1887
6 The Anbar 2nd International Medical Conference (AIMCO 2022)
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Adolescent hypertension is associated with significant health problems and can be progressive into adulthood.

The study was conducted to assess the prevalence of hypertension among intermediate school children (12–15 years) in Ramadi city and identify some of the possible associated factors.

A cross-sectional study was done on a sample of students who attended governmental intermediate schools in Ramadi city during the first school term (between October 1, 2019, and January 31, 2020). A total of 1817 pupils from different schools were included in this study. Blood pressure was measured for every child to obtain blood pressure percentile. Blood pressure percentile was derived from the blood pressure table in “THE FOURTH Report on the Diagnosis, Evaluation, and Treatment of High Blood pressure in children and Adolescents”. Weight and height were measured for every child to obtain the body mass index. Associated factors (age, gender, residence, physical activity, sleeping hours per day, and family history of hypertension) were assessed by a questionnaire specially prepared for this purpose.

In this study, the prevalence of hypertension was 87 (5.7%), and prehypertension was 148 (9.8%) among intermediate school children in Ramadi city. The prevalence was nearly the same for males and females: without significant association with increasing age. Blood pressure was significantly influenced in children whose parents were hypertensive, a child who was obese, physically inactive, sleep for more than 10 hours per day.

Hypertension prevalence was found among adolescents in Ramadi city, west of Iraq. Efforts are needed to diagnose those cases and to explain the expected risk factors to their families.

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2022-12-06
2024-07-25
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References

