The number of visits and blood pressure measurements influence the prevalence of high blood pressure in adolescents

Oliveira, Luciano Machado Ferreira Tenório de; Silva, Alison Oliveira da; Diniz, Paula Rejane Beserra; Farah, Breno Quintella; Pirauá, André Luiz Torres; Neto, Antônio José de Lima; Feitosa, Wallacy Milton do Nascimento; Tassitano, Rafael Miranda; Ritti‐Dias, Raphael Mendes

doi:10.1016/j.jash.2017.04.002

Cited by 18 publications

(14 citation statements)

References 22 publications

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“…Moreover, despite taking three BP measurements and final BP obtained by averaging the last two readings with the aim of reducing measurement errors and the potential effect of "white coat hypertension," 5 we acknowledge that there could be some residual "white coat hypertension" and hence overestimation of the disease burden. 32 Our approach of averaging two readings from different arms might limit TA B L E 3 (Continued) comparability of our results from other studies. Also, despite the sampling procedures used, our findings may not be representative to a wider population of school/college attending adolescents/young people in sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 86%

“…In addition, behavioral and socioeconomic factors were self‐reported and may have been biased by recall and social desirability. Moreover, despite taking three BP measurements and final BP obtained by averaging the last two readings with the aim of reducing measurement errors and the potential effect of “white coat hypertension,” we acknowledge that there could be some residual “white coat hypertension” and hence overestimation of the disease burden . Our approach of averaging two readings from different arms might limit comparability of our results from other studies.…”

Section: Discussionmentioning

confidence: 94%

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Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

Nsanya

Kavishe

Katende

et al. 2019

J of Clinical Hypertension

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We conducted a cross‐sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre‐hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37‐42). The prevalence of pre‐hypertension was 29% (95% CI: 26‐31) and that of hypertension was 11% (95% CI: 10‐13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2‐20.0), male sex (aOR = 3.2, 95% CI: 2.4‐4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9−10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50‐0.98). The increasing burden of pre‐hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre‐hypertension in East African adolescents.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 94%

Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

Nsanya

Kavishe

Katende

et al. 2019

J of Clinical Hypertension

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“…A avaliação da PA foi realizada em dois dias distintos com intervalo de 48 horas, a fim de garantir precisão dos valores pressóricos 19,20 . Os indivíduos receberam instruções que deveriam ser seguidas 24 horas antes de cada avaliação, como não realizar nenhum tipo de exercício físico, manter a rotina normal de horário de sono e alimentação, não ingerir chá, café ou qualquer composto que contivesse cafeína e também não ingerir bebida alcoólica.…”

Section: Triagem E Diagnóstico De Normotensãounclassified

Respostas cardiovasculares após exercício isométrico com handgrip em diferentes intensidades

Silva¹,

Sobrinho²,

Ritti‐Dias³

et al. 2018

JPhysicalEdu

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Embora o exercício isométrico esteja sendo usada para redução da pressão arterial (PA). Os estudos são divergentes quantos aos efeitos agudos, que é uma medida de risco cardiovascular, além de não ser conhecido os efeitos da intensidade do exercício.Analisar as respostas cardiovasculares aguda após exercício isométrico com handgrip com diferentes intensidades. Fizeram parte deste estudo cross-over, 23 homens saudáveis, os quais foram submetidos, a três sessões experimentais: 4x2 minutos de contração a 30% (S30) e 50% (S50) da contração voluntária máxima e controle (SC). A PA e os parâmetros da variabilidade da frequência cardíaca do domínio do tempo (SDNN, RMSSD e PNN50) e da frequência (LF, HF e LF/HF) foram obtidos antes e após 30 minutos das sessões. Não foram observadas diferenças significantes na PA sistólica (S50:115±9vs.117±9 mmHg; S30:112±10vs.114±9 mmHg; SC:115±9vs.113±8 mmHg, p>0,05) e diastólica (S50:61±5vs.65±5 mmHg; S30:60±4vs.63±6 mmHg; SC:62±8vs.63±8 mmHg, p>0,05). Após a S50, houve menor aumento do PNN50 (S50:+1±5; S30:+7±7;SC:+6±8%, p=0,012) e maior aumento do LF/HF (S50:+1,59±2,55;S30:-0,49±1,84;SC:+0,37±1,49, p=0,049) comparado as demais sessões. Após a realização do exercício isométrico, não houve alterações pressóricas, enquanto que o exercício com maior intensidade gerou aumento da modulação simpática e redução da modulação parassimpática após exercício.

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“…Three measurements were taken per day at 1-minute intervals, on two non-consecutive days. (17) Mean BP values were used in the analysis. All measurements were made by the same person.…”

Section: Cardiovascular Measurementsmentioning

confidence: 99%

Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

Gerage

Benedetti

Cavalcante

et al. 2020

Einstein (São Paulo)

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Objective: To investigate the efficacy of a behavior change program named Vida Ativa Melhorando a Saúde on cardiovascular parameters in hypertensive patients. Methods: Ninety hypertensive patients aged over 40 years were randomly allocated to one of two groups: Vida Ativa Melhorando a Saúde or Control (n=45 respectively). Patients in the Vida Ativa Melhorando a Saúde group took part in a behavior change program aimed to encourage changes in physical activity levels and eating habits, according to the Social Cognitive Theory. The program consisted of 90-minute weekly group meetings conducted by a physical therapist and a dietitian. One chapter of the educational material (workbook) provided was discussed per meeting. Participants in the Control Group attended a single educative lecture on lifestyle changes. Brachial and central blood pressure, arterial stiffness and endothelial function parameters were measured preand post-intervention. Results: Vida Ativa Melhorando a Saúde led to reduction of brachial (131.3±15.8mmHg to 125.1±17.3mmHg; p<0.01) and central (123.6±16.3mmHg to 119.0±20.6mmHg; p=0.02) systolic and brachial diastolic (123.6±16.3mmHg to 119.0±20.6mmHg; p<0.01) blood pressure values, and improvement of post-occlusive reactive hyperemia (from 5.7±2.5mL•100mL −1 to 6.5±2.1mL•100mL −1 tissue•min −1; p=0.04). No changes in body composition, heart rate and arterial stiffness parameters were detected in both groups (p>0.05). Conclusion: Vida Ativa Melhorando a Saúde program improved blood pressure and microvascular reactivity in hypertensive patients.

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The number of visits and blood pressure measurements influence the prevalence of high blood pressure in adolescents

Cited by 18 publications

References 22 publications

Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

Respostas cardiovasculares após exercício isométrico com handgrip em diferentes intensidades

Efficacy of a behavior change program on cardiovascular parameters in patients with hypertension: a randomized controlled trial

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