Emergence of Sex Differences in Prevalence of High Systolic Blood Pressure

Dasgupta, Kaberi; O’Loughlin, Jennifer; Chen, Shun-Fu; Karp, Igor; Paradis, Gilles; Tremblay, Johanne; Hamet, Pavel; Pilote, Louise

doi:10.1161/circulationaha.106.624536

Cited by 134 publications

(118 citation statements)

References 38 publications

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“…This finding was supported by another study that men were more likely to develop hypertension in adulthood. Some investigators believe that a higher prevalence of hypertension is reported in females due to their steroidal hormone impacts on blood pressure (19). However, those findings were not supported in the current study.…”

Section: Discussioncontrasting

confidence: 94%

“…Additionally, a progressive increase in the prevalence of HTN can be found with higher adipose tissue or waist circumference as another component of MetS (18). Body Mass Index (BMI) is considered an independent risk factor for HTN in women (18), rooting from steroid hormones and weight in women (19). Studies have found that changes in weight and adipose tissue contents can affect insulin resistance.…”

Section: Introductionmentioning

confidence: 99%

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Role of Gender in the Prevalence of Metabolic Syndrome and Its Related Risk Factors in Shiraz Healthy Heart Center Population

Eftekhari¹,

Sohrabi²,

Parsa³

et al. 2015

Int Cardiovasc Res J

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obesity secondary to medication and genetic or endocrine disorders were excluded from the study. Weight and height were measured for calculating Body Mass Index (BMI). Waist circumference and blood pressure were measured, as well. Plasma glucose, serum High Density Lipoprotein-cholesterol (HDL-c), and Triglyceride (TG) were also analyzed. The presence of MetS was determined using Adult Treatment Panel-III (ATP-III) criteria. Results:The results showed significant correlations between age and waist circumference, Fasting Blood Sugar (FBS), Systolic Blood Pressure (SBP), and Diastolic Blood Pressure (DBP). Moreover, statistically significant relationships were found between waist circumference and TG, SBP, DBP, and BMI. Significant correlations were also observed between FBS and TG, SBP, and DBP. Besides, there were strong correlations between TG and HDL-c, SBP, DBP, and BMI. Moreover, BMI, SBP, and DBP were significantly correlated. In addition, serum HDL-c was negatively associated with most of the variables. The prevalence of pre-diabetes, pre-hypertension, and hypertriglyceridemia was higher among males. On the other hand, the prevalence of hypertension, diabetes, high waist circumference, and MetS was significantly higher among the female participants. Conclusions: A better understanding of the role of gender in the prevalence of MetS is important in developing prevention and treatment strategies.

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Section: Discussioncontrasting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Role of Gender in the Prevalence of Metabolic Syndrome and Its Related Risk Factors in Shiraz Healthy Heart Center Population

Eftekhari¹,

Sohrabi²,

Parsa³

et al. 2015

Int Cardiovasc Res J

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“…Heart rate predicts subsequent elevated BP and is also linked with cardiovascular risk. 22 BP is influenced by gender and low socioeconomic status (SES) in youth, 23 and overweight and sedentary behavior are positively associated with SBP. 23 The effects of adolescent obesity on adult morbidity can be explained either by the locus of fat deposition during adolescence or by the independent effect of total body fat on other morbidities.…”

Section: Introductionmentioning

confidence: 99%

“…22 BP is influenced by gender and low socioeconomic status (SES) in youth, 23 and overweight and sedentary behavior are positively associated with SBP. 23 The effects of adolescent obesity on adult morbidity can be explained either by the locus of fat deposition during adolescence or by the independent effect of total body fat on other morbidities. Moreover, Ailhaud 24 emphasized that the secretion of factors from adipocytes and preadipocytes (beneficial or deleterious) in the presence of the products of macrophages (cytokines) and the excess of fat mass could give rise to various features of the metabolic syndrome, type 2 diabetes, hypertension and dyslipidemia.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic questionnaire and clinical assessment in the HELENA Cross-Sectional Study: methodology