  1. Sabri M, Gheissari A, Mansourian M, Mohammadifard N, Sarrafzadegan N. Essential hypertension in children, a growing worldwide problem. J Res Med Sci. 2019 24::109.
    [Google Scholar]
  2. Bromfield S, Muntner P. High blood pressure: the leading global burden of disease risk factor and the need for worldwide prevention programs. Curr Hypertens Rep. 2013; 15:(3):134–6.
    [Google Scholar]
  3. Charles L, Triscott J, Dobbs B. Secondary hypertension: discovering the underlying cause. Am Fam Physician. 2017; 96:(7):453–61.
    [Google Scholar]
  4. Burnier M, Oparil S, Narkiewicz K, Kjeldsen SE. New 2017 American heart association and American college of cardiology guideline for hypertension in the adults: major paradigm shifts, but will they help to fight against the hypertension disease burden?Blood Press. 2018 Apr; 27:(2):62–5.
    [Google Scholar]
  5. Lo JC, Sinaiko A, Chandra M, Daley MF, Greenspan LC, Parker ED, et al. Prehypertension and hypertension in community-based pediatric practice. Pediatrics. 2013; 131:(2):e415–e24.
    [Google Scholar]
  6. Noubiap JJ, Essouma M, Bigna JJ, Jingi AM, Aminde LN, Nansseu JR. Prevalence of elevated blood pressure in children and ad-olescents in Africa: a systematic review and meta-analysis. Lancet Public Health. 2017; 2:(8):e375–86.
    [Google Scholar]
  7. Goldstein IB, Shapiro D, Weiss RE. How family history and risk factors for hypertension relate to ambulatory blood pressure in healthy adults. J Hypertens. 2008; 26:(2):276–83.
    [Google Scholar]
  8. Giontella A, Bonafini S, Tagetti A, Bresadola I, Minuz P, Gaudino R, et al. Relation between dietary habits, physical activity, and anthropometric and vascular parameters in children attending the primary school in the Verona south district. Nutrients. 2019; 11:(5):1070.
    [Google Scholar]
  9. Casas R, Castro-Barquero S, Estruch R, Sacanella E. Nutrition and cardiovascular health. Int J Mol Sci. 2018; 19:(12):3988.
    [Google Scholar]
  10. Abarca-Gómez L, Abdeen ZA, Hamid ZA, Abu-Rmeileh NM, Acosta-Cazares B, Acuin C, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. The Lancet. 2017; 390:(10113):2627–42.
    [Google Scholar]
  11. Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, George SM, Olson RD. The physical activity guidelines for Americans. JAMA. 2018 Nov 20; 320:(19):2020–8.
    [Google Scholar]
  12. Flegal KM, Tabak CJ. Overweight in children: definition and interpretation. Health Educ Res. 2006 21::755–60.
    [Google Scholar]
  13. World Health Organization. WHO growth standards 2006. Accessed March 5, 2012.
    [Google Scholar]
  14. Tirosh A, Afek A, Rudich A, Percik R, Gordon B, Ayalon N, et al. Progression of normotensive adolescents to hypertensive adults: a study of 26 980 teenagers. Hypertension. 2010; 56:(2):203–9.
    [Google Scholar]
  15. Bute J, Sahsrabudhbe A, Arora V. Pre-hypertension and hypertension and its determinants among school adolescents of rural area of Indore-a cross-sectional study. Nat J Commun Med. 2015; 6:(2):358–63.
    [Google Scholar]
  16. Ujunwa FA, Ikefuna AN, Nwokocha AR, Chinawa JM. Hypertension and prehypertension among adolescents in secondary schools in Enugu, southeast Nigeria. Italian J Pediatrics. 2013; 39:(1):70.
    [Google Scholar]
  17. Lo JC, Sinaiko A, Chandra M, Daley MF, Greenspan LC, Parker ED, et al. Prehypertension and hypertension in communi-ty-based pediatric practice. Pediatrics. 2013; 131::e415–24.
    [Google Scholar]
  18. Fadil N, Habeeb S. Blood pressure profile and prevalence of hypertension in primary school children in Basra city center. J Arab Board Health Specializations. 2014 15::2–12.
    [Google Scholar]
  19. Ghamri RA, Hegazy AA, Azizkhan AZ, Alsalmi SF, Alharbi NA, Hemedy RA, Alharbi AA. High blood pressure in children attend-ing pediatric clinic at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. J Fam Commun Med. 2019 26::193–8.
    [Google Scholar]
  20. Akbari M, Moosazadeh M, Ghahramani S, Tabrizi R, Kolahdooz F, Asemi Z, et al. High prevalence of hypertension among Ira-nian children and adolescents: a systematic review and meta-analysis. J Hypertens. 2017; 35:(6):1155–63.
    [Google Scholar]
  21. Yıldız A, Vitrinel A, Kaspar EÇ, İzbırak G, Akan H, Tanrıöver Ö, et al. Prevalence of prehypertension and hypertension in adolescents. Turkish J Fam Pract. 2011; 14:(3):115–23.
    [Google Scholar]
  22. Stabouli S, Papakatsika S, Kotsis V. The role of obesity, salt and exercise on blood pressure in children and adolescents. Expert Rev Cardiovasc Ther. 2011 9::753–61.
    [Google Scholar]
  23. Parker ED, Sinaiko AR, Kharbanda EO, Margolis KL, Daley MF. Trower NK, et al. Change in weight status and development of hypertension. Pediatrics. 2016; 137:(3):e20151662.
    [Google Scholar]
  24. Skaug E-A, Madssen E, Aspenes ST, Wisløff U, Ellingsen Ø. Cardiovascular risk factors have a larger impact on endothelial function in self-reported healthy women than men in the HUNT3 Fitness study. PLoS One. 2014; 9:(7):e101371.
    [Google Scholar]
  25. Al-Ani RK, Al-Ani SK, Al-Hadeethi RQ. The prevalence of overweight and obesity among secondary school students in Ramadi city, west of Iraq. Int Med J. 2020; 27:(5):531–4.
    [Google Scholar]
  26. Dong Y, Song Y, Zou Z, Ma J, Dong B, Prochaska JJ. Updates to pediatric hypertension guidelines: influence on classification of high blood pressure in children and adolescents. J Hypertens. 2019; 37:(2):297–306.
    [Google Scholar]
  27. Wyszyńska J, Podgórska-Bednarz J, Dereń K, Mazur A. The relationship between physical activity and screen time with the risk of hypertension in children and adolescents with intellectual disability. Biomed Res Int. 2017 2017::1940602.
    [Google Scholar]
  28. Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep. 2013; 15:(6):659–68.
    [Google Scholar]
  29. Paciência I, Barros H, Araújo J, Ramos E. Association between sleep duration and blood pressure in ado-lescents. Hypertens Res Official J Japanese Soc Hypertens. 2013; 36:(8):747–52.
    [Google Scholar]
  30. Bal C, Öztürk A, Çiçek B, Özdemir A, Zararsız G, Ünalan D, et al. The relationship between blood pressure and sleep duration in Turkish children: a cross-sectional study. J Clin Res Pediatr Endocrinol. 2018; 10:(1):51–8.
    [Google Scholar]
  31. Kuciene R, Dulskiene V. Associations of short sleep duration with prehypertension and hypertension among Lithuanian children and adolescents: a cross-sectional study. BMC Public Health. 2014 14::255.
    [Google Scholar]
  32. Ezeudu CE, Chukwuka JO, Ebenebe JC, Igwe WC, Egbuonu I. Hypertension and prehypertension among adolescents attending secondary schools in urban areas of south-east, Nigeria. Pan Afr Med J. 2018 31::145.
    [Google Scholar]
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