Systematic review and meta-analysis: Prevalence of hypertension among adolescents in the Arab countries

Almahmoud, Omar; Arabiat, Diana; Saleh, Mohammad

doi:10.1016/j.pedn.2022.03.002

Cited by 5 publications

(12 citation statements)

References 32 publications

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“…The prevalence rates were almost four times higher in high-income countries such as Saudi Arabia than in middle-income countries such as Egypt and Tunisia. In addition, the prevalence rate was higher among studies based on adolescents with high BMI 5. In Arab countries, the prevalence of hypertension in adolescents varies across countries, with rates ranging from 4% to 26% 5…”

Section: Discussionmentioning

confidence: 96%

“… 2 On the other hand, a systematic review and meta-analysis showed a high prevalence rate of hypertension (12.6%) and prehypertension (13.9%) across the Arab countries. 5 The prevalence rates were almost four times higher in high-income countries such as Saudi Arabia than in middle-income countries such as Egypt and Tunisia. In addition, the prevalence rate was higher among studies based on adolescents with high BMI.…”

Section: Discussionmentioning

confidence: 99%

“…In their meta-analysis that included 25 studies and 54 196 participants aged 2–19 years, Noubiap et al showed that the pooled prevalence rate of elevated blood pressure (systolic or diastolic blood pressures ≥95th percentile) was 5.5%, whereas that of slightly elevated blood pressure (systolic or diastolic blood pressure ≥90th and <95th percentiles) was 12.7% 2. On the other hand, a systematic review and meta-analysis showed a high prevalence rate of hypertension (12.6%) and prehypertension (13.9%) across the Arab countries 5. The prevalence rates were almost four times higher in high-income countries such as Saudi Arabia than in middle-income countries such as Egypt and Tunisia.…”

Section: Discussionmentioning

confidence: 99%

“… 5 In Arab countries, the prevalence of hypertension in adolescents varies across countries, with rates ranging from 4% to 26%. 5 …”

Section: Discussionmentioning

confidence: 99%

“…It is a unique/important stage of human development and an important time for the future health 4. Increased awareness, applying an optimum screening tools, early detection and treatment of hypertensive individuals among adolescents could prevent the development of further hypertension in adulthood and cardiovascular events in later life 3 5…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with hypertension among adolescents in Sudan: a cross-sectional school-based study

Hassan,

Al-Nafeesah,

AlEed

et al. 2023

BMJ Open

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ObjectivesThere is an increasing rate of elevated blood pressure, or hypertension, in children and adolescents worldwide, including Sub-Saharan Africa (SSA). Only a few data on adolescent hypertension in SSA, including Sudan, have been published. The aim of the present study was to investigate the prevalence and associated factors of hypertension among adolescent schoolchildren (within the ages of 10 to 19 years) in Sudan.DesignA cross-sectional school-based study was conducted from June to September 2022.SettingsSix randomly selected schools in Almatamah, River Nile State, Sudan.ParticipantsAdolescent schoolchildren (within the ages of 10 to 19 years).Main outcome measuresSociodemographic information. Anthropometric and blood pressure measurements were performed in accordance with the standard procedures. An adjusted logistic regression analysis was performed.ResultsOf the 384 enrolled adolescents, 166 (43.2%) and 218 (56.8%) were boys and girls, respectively. The median (IQR) age and body mass index (BMI) were 15.2 years (14.0‒16.4 years) and 18.5 kg/m2(16.4‒21.5 kg/m2), respectively. Of the 384 adolescents, 240 (62.5%) and 255 (66.4%) had educated mothers and fathers (≥secondary), respectively. 38 adolescents (9.9%) had hypertension (≥95th percentile). The multivariable logistic regression analysis revealed that age, sex and maternal educational level were not associated with hypertension. Paternal educational level according to secondary education attainment (adjusted OR (AOR), 2.72; 95% CI 1.36‒5.46) and increasing BMI (AOR, 1.12; 95% CI 1.02‒1.20) were associated with hypertension.Conclusion1 in 10 adolescents in northern Sudan was hypertensive. Low paternal educational level and increasing BMI were significantly associated with hypertension. The introduction of interventional nutritional programmes at early ages is needed to ensure that adolescents are healthy in their present and later lives. To sustain such programmes, involving all educational parties at early stage is essential.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“… 5 In Arab countries, the prevalence of hypertension in adolescents varies across countries, with rates ranging from 4% to 26%. 5 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence and factors associated with hypertension among adolescents in Sudan: a cross-sectional school-based study

