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Anthropometric and lipid profiles were analyzed for hypertension risk using logistic and cross-lagged models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 227 participants (mean age, 16.5 years), 147 (53.9%) were boys. Over 2 years, 26.4% of patients developed hypertension, 5.3% had elevated systolic blood pressure (SBP), and 25.6% had elevated diastolic blood pressure (DBP). After adjusting for covariates, higher body mass index (BMI), waist circumference (WC), hip circumference (HC), triceps skinfold thickness (TST), and body roundness index (BRI) were associated with an increased risk of hypertension. Incorporating these measures into a BP-based model improved the area under the curve (AUC) for hypertension prediction from 0.551 to 0.670. A longitudinal relationship was observed between adiposity indices and hypertension symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study suggests that anthropometric parameters are superior to blood lipid indicators in predicting the occurrence of hypertension in children. Abdominal obesity, as indicated by WC, HC, and BRI, accounts for a significant proportion of the risk of hypertension, particularly in children aged 7\u201312 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Anthropometric parameters are superior to blood lipid indicators in predicting the occurrence of hypertension in children.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Abdominal obesity, as indicated by WC, and HC, accounts for a significant proportion of the risk of hypertension, particularly in children aged 7\u201312 years.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The indices of BMI-WC-HC or BRI-HC appear to be the most promising indices for prevention and risk stratification for pediatric hypertension.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41390-025-04155-1","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T06:35:40Z","timestamp":1749537340000},"page":"557-566","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparative analysis of adiposity indices for predicting 2-year hypertension incidence in children and adolescents: a retrospective study"],"prefix":"10.1038","volume":"99","author":[{"given":"Bowen","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shumin","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingyun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingwen","family":"Yue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianfang","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tongshuai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xirong","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6405-1251","authenticated-orcid":false,"given":"Junfen","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"4155_CR1","doi-asserted-by":"publisher","first-page":"1154","DOI":"10.1001\/jamapediatrics.2019.3310","volume":"173","author":"P Song","year":"2019","unstructured":"Song, P. et al. 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The following has been aded: Bowen Zhu, Shumin Zhan, and Hui Shi contributed equally to this work.","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 July 2025","order":9,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":10,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":11,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1038\/s41390-025-04255-y","URL":"https:\/\/doi.org\/10.1038\/s41390-025-04255-y","order":12,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The China Health and Nutrition Survey (CHNS) was approved by the Institutional Review Board at the University of North Carolina at Chapel Hill, as well as by the local Institutional Review Board of Ethics Committee. As this study was based on a secondary data analysis of an existing dataset, we did not require additional ethical approval from our institution. Written informed consent was obtained from all participants. Original data generated and analyzed during this study are included in this published article or the data repositories listed in the references.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}]}}