{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T08:29:10Z","timestamp":1780648150474,"version":"3.54.1"},"reference-count":28,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kidney Blood Press Res"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>Introduction: World Kidney Day (WKD) was promoted by the Italian Kidney Foundation and the Italian Society of Nephrology for raising awareness, detection, prevention, and treatment of kidney diseases. The Italian WKD focused on the \u201cSchool Project\u201d by screening students attending the fifth year of high school. The main goal of the \u201cSchool Project\u201d was to assess in healthy adolescents the presence of hypertension (HTN) and proteinuria; as well as to evaluate potential interrelations between overweight, obesity (both measured with different anthropometric methods), blood pressure (BP) levels, and proteinuria. The ancillary goal was to have an estimate of awareness on some nephrology topics. Methods: The study population consisted of 17- to 19-year-old students. HTN was defined as systolic BP (SBP) \u2265140 mm Hg and\/or diastolic BP (DBP) \u226590 mm Hg. Isolated systolic hypertension (ISH) was defined as SBP \u2265140 mm Hg and DBP &lt;90 mm Hg; isolated diastolic hypertension as SBP &lt;140 mm Hg and DBP \u226590 mm Hg; systolic and diastolic hypertension as SBP \u2265140 mm Hg and DBP \u226590 mm Hg; pre-hypertension as SBP &gt;120 mm Hg but &lt;140 mm Hg or DBP &gt;80 mm Hg but &lt;90 mm Hg; and optimal BP as SBP \u2264120 mm Hg and DBP \u226480 mm Hg. Urine tests were performed with a dipstick; the subjects were regarded as proteinuric when the urine dipstick was positive (proteinuria \u226530 mg\/dL). Body weight, height, and waist circumference (WC) were measured; body mass index (BMI), waist-to-height ratio (WHtR), and conicity index (Ci) were calculated. According to the BMI, the following classifications were adopted: underweight (&lt;18.5 kg\/m2), normal weight (18.5\u201324.9 kg\/m2), overweight (25\u201329.9 kg\/m2), class-I obesity (30\u201334.9 kg\/m2), class-II obesity (35\u201339.9 kg\/m2), class-III obesity (\u226540 kg\/m2). Results: Data from 12,125 students (45.6% males) were evaluated. HTN was found in 1,349 participants (11.1%; 61.1% male), and ISH was present in 7.4%. Overweight (24.1%) and class-I (6%), -II (3.6%), and -III (1%) obesity were present in hypertensive participants. Compared to participants with normal BP, hypertensive participants had a higher BMI (p &lt; 0.001), WC (p &lt; 0.001), and WHtR (p &lt; 0.001); whereas the Ci was not different (p = 0.527). Multivariate linear regression analysis showed that both WC and BMI were predictors of abnormal SBP and DBP (p &lt; 0.001) both in males and females. Proteinuria was present in 14.8, 13.8, 14.7, and 14.7% of all normal weight, overweight, obese, and all subjects, respectively. In addition, no association was found between body weight, proteinuria, and BP. Conclusion: This study shows that overweight and obesity were significantly associated to HTN in Italian adolescents. BMI and WC were predictors of SBP and DBP. The occurrence of proteinuria was quite similar to that of HTN, but it was not associated with anthropometric indicators or HTN.<\/jats:p>","DOI":"10.1159\/000502547","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T22:00:35Z","timestamp":1581112835000},"page":"286-296","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of Hypertension, Proteinuria, and Abnormalities of Body Weight in Italian Adolescents Participating in the World Kidney 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