First report on simplified diagnostic criteria for pre-hypertension and hypertension in a national sample of adolescents from the Middle East and North Africa: the CASPIAN-III study

Kelishadi, Roya; Heshmat, Ramin; Ardalan, Gelayol; Qorbani, Mostafa; Taslimi, Mahnaz; Poursafa, Parinaz; Keramatian, Kasra; Taheri, Majzoubeh; Motlagh, Mohammad Esmaeil

doi:10.1016/j.jped.2013.06.005

Cited by 28 publications

(13 citation statements)

References 17 publications

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“…This study revealed a 13.2 % prevalence of undiagnosed hypertension among the adolescents. This prevalence rate is higher than the rates of 5.6 %, 6.3 %, 9.4 %, and 9.6 % reported in similar studies carried out in Iran [7], China [20], Brazil [21], and Tunisia [22], respectively. The prevalence rate in the present study is however lower than the rates reported in affluent societies including Italy (37.7 %), Sweden (38.4 %), England (41.7 %), Finland (48.7 %), and Germany (55.3 %) [3].…”

Section: Discussioncontrasting

confidence: 64%

“…The second and third measurements were taken for all the participants but recorded only for those found to be hypertensive at the first measurement, based on a previous study [15]. A time interval of at least 5 min each was observed before taking the second and third measurements [7]. Those who were either prehypertensive (blood pressure (BP) = 120–125/80–85) or at stage 1 hypertension (BP = >125–130/>85–90) were identified as those with undiagnosed hypertension [19].…”

Section: Methodsmentioning

confidence: 99%

“…In a study on Nigerian children, both diastolic and systolic pressures were consistently high in a substantial number of the Nigerian children [7] and was attributed more to the environment than genetic factors although family history might play some role. Insufficient breastfeeding, overweight or obesity, smoking, alcohol abuse, lack of physical fitness, and socioeconomic status have been associated with hypertension and so are diets high in sodium, potassium, calcium, magnesium, and diabetes mellitus [8, 9].…”

Section: Introductionmentioning

confidence: 99%

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Casual blood pressure of adolescents attending public secondary schools in Maiduguri, Nigeria

et al. 2015

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IntroductionAlthough evidence exists that adolescents’ hypertension could lead to adults’ hypertension, it is a general belief that measures for early detection and treatment of this condition is seldom undertaken especially in medically underserved communities such as Maiduguri, Northeastern Nigeria. This study investigated the prevalence of undiagnosed hypertension among adolescents in Maiduguri, Nigeria, and explored the association between undiagnosed hypertension and adolescents’ physical characteristics and parental socio-demographic factors.MethodsParticipants’ physical characteristics were assessed, and information on their socio-demographics including parental socioeconomic status were obtained. Blood pressures and heart rates of the participants were also measured three times at 5–10-min period.ResultsThe prevalence of undiagnosed hypertension among the students was 13.2 %, and overwhelming majority (82.4 %) of the hypertensive students were in the prehypertensive stage, while 17.6 % were in the stage 1 classification of hypertension. Higher prevalence of undiagnosed hypertension was observed for the females compared to the male adolescents (X2 = 15.49, p = 0.001), and presence of undiagnosed hypertension is positively but tenuously linked to age (r = 0.11, p = 0.01), body mass index (r = 0.10, p = 0.01), and parental income (r = 0.26, p = 0.02) of the students.DiscussionThis study suggests that any effective programs designed to mitigate undiagnosed hypertension among adolescents in this city should include strategies that address possible barriers to physical activity and exercise among female adolescents in the society.

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Section: Discussioncontrasting

confidence: 64%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Casual blood pressure of adolescents attending public secondary schools in Maiduguri, Nigeria

et al. 2015

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“…The sensitivities decreased significantly when SBPHR or DBPHR was used as 2 separate screening tools to identify elevated BP. 18,20 Some researchers believed that the 5 BPHR 100 110 67 108 68 110 113 73 110 72 120 115 79 113 76 130 117 82 117 79 140 120 83 119 81 150 124 85 123 83 160 127 85 127 85 170 127 85 127 85 180 127 85 127 85 190 127 performance of BPHR was lower in younger children compared with adolescents. 23 Its sensitivity and specificity were lower in younger children when compared with adolescents.…”

Section: Hypertension (Defi Ned As Age- Sex- and Height-specifi C 9mentioning

confidence: 99%

Performance of User-Friendly Screening Tools for Elevated Blood Pressure in Children

Wang

Liu

et al. 2017

Pediatrics

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“…Blood pressure‐to‐height rate ratio (BPHR, mmHg/cm) was first suggested by Lu et al 4 to ease the diagnosis of HBP in adolescents. Other research subsequently verified that BPHR was a clear and reliable method for the identification of HBP in children and adolescents 8‐11 . Some studies, however, have indicated that BPHR sensitivity and specificity are lower in children younger than 12 years compared with adolescents 12 …”

Section: Introductionmentioning

confidence: 96%

Performance of modified blood pressure‐to‐height ratio for diagnosis of hypertension in children: The CASPIAN‐V study

Yazdi

Assadi

Daniali

et al. 2020

J of Clinical Hypertension

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This study aimed to evaluate the accuracy and performance of modified blood pressure‐to‐height ratio (MBPHR) for identifying high blood pressure (HBP) in a large population of children. This multicentric cross‐sectional study was conducted on a nationally representative sample of 7349 Iranian students aged 7‐12 years living in 30 provinces in Iran. High systolic blood pressure and diastolic blood pressure were defined according to the 2017 American Academy of Pediatrics (AAP) guidelines. The BP‐to height ratio (BPHR) was calculated as BP (mmHg)/height (cm), MBPHR3 as BP (mmHg)/(height (cm) + 3 (13‐age)), and MBPHR7 as BP (mmHg)/(height (cm) + 7 (13‐age). The receiver‐operating characteristic curve analysis was used to evaluate the performance of these three ratios for identification of HBP in children compared to the 2017 AAP guidelines as the gold standard. Mean age of participants was 12.29 ± 3.15 years and 3736 (50.8%) were girls. The prevalence of HBP was 11.9% (11.5% in boys, 12.3% in girls). The area under the curve (AUC) was higher for MSBPHR3/MDBPHR3 (0.97/0.98) than MSBPHR7/MDBPHR7 (0.96/0.97) and SBPHR/DBPHR (0.96/0.95) for identifying high Systolic and diastolic BP. The optimal cut‐off points for MSBPHR3/MDBPH, MSBPHR7/MDBPHR7, and SBPHR/DBPHR were 0.76/0.50, 0.69/0.46, and 0.81/0.52 respectively. Negative predictive value was nearly perfect for three ratios (≥98%). Positive predictive value was higher for MBPHR3 (52.7%) than MBPHR7 (51.0%) and BPHR (39.8%). Overall, MBPHR3 had better performance than MBPHR7 and BPHR for identification of HBP in Iranian children and it may improve early hypertension recognition and control in primary screening.

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First report on simplified diagnostic criteria for pre-hypertension and hypertension in a national sample of adolescents from the Middle East and North Africa: the CASPIAN-III study

Cited by 28 publications

References 17 publications

Casual blood pressure of adolescents attending public secondary schools in Maiduguri, Nigeria

Casual blood pressure of adolescents attending public secondary schools in Maiduguri, Nigeria

Performance of User-Friendly Screening Tools for Elevated Blood Pressure in Children

Performance of modified blood pressure‐to‐height ratio for diagnosis of hypertension in children: The CASPIAN‐V study

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