer U. Obesity, high blood pressure, and physical activity determine vascular phenotype in young children. Hypertension. 2019;73(1):153-61. PubMed DOI

Brown H, Roberts J. Born to be wide? Exploring correlations in mother and adolescent body mass index. Econ Lett. 2013;120(3):413-5. DOI

Hancox RJ, Poulton R. Watching television is associated with childhood obesity: but is it clinically important? Int J Obes. 2006;30(1):171-5. PubMed DOI

Taylor MJ, Arriscado D, Vlaev I, Taylor D, Gately P, Darzi A. Measuring perceived exercise capability and investigating its relationship with childhood obesity: a feasibility study. Int J Obes (Lond). 2015;40(1):34-8. PubMed DOI

Ma J, Wang Z, Song Y, Hu P, Zhang B, Dong B. Quantifying the relationships of blood pressure with weight, height, and body mass index in Chinese children and adolescents. J Paediatr Child Health. 2012;48(5):413-8. PubMed DOI

Dong J, Guo XL, Lu ZL, Cai XN, Wang HC, Zhang JY, et al. Prevalence of overweight and obesity and their associations with blood pressure among children and adolescents in Shandong, China. BMC Public Health. 2014;14(1):1080. doi: 10.1186/1471-2458-14-1080. PubMed DOI

Al-Agha AE, Mahjoub AO. Impact of body mass index on high blood pressure among obese children in the western region of Saudi Arabia. Saudi Med J. 2018;39(1):45-51. PubMed DOI

Leunkeu AL, Shephard RJ, Ahmaidi S. A brief history of exercise clearance and prescription: 1. the era of heart rate recovery curves. Health Fitness J Can. 2014;7(1):26-35.

Faik A, Benkirane H, Cherkaoui I, Oulahiane A, Janani S, Mrabet M, et al. Influence of physical activity and interest in food and sciences versus weight disorders in children aged 8 to 18 years. J Prev Med Hyg. 2017;58(2):E105-13.