Determinants of hypertension amongst school going adolescents aged 13–15 yrs in Assam

Mahanta, Tulika Goswami; Mahanta, Bhupendra Narayan; Deuri, Ajanta; Baruah, Swarnali Devi; Rasailey, Reeta; Mahanta, Bhabakanta

doi:10.1016/j.cegh.2017.08.005

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…A study conducted in Nagpur (Maharashtra) had similar findings,[ 17 ] whereas Mahanta et al . [ 23 ] indicated detrimental relation between physical activity and hypertension. Regular physical activity of 30–60 min a day will increase the metabolism of lipid and glucose.…”

Section: Discussionmentioning

confidence: 99%

Role of Nutritional and Environmental Factors in the Development of Essential Hypertension among School-going Adolescents in Chennai, Tamil Nadu

Baskar

Nisha

Parasuraman

et al. 2022

International Journal of Preventive Medicine

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Background: Essential hypertension is one of the fastest rising noncommunicable diseases among adolescents and poses a major public health issue globally. This study aimed to estimate the prevalence of prehypertension and hypertension among school-going adolescents in Chennai and also to delineate the role of nutritional and environmental determinants in the development of hypertension. Methods: This cross-sectional study was conducted among school-going adolescents aged 14 to 18 years in northern Chennai. Four schools (two private, two public) out of 21 were selected randomly using probability proportionate to sampling size and 401 students were recruited after consent. Data were collected using an adapted modified World Health Organization (WHO) Global School-based student Health Survey (GSHS) questionnaire; anthropometry and blood pressure measurements were done by trained healthcare professionals using standard procedures. Prehypertension was defined when systolic or diastolic pressure >90th percentile and <95th percentile; hypertension when systolic or diastolic pressure >95th percentile. Data were analyzed using SPSS, descriptive statistics like frequencies, mean, and percentages were used and inferential statistics like Chi-square test and logistic regression were used to elicit predictors of essential hypertension. Results: Out of 401 participants, 185 (46.1%) were males and 216 (53.9%) were females. Overall prevalence of prehypertension and hypertension was 14.2% and 5.5%, respectively. Gender (P = 0.039), overweight/obese (P = 0.000), junk food intake for >3 days/week (P = 0.000), physical inactivity for <3 days/week (P = 0.000), and parent's history (P = 0.005) were significant determinants in the development of prehypertension and hypertension. Conclusions: Nutritional and environmental determinants play a critical role in influencing blood pressure status among adolescents, this requires lifestyle and behavioral modification.

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Section: Discussionmentioning

confidence: 99%

Role of Nutritional and Environmental Factors in the Development of Essential Hypertension among School-going Adolescents in Chennai, Tamil Nadu

Baskar

Nisha

Parasuraman

et al. 2022

International Journal of Preventive Medicine

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“…The results of article review shown that overweight and obesity in adolescents as indicated by an increase in body mass index were the most common risk factors for hypertension in the teen age group 1,8,10,16,17,18,23,25,26 . Risk factors for hypertension in adolescents can be seen based on anthropometry, kidney and electrolyte function, innervation mechanism, stress response, hyperdynamic circulation, influence of insulin on hemodynamics, gout, family history, genetic influence, and birth weight 7 .…”

Section: Discussionmentioning

confidence: 99%

Risk Factor of Hypertension among Adolescence: A Literature Review

2020

IJPHRD

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Hypertension is one of the non-communicable diseases whose numbers continue to increase in both developed and developing countries. This increase in prevalence will increase the risk of cardiovascular disease. Current developments, hypertension can also occur in the teen age group. The purpose of this study was to analyze the risk factors for hypertension that occur in adolescence. A literature review was conducted from 55 references sources and 10 article was eligible to this study. Data source using Science Direct, Proquest, SAGE dan Springer Link which published since 2007 until 2017. The results of the analysis of hypertension risk factors in adolescents showed that groups of adolescents with overweight and obesity had a higher risk of developing hypertension. Family history, high consumption of salt, consumption of cigarettes and low physical activity also increase the risk of hypertension. The development of adolescent hypertension can also be predicted through wrist circumferences, high waist circumference and high levels of fat in the blood. Overweight and obesity in adolescents characterized by an increase in body mass index are the most common risk factors for hypertension in adolescents. These risk factors can be reduced through efforts to lose weight and make modifications to healthy lifestyles such as consuming healthy foods, increasing physical activity and preventing smoking cigarettes.

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“…This finding is similar to other studies. 17,22,23 However, no statistically significant association was seen in study by Bala S et al 12 Similarly, there was no correlation between high BP and overweight in a study done by Chirag BA et al 22 After controlling all other variables, gender and BMI were found to be the strong predictors of elevated BP and HTN. Males are six times more 20 Similarly, another study done in North Indian City found that obesity significantly increased the odds of both HTN as well as pre hypertension.…”

Section: Original Articlementioning

confidence: 95%

Hypertension and its Determinants Among School Going Adolescents: A Cross Sectional Study in Nepal

Shakya

Bajracharya

2019

J. Nepal Paedtr. Soc.

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Introduction: Hypertension is a chronic life threatening non- communicable disease. It increases the risk for cardiovascular diseases even leading to premature death. Almost half of the adults with hypertension had elevated blood pressure during childhood. With globalisation and lifestyle changes, adolescents are exposed to various risk factors. However, diagnosis in this population is difficult due to absence of symptoms. Thus, regular blood pressure screening is essential in these groups. This study aimed to find out the prevalence of hypertension and its determinants among the school going adolescents of Kathmandu, Nepal. Methods: This was a descriptive cross sectional study which included five private secondary schools of Kathmandu, Nepal. The adolescent students studying in classes VIII, IX and X were the study subjects. Two stage cluster random sampling technique was used to select 356 participants. Data collection was done by doing anthropometric measurements, blood pressure measurement and through self administered questionnaire. Results: The study depicted that the prevalence of elevated blood pressure was 12.4%, stage 1 hypertension 32.3% and stage 2 hypertension 9.8%. Similarly, 13.8% were overweight and 1.4% were obese. Bivariate analysis depicted significant association of prevalence of hypertension with gender, religion and obesity (p < 0.05). The multivariate analysis shows that the significant predictors of elevated blood pressure and/or hypertension were gender and obesity. Males were six times more likely to have elevated blood pressure (AOR = 6.058, CI = 2.571 - 14.274) and 2.8 times more likely to be hypertensive (AOR = 2.838, CI = 1.688 - 4.773) compared to females. Similarly, compared to obese/ overweight students, thin and normally built ones have less likelihood of having elevated blood pressure and hypertension. Conclusions: Hypertension has been prevalent among adolescents, due to various behavioural risk factors. This is really challenging and of public health significance. Regular screening of adolescents is essential for early detection and management of hypertension.

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Determinants of hypertension amongst school going adolescents aged 13–15 yrs in Assam

Cited by 5 publications

References 22 publications

Role of Nutritional and Environmental Factors in the Development of Essential Hypertension among School-going Adolescents in Chennai, Tamil Nadu

Role of Nutritional and Environmental Factors in the Development of Essential Hypertension among School-going Adolescents in Chennai, Tamil Nadu

Risk Factor of Hypertension among Adolescence: A Literature Review

Hypertension and its Determinants Among School Going Adolescents: A Cross Sectional Study in Nepal

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