Pre-Hypertension and Hypertension and Its Determinants Among School Adolescents of Rural Area of Indore- A Cross Sectional Study

Authors

  • Jayashri Bute Index Medical College, Indore
  • Aarti Sahsrabudhhe Index Medical College, Indore
  • Vinod Arora Index Medical College, Indore
  • Harilal Dabhi Index Medical College, Indore

Keywords:

Hypertension, Prevalence, Determinants, Rural community

Abstract

Background: Objectives of the study were to evaluate the prevalence of hypertension (HBP) and pre-hypertension (PHT) among the apparently healthy school children and to estimate the associa- tion of different risk factors with the HBP.

Methods: A cross sectional study was conducted during the period from August-December 2014.

Results: The prevalence of hypertension was detected to be 5.25% and pre-hypertension was 17.4%.Overall the mean systolic blood pressure and mean diastolic blood pressure were 113 ± 12.44 mm of Hg and 72.96 ± 8.95 mm of Hg respectively which was found to be similar in both sexes. The risk of high blood pressure signifi- cantly increased with age (p< 0.0001) Proportion of hypertension was higher among 71 (36.8%) adolescents, who were physically in- active as compared to 41 (13.6%) physically active adolescents which was found to be highly significant.[ OR= 0.26 (0.17-0.4) p < 0.0000001].The major risk factors was additional salt intake (p < 0.00013) & papad/pickle intake(p < 0.0080)OR = 0.59 (0.38-0.90) found to be significant.

Conclusion: In our rural population, the evaluation of blood pres- sure in children and adolescents is not a routine measure. Physical inactivity is reflecting increasing trend, along with changing die- tary habits which is a major risk factor for hypertension.

References

Sorof JM, Alexandrov AV, Cardwell G, Portman RJ. Ca- rotid artery intimal-medial thickness and left ventricular hypertrophy in children with elevated blood pressure. Pediatrics. Journal 2003;111:61-66.

WHO 2013 Report. A Global brief on hypertension silent killer, global public health crisis. World Health Day 2013 document WHO/DCO/WHD/2013.

World Health Organization. Global status report on noncommunicable diseases 2010. Geneva, World Health Organization, 2011.

Luma GB, Spiotta RT. Hypertension in children and ad- olescents. Am Fam Physician 2006;73:1558-68.

De Onis M, Blössner M. Prevalence and trends of over- weight among preschool children in developing coun- tries. Am J Clin Nutr 2000;72:1032-9.

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 chil- dren and adolescents". Pediatrics 114(2 Suppl 4th Re- port) August-2004: pg.555–76.

Expert Panel on Integrated Guidelines for Cardiovascu- lar Health and Risk Reduction in Children and Adoles- cents; National Heart, Lung, and Blood Institute . "Ex- pert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report". Pediatrics. 128 Suppl 5: Dec-2011,213– 56.

Chadha SL, Vasan RS, Sarma PS, Shekhawat S, Tandon R, Gopinath N. Age- and height-specific reference limits of blood pressure of Indian children. Natl Med J India 1999;12:150-6.

Krishna P, PrasannaKumar KM, Desai N, Thennarasu K. Blood pressure reference tables for children and adoles- cents of Karnataka. Indian Pediatr 2006;43:491-501.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr. JL, Jones DW, Materson BJ, Oparil S, Wright Jr. JT, Roccella EJ. "Seventh report of the Joint National Committee on Prevention, Detection, Evalua- tion, and Treatment of High Blood Pressure". Hyperten- sion (Joint National Committee On Prevention) 42 ,De- cember 2003,1206-52.

D.Narayanappa,HS Rajani,KB Mahenrappa and V G Ra- vikumar,Indian Journal of Pediatrics, Vol 49-sep 16

,2012:755

Patil RR, Garg BS. Prevalence of hypertension and varia- tion in blood pressure among school children in rural area of Wardha. Indian J Public Health 2014;58:78-83

Bertrand Fikahem Ellenga Mbolla, Annie Rachel Okoko, Jean Robert Mabiala Babela, Prehypertension and Hypertension among Schoolchildren in Brazzaville, Congo. International Journal of Hypertension Volume 2014 , [PUBMED]

Christine P. Stewart, Parul Christian, Lee S.F. Wu, Ste- ven C. LeClerq, Subarna K. Khatry,Et al Prevalence and Risk Factors of Elevated Blood Pressure, Overweight, and Dyslipidemia in Adolescent and Young Adults in Rural Nepal,Metab Syndr Relat Disord. 2013 Oct; 11(5): 319–328

Xiaofan Guo, Liqiang Zheng, Yang Li, Shasha Yu, Xinghu Zhou, Et al Gender-specific prevalence and associated risk factors of prehypertension among ru- ral children and adolescents in Northeast China: a cross-sectional study,European Journal of Pediatrics February 2013, Volume 172, Issue 2, pp 223-230.

Savitha MR, Krishnamurthy B, Fatthepur SS, Yashwanth Kumar AM, Khan MA. Essential hypertension in early and mid-adolescence. Indian J Pediatr 2007;74:1007-11.

M.B. Soudarssanane, M. Karthigeyan, S. Stephen, A. Sa- hai Key Predictors of High Blood Pressure and Hyper- tension among Adolescents:A Simple Prescription for Prevention, Indian Journal of Community Medicine July- September, 2006,Vol. 31, No. 3.

Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hyperten- sion in school-aged children. Pediatrics 2004;113:475-82.

Durrani AM, Waseem F. Blood pressure distribution and its relation to anthropometric measurements among school children in Aligarh. Indian J Public Health 2011;55:121-4.

Subhi MD. Blood pressure profiles and hypertension in Iraqi primary school children. Saudi Med J 2006;27:482- 6.

Nichols S, Cadogan F. Blood pressure and its correlates in Tobagonian adolescents. West Indian Med J 2006; 55:305-12.

Aneesa M,Alsendi,Parakh Shetty,Abdulraman O.,Mark Myatt, Relationship between body composition and blood pressure in Bahraini adolescents,British Journal of Nutrition,2003,90:837-844,

Raj M, Sundaram KR, Paul M , Deepa AS, Kumar RK , Obesity in Indian children:time trends and relationship with hypertension,.National Med.J.India; 2007,20: 288- 293

Mahajan A, Negi PC. Hypertension and prehyperten- sion among adolescents in Shimla, Northern India-Time to awaken.Nig J Cardiol 2015;12:71-6.

Kumar A, Atul K, Apeksha P, Neha G, Deba P B. Preva- lence and risk factors associated with hypertension in children and adolescents. Pediatric OnCall J 2015; 12 (2). DOI : 10.7199/ped.oncall.2015.34 .

Downloads

Published

2015-09-30

How to Cite

1.
Bute J, Sahsrabudhhe A, Arora V, Dabhi H. Pre-Hypertension and Hypertension and Its Determinants Among School Adolescents of Rural Area of Indore- A Cross Sectional Study. Natl J Community Med [Internet]. 2015 Sep. 30 [cited 2024 May 2];6(03):358-63. Available from: https://www.njcmindia.com/index.php/file/article/view/1208

Issue

Section

Original Research Articles