Prevalence and associated factors of pediatric hypertension in Jazan region, south of the Kingdom of Saudi Arabia. A pilot cross-sectional study

El-Setouhy, Maged; Safhi, Abdulrahman M.; Dallak, Musab Y.; Ayoub, Ahmed Y.; Suwaid, Osama A. H.; Moafa, Ahmed K.; Al-ahmed, Alhassan M.; Zaino, Mohammad; Al Sayed, Ahmed

doi:10.1371/journal.pone.0287698

Cited by 4 publications

(1 citation statement)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the plethora of successful interventions to prevent and manage childhood obesity [ 27 , 28 ], most lifestyle modification programs done in Saudi Arabia focused on adult obesity and individuals at high risk for diabetes [ 29 , 30 ], while pediatric obesity studies are mostly observational [ 31 , 32 ]. The current study investigates the efficacy of attendance-based adherence to a lifestyle obesity management program and its association with changes in obesity indices and hypertension in a cohort of Arab children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

Attendance-Based Adherence and Outcomes of Obesity Management Program in Arab Adolescents

Al-Daghri,

Amer,

Khattak

et al. 2023

Children

View full text Add to dashboard Cite

Pediatric obesity has become a global pandemic in the last century, contributing to short and long-term medical conditions that heighten the risk of morbidity and mortality in children. The 12-month school-based obesity management educational program aims to assess the effect of adherence to the lifestyle educational program and target outcomes, obesity, and hypertension. A total of 363 (nonadherent, N = 179; adherent, N = 184) Saudi school adolescents aged 12–18 were recruited from 60 schools in Riyadh City, Saudi Arabia. Anthropometrics, lipid profile, and blood glucose were measured at baseline and post-intervention. The level of adherence was based on the number of attended educational sessions, and participants were grouped accordingly into two groups: adherent group (attended ≥ 3 sessions) and nonadherent group (attended 1–2 sessions) out of a total of five sessions. Results demonstrated that significantly more participants in the adherent group achieved the primary program goal of reducing obesity indices [body weight, body mass index (BMI), and BMI z-score] than the nonadherent group. Additionally, among adherent obese participants, BMI z-score significantly decreased after the 12-month intervention (post-intervention: 1.5 ± 0.7 vs. baseline: 1.7 ± 0.6, p < 0.05), while the trend in BMI z-score modestly increased in the nonadherent obese participants post-intervention (post-intervention: 1.8 ± 0.7 vs. baseline: 1.7 ± 0.6, p > 0.05). Moreover, there was a substantial reduction in hypertension prevalence only in the adherent group (p = 0.003) and among adherent obese participants in particular (p = 0.03). Furthermore, adherence to session attendance was higher in girls than boys, which led to better outcomes among girls than boys. For the secondary outcomes, lipid profile indices increased in both groups, while no changes were observed in the glycemic profile. In conclusion, greater adherence to educational sessions achieved modest but favorable weight changes and improved blood pressure among obese adolescents. Future intervention studies should take into consideration the need to improve attendance to enhance adherence to the program among adolescents at risk.

show abstract

Section: Introductionmentioning

confidence: 99%

Attendance-Based Adherence and Outcomes of Obesity Management Program in Arab Adolescents

Al-Daghri,

Amer,

Khattak

et al. 2023

Children

View full text Add to dashboard Cite

show abstract

Overweight (BMI of 25–30) Is Independently Associated With Significantly Higher Prevalence of Systolic and Diastolic Hypertension in Adults

Movahed,

Motieian,

Bates

2023

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

View full text Add to dashboard Cite

Objective: Hypertension (HTN) is a major risk factor for cardiovascular disease. Obesity has been found to be associated with HTN. However, there are not many studies available to evaluate any association between overweight alone and HTN. Methods: A database from the Anthony Bates Foundation that performs preventive cardiovascular examinations including measurement of body mass index (BMI) and blood pressure across the United States was used for our study. Using recorded measurements, we evaluated any association between being overweight defined as a BMI of 25 to 30 and the occurrence of systolic and diastolic HTN in adults over the age of 18 years. Results: A total of 1558 participants with documented BMI and blood pressure over the age of 18 years were studied. Among them, 758 participants had a normal BMI, and 800 had a BMI in overweight category. The prevalence of systolic and diastolic HTN was significantly higher in participants in the overweight versus normal weight cohort. Systolic HTN was present in 36% of participants in the overweight versus 14% of the normal weight group (P < 0.00.1). Diastolic HTN was present in 43% of participants with overweight versus 21% of normal weight cohort (P < 0.001). After adjusting for age and gender, high systolic blood pressure (SBP) and diastolic blood pressure (DBP) remained independently associated with overweight (SBP prevalence OR, 2.8; CI, 2.1-3.6; P < 0.001; DBP prevalence OR, 2.1; CI, 1.7-2.7; P < 0.001) Conclusions: Our study found that increased BMI in the overweight category alone is independently associated with SBP and DBP in adults undergoing screening warranting further investigation.

show abstract

Hypertensive crisis in children and adolescents: aspects of intensive therapy

Bykov,

Obedin,

Muravyeva

et al. 2024

Vestn. anesteziol. reanimatol.

View full text Add to dashboard Cite

In pediatric intensive care practice, a hypertensive crisis (HC) is an acute and urgent condition with a high risk of damage to target organs and organ failure, requiring emergency treatment aimed at decreasing arterial blood pressure (BP) and minimizing the risk of complications. HC is subdivided into uncomplicated (acute), in which no signs of organ damage are present, and complicated (urgent), with acute organ damage (neurological, renal or cardiac dysfunction). The main triggers of HC are concomitant endocrine disorders, renal impairment, and use of certain medications. The clinical signs of HC are diverse and non-specific, and depend on the age of the child and on the type of HC. Intensive care to children with HC is provided in intensive care units and is aimed primarily at gradually decreasing the patient’s BP (by 25% during the first 6–8 hours). In complicated HC, antihypertensive drugs are administered parenterally, whereas patients with uncomplicated HC may receive the drugs in enteral or sublingual form. The main drugs for intensive therapy of HC in children and adolescents are calcium channel blockers, vasodilators, α- and β-blockers, ACE inhibitors, centrally acting agents etc. Each group of antihypertensive drugs has its own peculiarities of pharmacokinetics, pharmacodynamics and dose selection, and its own range of adverse effects and contraindications. Timely recognition and competent intensive treatment of children and adolescents with HC will reduce the risk of complications and improve the therapeutic prognosis of this urgent condition.

show abstract

Prevalence and associated factors of pediatric hypertension in Jazan region, south of the Kingdom of Saudi Arabia. A pilot cross-sectional study

Cited by 4 publications

References 48 publications

Attendance-Based Adherence and Outcomes of Obesity Management Program in Arab Adolescents

Attendance-Based Adherence and Outcomes of Obesity Management Program in Arab Adolescents

Overweight (BMI of 25–30) Is Independently Associated With Significantly Higher Prevalence of Systolic and Diastolic Hypertension in Adults

Hypertensive crisis in children and adolescents: aspects of intensive therapy

Contact Info

Product

Resources

About