et al. 2008

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Rationale: Environmental factors such as dietary habits, breastfeeding, socioeconomic conditions and educational factors are strong influences on nutritional and puberty status, physical activity, food choices and their interactions. Several diseases of adulthood seem to be linked to, or to originate from, lifestyle in childhood and adolescence. Objective: The aims of this study are to describe birth parameters and socioeconomic factors and to assess clinical status in adolescents aged 13-16 years from 10 European countries participating in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Cross-Sectional Study (CSS). Methodology: A self-report questionnaire on the socioeconomic status, a parental questionnaire concerning neonatal period and also a case report form (CRF), in which clinical items during clinical examination (such as medical history, treatments, anthropometry, Tanner staging, blood pressure, heart rate) were assessed. To develop these documents, first a list of items was established, a search of existing documents was performed and the advice of local and international experts was taken. All documents (questionnaires and an operations manual) were discussed in plenary HELENA meetings; a final version of these documents was fixed, and the process of translation and back translation was performed. Results:The questionnaires and CRF were tested for validation in all 10 participant cities; 208 adolescents were enrolled during the pilot study. All items that caused problems or questions in one or more participating centers or were completed by o 85% of the adolescents were reviewed before the beginning of the HELENA-CSS. Conclusion: These final questionnaires and CRF will contribute to better understanding of the inequalities in nutrition, behavior and health in the European adolescent population. The experience and process should be useful for other multicenter studies.

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“…Several factors have been speculated upon to explain sex-related differences in elevated BP among children. The risk for elevated BP can be attributed to the impact of sex steriods on BP (19); a factor strongly suggested by experimental models (21). It may also be attributed to lifestyle or nutrition patterns, especially fast foods consumption by boys, a condition requiring further studies.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of High Blood Pressure Among Children aged 11-18 Years in Birjand District, Eastern Iran in 2012: A Cross-Sectional Study

Taheri¹,

Namakin²,

Toba³

et al. 2014

Int J School Health

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Background: High blood pressure is a health problem in children. Adolescents with high blood pressure are more likely to become adults with hypertension. Objectives: The present study was conducted to determine the prevalence of high blood pressure in high school children in Birjand, Iran in 2012. Materials and Methods:The present study comprised 2450 students, 1338 girls and 1112 boys, aged from 11-18 years selected through stepwise randomized sampling from 28 secondary and high schools in Birjand, Eastern Iran. Blood pressure, weight, and height of the subjects were measured along with calculating the body mass index (BMI). Blood pressure measurements were categorized as normal, pre hypertension, or hypertension using the 2004 Fourth Report of blood pressure screening recommendations (10). The data obtained were analyzed using SPSS software (V: 15), T test, X2, and ANOVA at the significant level P < 0.05. Results: Overall prevalence of pre-hypertension and hypertension was 10.9% and 7.78%, respectively regarding systolic blood pressure, with respective values of 4.6%, and 0.9% for diastolic blood pressure, which was significantly higher in boys than girls. The prevalence rates of hypertension and pre hypertension increased with increasing (BMI). Conclusions: The prevalence of high blood pressure in Birjand children is high. Routine monitoring of blood pressure and taking preventive measures to control obesity through lifestyle changes should be considered.

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Emergence of Sex Differences in Prevalence of High Systolic Blood Pressure

Cited by 134 publications

References 38 publications

Role of Gender in the Prevalence of Metabolic Syndrome and Its Related Risk Factors in Shiraz Healthy Heart Center Population

Role of Gender in the Prevalence of Metabolic Syndrome and Its Related Risk Factors in Shiraz Healthy Heart Center Population

Socioeconomic questionnaire and clinical assessment in the HELENA Cross-Sectional Study: methodology

The Prevalence of High Blood Pressure Among Children aged 11-18 Years in Birjand District, Eastern Iran in 2012: A Cross-Sectional Study

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