Prevalence of hypertension among schoolchildren aged 13-18 years in Gemlik, Turkey

Irgil, Emel; Erkenci, Yasar; Aytekin, Necla; Aytekin, Hamdi

doi:10.1093/eurpub/8.2.176

Cited by 13 publications

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“…Other studies in Turkey agree with these findings (22,28,29) . In contrast, our findings regarding the relationship of sex and HT do not agree with previous studies.…”

Section: Discussionsupporting

confidence: 76%

The relationship between BMI and blood pressure in children aged 7–12 years in Ankara, Turkey

Polat

Yıkılkan

Aypak

et al. 2014

Public Health Nutr.

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Objective: Recent studies have reported an increasing prevalence of childhood hypertension. Obesity is probably the most important risk factor. The relationship between hypertension and BMI in children has not been studied in Ankara, which is the second largest city in Turkey. Design: Cross-sectional study analysing direct data on height, weight and blood pressure of students. Setting: Population-based study in Ankara, the capital city of Turkey. Subjects: In three schools, 2826 students aged 7-12 years. Results: The overall prevalence of hypertension was 7·9 %. Among the 222 hypertensive children, 124 (56 %) were boys and ninety-eight (44 %) were girls (P = 0·40). In the whole group, 3·6 % had only systolic hypertension, 0·7 % had only diastolic hypertension and 3·5 % had both systolic and diastolic hypertension. The prevalences of overweight and obesity were both 13·9 %. BMI was significantly correlated with blood pressure (P < 0·001). Overweight and obesity were more common in boys (P < 0·001). Conclusions: Hypertension was more common than has been reported in other studies. Blood pressure measurement should be routine and frequent in children, especially obese children. KeywordsChildren Blood pressure BMI Hypertension ObesityHypertension (HT) is the worldwide number-one risk factor for preventable death. In Turkey the overall prevalence of HT is 31·8 %, and only 40·7 % of those with HT are aware that they have it (1) . HT is believed to result from obesity, which is exacerbated by a high-energy, high-fat and highsalt diet, inadequate exercise and stress (2)(3)(4) . Childhood HT risk factors increase the risk of HT in adulthood (5,6) . Systolic blood pressure (SBP) elevation in childhood predicts arterial stiffness in young adults (7,8) . Increased carotid intima-medial thickness predicts cardiovascular events (9) . Diastolic blood pressure (DBP) is particularly important in monitoring blood pressure (BP) in younger individuals (10) . The prevalence of obesity has increased rapidly in all age groups (11) . From 1980 to 2005, in the USA the prevalence of obesity has increased by 40 % in children and adolescents (12,13) . Overweight predisposes children to the health problems of obesity in adulthood, including HT, dyslipidaemia, impaired glucose metabolism, hyperinsulinaemia, obstructive sleep apnoea, and orthopaedic and psychosocial problems (14) . High childhood BP predicts CVD in adulthood, and HT plus high BMI predicts even worse CVD in adulthood (15) . The risk of obesity is related to factors in the antenatal environment, the early postnatal years, the adiposity rebound (at 5-6 years of age) and puberty (16) .The relationship between HT and BMI in children has not been studied in Ankara, which is the second largest and the capital city in Turkey. We measured height, weight and BP in 2826 students, aged 7-12 years, in Ankara, Turkey. MethodThe study was approved by the Provincial Health Directorate of Ankara and the Ethics and Research Committee of Diskapi Yildirim Beyazit Training and Research Ho...

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“…Other studies in Turkey agree with these findings (22,28,29) . In contrast, our findings regarding the relationship of sex and HT do not agree with previous studies.…”

Section: Discussionsupporting

confidence: 76%

The relationship between BMI and blood pressure in children aged 7–12 years in Ankara, Turkey

Polat

Yıkılkan

Aypak

et al. 2014

Public Health Nutr.

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“…The present study was consistent with two Indian studies where urban population (adolescents) had higher blood pressure than rural areas and the difference was significant. [30][31] The study found ( Table 5) that the prevalence of hypertension was higher in urban adolescents than rural. According to 95 th percentile in adolescents the prevalence of hypertension was 1.5% in urban adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of hypertension in our study was somewhat consistent with other studies in which the reported prevalence of hypertension in adolescent ranges from 2% to 5%. [31][32] According to the National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents in the USA the prevalence of children and adolescents with high blood pressure is 4.5%. Cappuccino et al indicated that the prevalence of hypertension is lower in rural than urban area in Cairo.…”