Hassan,

Al-Nafeesah,

AlEed

et al. 2023

BMJ Open

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The association between leisure-time physical activity and blood pressure changes from adolescence to young adulthood: Tehran Lipid and Glucose Study

Yari-Boroujeni,

Farjad,

Olazadeh

et al. 2023

Sci Rep

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The effectiveness of long-term leisure time physical activity (LTPA) on blood pressure (BP) changes is still under debate. Since adolescence lifestyle behaviors shape the adulthood health profile, this study aimed to investigate the sex-specific impact of LTPA on BP changes from adolescence to young adulthood. This longitudinal study uses the data of 1412 adolescents (52% females) aged 12–18 years through a median follow-up of 12.2 years in the Tehran Lipid and Glucose Study (TLGS) framework. LTPA was calculated using the reliable and valid Iranian version of the modified activity scale (MAQ), and BP was measured at least twice by trained physicians. The linear mixed model was used to examine the study variables, considering individual and intrapersonal differences during the study. The majority of participants consistently demonstrated insufficient LTPA throughout the follow-up assessments, ranging from 54.7 to 67.1% for males and 77.7–83.4% for females. Despite a declining trend in LTPA (β = − 2.77 for males and β = − 1.43 for females), an increasing trend was noticeable in SBP, DBP, and BMI (β = 1.38, β = 1.81, β = 0.97 for males, and β = 0.10, β = 0.20, β = 0.97 for females, respectively). The unadjusted model revealed a significant trend in all variables for both sexes, except for female BP (P = 0.45 for SBP and P = 0.83 for DBP). Using the adjusted model, no significant association was observed between LTPA and changes in BP over time in both sexes. Our study indicates no association between LTPA and BP changes from adolescence to young adulthood. Insufficient LTPA levels, particularly among Iranian females, are likely the primary factor. Further research is crucial to identify appropriate LTPA levels to promote cardiovascular health and implement targeted interventions to achieve optimal LTPA levels in the Iranian population.

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Global prevalence of cardiovascular risk factors based on the Life's Essential 8 score: an overview of systematic reviews and meta-analysis

López-Bueno,

Núñez-Cortés,

Calatayud

et al. 2023

Cardiovascular Research

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Cardiovascular health (CVH) is a critical issue for global health. However, no previous study has determined the prevalence of cardiovascular risk factors based on the American Heart Association’s (AHA) Life’s Essential 8 (LE8). Therefore, we aimed to estimate the global prevalence of the eight cardiovascular risk factors identified in the LE8. A systematic search of systematic reviews with meta-analysis on cardiovascular risk factors covering data reported between 2000 and 2019 was conducted on PubMed, Epistemonikos, and the Cochrane Library until 1 May 2023. After applying exclusion criteria, 79 studies remained in the final selection for the narrative synthesis in the systematic review, of which 33 of them were used in the meta-analysis which included 2 555 639 participants from 104 countries. The overall pooled prevalence of cardiovascular risk factors was as follows: insufficient physical activity, 26.3% (95% CI 2.3%–63.4%), no adherence to a healthy diet, 34.1% (95% CI 5.8%–71.2%), nicotine exposure, 15.4% (95% CI 10.4%–21.2%), insufficient sleep quality, 38.5% (95% CI 14.0%–66.7%), obesity, 17.3% (95% CI 6.1%–32.6%), dyslipidemia, 34.1% (95% CI 33.8%–34.4%), diabetes, 12.0% (95% CI 7.0%–18.2%), and hypertension, 29.4% (95% CI 23.3%–35.8%). These results warrant prevention strategies aimed at reducing insufficient sleep quality, and no adherence to a healthy diet as leading cardiovascular risk factors worldwide. The high prevalence of hypertension among children and adults is concerning and should also be adequately addressed through global policies.

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Systematic review and meta-analysis: Prevalence of hypertension among adolescents in the Arab countries

Cited by 5 publications

References 32 publications

Prevalence and factors associated with hypertension among adolescents in Sudan: a cross-sectional school-based study

Prevalence and factors associated with hypertension among adolescents in Sudan: a cross-sectional school-based study

The association between leisure-time physical activity and blood pressure changes from adolescence to young adulthood: Tehran Lipid and Glucose Study

Global prevalence of cardiovascular risk factors based on the Life's Essential 8 score: an overview of systematic reviews and meta-analysis

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