Prehypertension and Hypertension among Schoolchildren in Brazzaville, Congo

Mbolla, Bertrand Fikahem Ellenga; Okoko, A.R.; Babéla, Jean Robert Mabiala; Bowassa, G. Ekouya; Gombet, Thierry Raoul; Kimbally-Kaky, Suzy-Gisèle; Longo-Mbenza, Benjamin

doi:10.1155/2014/803690

Cited by 29 publications

(26 citation statements)

References 25 publications

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“…The prevalence of hypertension and pre-hypertension in our study was very high but comparable to results obtained by Kemp et al (19), indicating that South African children may have a greater susceptibility to overweight/ obesity associated raised blood pressure which may persist into adulthood (42). Results from other developing countries (43,44) have indicated modest increases in the prevalence of hypertension and pre-hypertension compared to the alarmingly high rates noted in the South African adolescent populations.…”

Section: Correlations Between Msbp/mdbp With Wc Hc and Whtrsupporting

confidence: 87%

Prevalence of Hypertension and Pre-hypertension in 13-17 Year Old Adolescents Living in Mthatha - South Africa: a Cross-Sectional Study

Nkeh-Chungag¹,

Sekokotla²,

Sewani-Rusike³

et al. 2015

Cent Eur J Public Health

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SUMMARYBackground: Hypertension is one of the most common risk factors for cardiovascular diseases (CVDs), yet not much effort is being invested in early diagnosis and control of the condition in susceptible children. The aim of this study was to investigate the prevalence of pre-hypertension and hypertension in peri-urban school-attending adolescents and explore the relationship between blood pressure and selected anthropometric measurements.Methods: A cross-sectional study of adolescents aged 13-17 years was performed. Data on height, weight, waist and hip circumferences as well as blood pressure were collected from all participants. Body mass index (BMI) and blood pressure percentiles were calculated.Results: The overall prevalence of obesity was 20.4% while the prevalence of hypertension and pre-hypertension was 21.2% and 12.3%, respectively. The prevalence of hypertension and pre-hypertension in males was 22.0% and 13.6% compared to 20.9% and 16.5% in females, respectively. Both conditions were associated with higher BMI in both girls and boys. While mean systolic blood pressure (SBP) was positively associated with higher BMI and waist circumference (WC) in males and females, it correlated negatively with hip circumference (HC) in males. On the other hand, mean diastolic blood pressure (DBP) correlated better with HC in males but only weakly in females.Conclusion: Adolescent learners in Mthatha had a high prevalence of hypertension and pre-hypertension which were associated with overweight and obesity. Results highlight the urgent need for screening in view of early detection and implementation of intervention strategies to prevent a high incidence of CVDs in this country.

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Section: Correlations Between Msbp/mdbp With Wc Hc and Whtrsupporting

confidence: 87%

Prevalence of Hypertension and Pre-hypertension in 13-17 Year Old Adolescents Living in Mthatha - South Africa: a Cross-Sectional Study

Nkeh-Chungag¹,

Sekokotla²,

Sewani-Rusike³

et al. 2015

Cent Eur J Public Health

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“…A study conducted by Bertrand Fikahemetal among Brazzivile, Congo students also reported high prevalence of Pre-Hypertension 20.7% and 10 % hypertension. 10 Similar to our study Satyanarayanaetal of Hyderabad found 11.5% PreHypertension and 9.7% hypertension respectively among the same age group. 11 School students of Shimla were found to have 14.3% Pre-hypertension and 4.3% hypertension respectively by Avinashsharmaetal .…”

Section: Discussionsupporting

confidence: 88%

Prevalence and Determinants of Pre Hypertension and Hypertension among Urban High School Adolescents of Hyderabad

Bala¹,

Sandeep²,

Prasad³

et al. 2017

NJRCM

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Introduction: The Aetio-pathogenesis and risky behaviour determinants start early in adolescent period for the development of hypertension which poses a major public health problem with serious complications. These are amenable for prevention and therefore this study was taken up to determine prevalence and determinants of Pre hypertension and hypertension among high school adolescents.Materials and methods: A school based cross sectional study was carried out among adolescents studying in a schools attached to urban health training centre of Deccan college of Medical Sciences, Hyderabad. All the students from seventh class to tenth class consisting of 404 students were included. A semi structured questionnaire schedule was used based on Global school based student health survey questionnaire module; Anthropometry and blood pressure measurement was done by trained team using standardised procedures. Data was entered in Microsoft Excel 2007 and analysed. Frequency, mean, standard deviation and Chi square were done wherever required. Z scores were calculated using WHO Anthro-plus.Results: Out of total 404 students-boys accounted to 162(40.1%) and girls 242(59.9%). Prevalence of Pre Hypertension was 49(12%) and Hypertension was 52(13%) respectively. Mean age was 13.46+1.28 years; mean systolic blood pressure was 112.99+11.18 and mean diastolic blood pressure was 70.84+10.74 mm of Hg. Gender and junk food intake were the significant risk factors of Pre hypertension and Hypertension among adolescents. Conclusion: In this study behavioural determinants play a major role and these are amenable for prevention.

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“…In all of these, higher adiposity was associated with higher BP or odds of hypertension. This association was observed in cross‐sectional studies ( n = 46) , and also in prospective studies ( n = 9) . Results were mostly consistent across study type (i.e.…”

Section: Resultssupporting

confidence: 60%

Correlates of elevated blood pressure in healthy children: a systematic review

et al. 2018

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The prevalence of hypertension in children is increasing globally. Addressing this will require a robust understanding of associated risk factors. To this end, we conducted a systematic review to identify correlates of elevated blood pressure (BP) in children. Literature searches were conducted using pre-defined search terms from three academic databases. The abstract and full text of identified studies were screened for eligibility by two independent reviewers. A total of 100 studies were included in this systematic review. An assessment tool was first used to assess study quality; a narrative synthesis was then performed. We found a broad range of physiological, social and behavioural factors associated with elevated BP in children. The most common correlate observed was adiposity, suggesting that childhood obesity may be implicated in the increased prevalence of hypertension observed in children. However, the broad range of other factors identified underscores the multi-factorial aetiology of hypertension. Data from a broad range of studies showed that the correlates of hypertension in children are multi-factorial. Therefore, approaches aimed at preventing hypertension must in turn be multi-factorial to ensure that the burden of hypertension in childhood is addressed.

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Prehypertension and Hypertension among Schoolchildren in Brazzaville, Congo

Cited by 29 publications

References 25 publications

Prevalence of Hypertension and Pre-hypertension in 13-17 Year Old Adolescents Living in Mthatha - South Africa: a Cross-Sectional Study

Prevalence of Hypertension and Pre-hypertension in 13-17 Year Old Adolescents Living in Mthatha - South Africa: a Cross-Sectional Study

Prevalence and Determinants of Pre Hypertension and Hypertension among Urban High School Adolescents of Hyderabad

Correlates of elevated blood pressure in healthy children: a systematic review

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