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Associations between HBP, body mass index (BMI), gender, ethnicity, and acanthosis nigricans (AN) were investigated using a school based cross-sectional study. Blood pressure was measured and the 95<jats:sup>th<\/jats:sup>percentile was used to determine HBP. Comparisons between children with and without HBP were utilized. The crude and multiple logistic regression adjusted odds ratios were used as measures of association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Females, Hispanics, overweight children, and children with AN had an increased likelihood of HBP. Overweight children (BMI \u2265 85<jats:sup>th<\/jats:sup>percentile) and those with AN were at least twice as likely to present with HBP after controlling for confounding factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Twenty one percent of school children had HBP, especially the prevalence was higher among the overweight and Hispanic group. The association identified here can be used as independent markers for increased likelihood of HBP in children.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1471-2431-6-32","type":"journal-article","created":{"date-parts":[[2006,11,16]],"date-time":"2006-11-16T19:13:09Z","timestamp":1163704389000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["High blood pressure in school children: prevalence and risk factors"],"prefix":"10.1186","volume":"6","author":[{"given":"Ximena","family":"Urrutia-Rojas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christie U","family":"Egbuchunam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sejong","family":"Bae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Menchaca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Bayona","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick A","family":"Rivers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan P","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2006,11,16]]},"reference":[{"key":"134_CR1","unstructured":"Centers for Disease Control and Prevention: National Center for Health Statistics. 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