Defining hypertension in children

Revelas, Angela; Tahmazidis, Odyseas

doi:10.1080/20786204.2012.10874186

Cited by 2 publications

(3 citation statements)

References 55 publications

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“…35 In addition, the mediating effects of the adiposity indices in the predictions of systolic blood pressure and diastolic blood pressure from physical activity level in this study suggest the need for body fat management in these children either through increased physical activity level and/or proper dieting. 36 Although high blood pressure has been associated with family history, 42 this association is partly mediated by a shared and modifiable environment, which includes low physical activity level and improper dieting. 6,43 Furthermore, the findings also suggest the need for measurement of adiposity indices, especially body mass index and waist circumference, as part of clinical examinations and screening protocols in children.…”

Section: Discussionmentioning

confidence: 99%

“…Resting systolic and diastolic blood pressure of the participants was taken using automatic blood pressure monitor (Omron, HEM-712) following the procedures explained elsewhere. 3,36 In brief, participants were asked to rest for at least 5 minutes, and seat, with back supported and the feet resting comfortably on the floor. Using cuffs of appropriate sizes, the right arm was supported at the heart level, measurements were taken three times in each patient, and at least 2 minutes was allowed between each measurement.…”

Section: Blood Pressurementioning

confidence: 99%

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Association between physical activity level and blood pressure: varied and graded mediating effects of obesity indices in schoolchildren

2020

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Objective:To explore the mediating effects of adiposity indices in the association between physical activity level and blood pressure in a Nigerian schoolchildren population.Materials and Methods:One thousand five hundred and seventeen schoolchildren (714 males and 803 females) from randomly selected primary schools participated. Physical activity level, sum of skinfold thickness at three sites, waist circumference, body mass index, and blood pressure were measured using standardised procedures. The statistical significance of the mediating effects of adiposity indices was determined using Sobel Test.Results:Some obesity indices mediated the association between physical activity level and systolic blood pressure [males: waist circumference (t = 5.31; p < 0.001), skinfold thickness (t = 3.80; p < 0.001), and waist circumference/height (t = 2.21; p < 0.001); females: body mass index (t = 8.03; p < 0.001), waist circumference (t = 7.80; p < 0.001), and skinfold thickness (t = 5.94; p < 0.001)]. Similarly, some obesity indices mediated the prediction of diastolic blood pressure in females [males: body mass index (t = 1.95; p = 0.05), waist circumference (t = 2.65; p = 0.01), and skinfold thickness (t = 1.97; p = 0.05); females blood pressure: body mass index (t = 6.49; p < 0.001), waist circumference (t = 6.29; p < 0.001), skinfold thickness (t = 2.31; p = 0.02), and waist circumference/height (t = 2.59; p = 0.01)].Conclusion:The obesity indices that mediate the association between physical activity level and blood pressure vary, and their mediating effects are graded. While waist circumference and skinfold thickness exert the greatest mediating effects on the association in males, body mass index and waist circumference do in females.

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Section: Discussionmentioning

confidence: 99%

Section: Blood Pressurementioning

confidence: 99%

Association between physical activity level and blood pressure: varied and graded mediating effects of obesity indices in schoolchildren

2020

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“…Deflation continued until the disappearance or fifth Korotkoff sound was heard. This was the diastolic reading [1], [16], [17]. Second and third BP readings were taken at five-minute intervals.…”

Section: Data Collectionmentioning

confidence: 99%

Blood Pressure Profiles And Determinants Of Hypertension Among Public Secondary School Students In Nnewi, Southeast Nigeria

Ugochukwu

Onubogu

Ofora

et al. 2020

EJMED

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Background: Hypertension and associated factors among adolescents have not been given the deserved attention in health care, more so as hypertensive children end up as hypertensive adults with serious co-morbidities. This is even more expedient among public school students, who in our environment are generally of lower socioeconomic status than those in private schools. Objective: To determine the BP profiles and association of obesity indicators, socioeconomic level and physical activity with hypertension among public secondary school students. Methodology: A cross-sectional school-based assessment of blood pressure (BP), body mass index (BMI), weight to height ratio (WHR), waist circumference (WC), physical activity and socioeconomic level among 593 students aged 10 – 17 years in public schools in Nnewi, Southeast Nigeria was carried out. Results: The mean systolic BP increased with age and was higher for girls than for boys. The prevalence of systolic hypertension and prehypertension were 8.4% and 6.6% respectively, while that of diastolic hypertension and prehypertension were 5.7% and 11.8% respectively. Both systolic and diastolic hypertension occurred in 2.4% of students. Girls had a higher prevalence of hypertension – both systolic and diastolic. There was no significant gender difference in the prevalence of systolic hypertension and prehypertension between early and late adolescents. Early adolescent males were more likely to have diastolic hypertension and prehypertension compared to late adolescent males, while no difference in prevalence was noted among the females. Systolic hypertension was more evident in the lower socioeconomic level, those with minimal physical activity, and those in the obese/overweight categories of BMI, WC, and WHR. Conclusion: There is a noteworthy prevalence of hypertension among adolescent public secondary school students in Nnewi. This was significantly higher among the female gender, lower socioeconomic level and students with minimal physical activity. Waist circumference in the obese/overweight category very likely predicts hypertension.

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Defining hypertension in children

Cited by 2 publications

References 55 publications

Association between physical activity level and blood pressure: varied and graded mediating effects of obesity indices in schoolchildren

Association between physical activity level and blood pressure: varied and graded mediating effects of obesity indices in schoolchildren

Blood Pressure Profiles And Determinants Of Hypertension Among Public Secondary School Students In Nnewi, Southeast Nigeria

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