Section: Discussionmentioning

confidence: 99%

“…A similar finding was also reported elsewhere in India, Hungary and France that there was an association in adolescent's blood pressure with overweight. 31,[39][40][41] From the findings of this research it may be concluded that the prevalence of hypertension and pre-hypertension was higher in urban (1.5%, 14%) adolescents than rural (0.2%, 4%). The mean systolic blood pressure and diastolic blood pressure of urban boys (114.53±7.9 mmHg and 69.87±6.9 mmHg) and girls (110.61±8.8 mmHg and 68.58±6.7 mmHg) were higher than rural boys (109.79±7.5 mmHg and 68.97±5.1 mmHg) and girls (105.02±8.9 mmHg and 67.94±6.1mmHg).…”

Section: Discussionmentioning

confidence: 99%

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Blood pressure and its associated factors: a comparative study among rural and urban adolescents in Bangladesh

et al. 2016

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“…3,[30][31][32] Ülkemizde yapılan ça-lışmalarda ise %3.8 ile %17.8 arasında değişen hipertansiyon oranları tespit edilmişti. [33][34][35][36][37] Araştırmamızın sonuçları literatürdeki sonuçları destekler niteliktedir. Literatürde hipertansiyon prevalansı sonuçlarının çok geniş bir aralıkta değişiyor olması ise ölçüm ve değerlendirme teknikleri ile çalışmalarda değerlendirilen çocukların beslenme alışkan-lıkları ve demografik özelliklerinin farklılıklarından kaynaklanıyor olabilir.…”

Section: Discussionunclassified

Evaluation of obesity and hypertension in students of a primary school in Sakarya

Önsüz¹,

Zengin²,

Özkan³

et al. 2011

Sakarya Med J

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ÖzetAmaç: Sakarya'da bir ilköğretim okulundaki öğrencilerin obezite ve hipertansiyon durumlarının değerlendirilmesidir. Gereç ve Yöntem: Tanımlayıcı tipteki bu çalışma Sakarya ili Ali Fuatpaşa beldesinde bir ilköğretim okulunda 402 öğrenciyle yürütüldü. Öğrencilerin obezite durumları DSÖ'nün kriterleri kullanılarak, hipertansiyon ise Amerikan Pediatri Akademisi'nin yayınladığı standartlara göre tanımlandı. Çalışmanın verileri SPSS paket programında tanımlayıcı istatistikler ve lojistik regresyon analizi kullanılarak değerlendirildi. Bulgular: Öğrencilerin %13.9'u obez ve %14.2'si kilolu bulundu. Öğrencilerin %7.5'inde malign hipertansiyon, %12.2'sinde hipertansiyon, %21.9'unda prehipertansiyon belirlendi. Yapılan lojistik regresyon sonucunda gece yatmadan önce yemek yemek obeziteyle, birinci derece yakınlarında obezite olması, hipertansiyon olması ve obezite hipertansiyonla ilişkili faktörler olarak bulundu. Sonuç: Okul sağlığı açısından obezite ve hipertansiyon değerlendirmeleri gereklidir. Bu nedenle okul çağı çocuklarının muayenelerinde bu iki konu mutlaka yer almalı ve obezite ile hipertansiyon konusunda öğrencilere ve ailelerine eğitimler verilmelidir. AbstractObjectives: The aim of the study was to evaluate obesity and hypertension in students of a primary school in Sakarya. Material and Methods: This descriptive study was performed with 402 students in a primary school in Alifuatpasa disctrict in Sakarya. Obese students was determined by WHO criteria and hypertension was determined by American Academy of Pediatrics criteria. The data were evaluated by descriptive statistics and logistic regression analysis. Results: %13.9 of the students were obese and %14.2 of them were overweight. %7.5 of the students had malign hypertension, %12.2 of them had hypertension, %21.9 of them had prehypertension. Eating before sleeping was found to be an associated factor with obesity and having obesity and hypertension in first degree parents and obesity were found as associated factors with hypertension by logistic regression analysis. Conclusion: Evaluation of obesity and hypertension is necessary in terms of school health. For this reason these two subjects must take place in inspections of school aged children and also educations about obesity and hypertension are given to both students and their families.

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Prevalence of hypertension among schoolchildren aged 13-18 years in Gemlik, Turkey

Cited by 13 publications

References 10 publications

The relationship between BMI and blood pressure in children aged 7–12 years in Ankara, Turkey

The relationship between BMI and blood pressure in children aged 7–12 years in Ankara, Turkey

Blood pressure and its associated factors: a comparative study among rural and urban adolescents in Bangladesh

Evaluation of obesity and hypertension in students of a primary school in Sakarya

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