Hypertension and pre-hypertension among adolescents in Shimla, Northern India-Time to awaken

Mahajan, Annil; Negi, PC

doi:10.4103/0189-7969.152008

Cited by 6 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evidence has shown that adolescents with pre‐hypertension have a two to three times higher risk of developing hypertension as young adults and that this risk is even higher in those with African ancestry . Studies from the United States and Europe have demonstrated that pre‐hypertension in adolescents is associated with end‐organ damage . Therefore, pre‐hypertension in African adolescents could partly explain the high prevalence of hypertension and CVDs seen among young and middle‐aged adults in Africa.…”

Section: Discussionmentioning

confidence: 99%

“…9,10 Studies from the United States and Europe have demonstrated that pre-hypertension in adolescents is associated with end-organ damage. 8,12,13 Therefore, pre-hypertension in African adolescents could partly explain the high prevalence of hypertension and CVDs seen among young and middle-aged adults in Africa.…”

Section: Discussionmentioning

confidence: 99%

“…34-42). Similarly, the prevalence of hypertension in adolescents was 12% (95% CI: [10][11][12][13][14] and that of young adults was 10% (95% CI: 7-13).…”

Section: Prevalence Of Pre-hypertension and Hypertensionmentioning

confidence: 96%

“…Adolescents with pre‐hypertension are known to be two to three times more likely to develop hypertension as young adults, and this risk may be higher among those of African ancestry . Pre‐hypertension during adolescence is associated with end‐organ damage including left ventricular hypertrophy, diastolic dysfunction, and kidney disease . Pre‐hypertension in African adolescents could therefore explain the onset of hypertension and CVDs in this region at a younger age …”

Section: Introductionmentioning

confidence: 99%

“…9,10 Pre-hypertension during adolescence is associated with end-organ damage including left ventricular hypertrophy, diastolic dysfunction, and kidney disease. 8,[11][12][13][14][15] Pre-hypertension in African adolescents could therefore explain the onset of hypertension and CVDs in this region at a younger age. 3,4 Past studies on high BP in adolescents in sub-Saharan Africa have been limited by use of non-standardized methods of BP measurement, by use of BP definitions that do not take into account key variables such as sex, age, and height, and by involving small sample sizes or populations from a single location.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…34-42). Similarly, the prevalence of hypertension in adolescents was 12% (95% CI: [10][11][12][13][14] and that of young adults was 10% (95% CI: 7-13).…”

Section: Prevalence Of Pre-hypertension and Hypertensionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

View full text Add to dashboard Cite

show abstract

Prehypertension and its predictors among older adolescents: A cross-sectional study from eastern Nepal

Thapa

Budhathoki²,

Niraula³

et al. 2022

PLOS Glob Public Health

View full text Add to dashboard Cite

Prehypertension is a state of transition between normal blood pressure and hypertension. Adolescent prehypertension is a strong predictor of hypertension in adults and is now considered for cardiovascular intervention or risk reduction. This study was conducted among adolescents to assess the burden of pre-hypertension and its predictors. A cross-sectional study was conducted among grade 11 and 12 students in three districts in eastern Nepal namely Jhapa, Morang and Sunsari. Sampling was done using a multistage stratified proportionate random method. A semi-structured questionnaire adapted from the WHO STEPwise approach to the non-communicable disease risk factor surveillance (STEPS) instrument was used as a study tool after modification and pre-testing in addition to the anthropometric and blood pressure measurements by the investigators. The prevalence of prehypertension was assessed along with the identification of its predictors through multivariable binary logistic regression modelling. A total of 806 participants aged 15 to 19 years, with 57.1% female, participated in the study. Prehypertension was found in 20.8% (24.6% in males and 18.0% in females) of the participants, while 7.1% of them were hypertensive (9.2% males and 5.4% females). Obesity and central obesity were seen among 6.3% and 17.7% of the respondents respectively. Age, sex, ethnicity and obesity were found to be significantly associated with prehypertension. A significant proportion of prehypertension was seen among the adolescent population along with a notable presence of risk factors such as smoking, alcohol consumption, obesity, and eating out. This warrants careful consideration and identification of relevant strategies to reduce the burden of prehypertension via school-based interventions to reduce the modifiable risk factors.

show abstract

Prevalence of hypertension among adolescents (10-19 years) in India: A systematic review and meta-analysis of cross-sectional studies

et al. 2020

View full text Add to dashboard Cite

Background Despite the well-known short-term and long-term ill effects of elevated blood pressure in children and adolescents, pooled data on its burden among Indian adolescents have not yet been synthesized. Objectives We did a systematic review with meta-analysis to calculate the pooled prevalence of hypertension among adolescents (10-19 years) in India. Methods We searched PubMed, Embase, Cochrane library, Google Scholar and IndMed, and included cross-sectional studies reporting data on hypertension prevalence among 10 to19 years old and published in English language from their inception till 1 st March 2020. Modified New castle Ottawa scale was used to assess risk of bias based on research design, recruitment strategy, response rate and reliability of outcome determination. A random effects model was used to estimate pooled prevalence, and heterogeneity was assessed using Cochrane's Q statistic test of heterogeneity and I 2 statistic. To explore the heterogeneity, we did a meta-regression, and subgroup analyses based on region, study setting and number of blood pressure readings. Results Out of 25 studies (pooled sample of 27,682 participants) six studies were of high, eighteen of moderate, and one was of low quality. The prevalence of hypertension across studies ranged from 2% to 20.5%, with a pooled estimate of 7.6% (95% CI: 6.1 to 9.1%), I 2 = 96.6% (pvalue <0.001). Subgroup analysis restricted only to the western India demonstrated a

show abstract

Hypertension and pre-hypertension among adolescents in Shimla, Northern India-Time to awaken

Cited by 6 publications

References 0 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

Prehypertension and its predictors among older adolescents: A cross-sectional study from eastern Nepal

Prevalence of hypertension among adolescents (10-19 years) in India: A systematic review and meta-analysis of cross-sectional studies

Contact Info

Product

Resources

About