Hypertension (Dallas, Tex. : 1979)
Volume 74, Issue 6, 2019, Pages 1316-1323

Impact of Immigration on Body Mass Index and Blood Pressure Among Adolescent Males and Females: A Nationwide Study (Article)

Hamiel U. , Pinhas-Hamiel O. , Vivante A. , Bendor C. , Bardugo A. , Afek A. , Beer Z. , Derazne E. , Tzur D. , Behar D. , Itzhak A. , Skorecki K. , Tirosh A. , Grossman E. , Twig G.
  • a From the Department of Pediatrics, Assaf Harofeh Medical Center, Zerifin, Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D
  • b Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D, Pediatric Endocrine and Diabetes Unit, Edmond and Lily Safra Children's Hospital (O.P.-H.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
  • c Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D, Department of Pediatrics B and Pediatric Nephrology Unit (A.V.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
  • d Surgeon General Headquarters, Israel Defense Forces, A.B., A.I., Ramat Gan, Israel, Department of Military Medicine, Hebrew University School of Medicine, A.B.Jerusalem, Israel
  • e Surgeon General Headquarters, Israel Defense Forces, A.B., A.I., Ramat Gan, Israel, Department of Military Medicine, Hebrew University School of Medicine, A.B.Jerusalem, Israel
  • f Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D, Central Management (A.A., Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
  • g Surgeon General Headquarters, Israel Defense Forces, A.B., A.I., Ramat Gan, Israel, Department of Military Medicine, Hebrew University School of Medicine, A.B.Jerusalem, Israel
  • h Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D
  • i Surgeon General Headquarters, Israel Defense Forces, A.B., A.I., Ramat Gan, Israel
  • j Tirat Hacarmel
  • k Surgeon General Headquarters, Israel Defense Forces, A.B., A.I., Ramat Gan, Israel
  • l Azrieli Faculty of Medicine, Bar-Ilan University (K.S.)
  • m Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D, Institute of Endocrinology (A.T.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
  • n Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D, Central Management (A.A., Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
  • o Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, A.V., A.A., A.T., E.G., E.D, Surgeon General Headquarters, Israel Defense Forces, A.B., A.I., Ramat Gan, Israel, Department of Military Medicine, Hebrew University School of Medicine, A.B.Jerusalem, Israel, Department of Medicine and the Dr. Pinchas Bornstein Talpiot Medical Leadership Program (G.T.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

Abstract

Immigration from one cultural milieu to another has been associated with a greater risk for incident cardio-metabolic morbidity among adults. In this nationwide, population-based, cross-sectional study of data recorded from 1992 to 2016, we assessed the association between body mass index and blood pressure levels among adolescent immigrants, aged 16 to 19 years, of Ethiopian origin, and their secular trend of overweight and obesity. Adolescents of Ethiopian origin were classified as Israeli-born (n=16 153) or immigrants (N=23 487), with stratification by age at immigration. Adolescents whose fathers were at least 3 generations in Israel (n=277 789) served as a comparative group. Hypertensive-range blood pressure values adjusted for age, sex, and height served as outcome. Among adolescents of Ethiopian origin, overweight and obesity (body mass index ≥85th percentile), increased by 2.5 and 4-fold in males and females, respectively, during the study period, compared with a 1.5-fold increase among native Israeli-born males and females. The odds for hypertensive-range measurements increased with the length of residence in Israel: 7.3%, 10.6%, and 14.4% among males who immigrated at ages 12 to 19, 6 to 11.9, and 0 to 5.9 years, respectively; and 11.5%, 16.7%, and 19.3%, respectively, among females. Israeli-born Ethiopians had a significantly higher risk for hypertensive-range measurements at any body mass index level compared with native Israeli-born examinees, after adjusting for sociodemographic factors and health status. In conclusion, among Ethiopian Israeli adolescents, abnormal blood pressure correlates directly with the time-lapse since immigration. Immigrant populations require targeted surveillance and appropriate intervention.

Author Keywords

Obesity Adolescent Hypertension Body mass index Immigration blood pressure

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074965264&doi=10.1161%2fHYPERTENSIONAHA.119.13706&partnerID=40&md5=a29161afaf7c350a002cfa598563b9e3
DOI: 10.1161/HYPERTENSIONAHA.119.13706
ISSN: 15244563
Original Language: English