Trends in high blood pressure prevalence in Greek adolescents

Κόλλιας, Αναστάσιος; Antonodimitrakis, P; Chatziantonakis, N.; Grammatikos, Evangelos; Stergiou, George S.

doi:10.1038/jhh.2008.166

Cited by 61 publications

(68 citation statements)

References 30 publications

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“…7 The trends in the mean BP and the prevalence of hypertension are similar to some of these studies. 7,8,14,15,22 In the United States, the Princeton School Study demonstrated that both the mean SBP and DBP were significantly higher in 1973-1975, than 1989-1990 among children aged 7-12 (Morrison et al 22 ). Between the US NHANES III (1988)(1989)(1990)(1991)(1992)(1993)(1994) and the NHANES (1999-2000) surveys, the mean BP and the prevalence of hypertension also increased among both genders between the ages of 8 and 17 (Muntner et al 14 ; Din-Dzietham et al 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…7,8,14,15,22,34,35 Past studies reported that over the past decade, the prevalence of hypertension remains stable or decreases in economically developed countries, however, it increases in developing countries. 3 Taiwan, an economically developed country, also experienced a decrease in the prevalence of hypertension (age-adjusted prevalence: 26.6-23.5%, from 1993 to 2002) and a decrease in the mean BP in adults.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Studies also demonstrate that the prevalence of hypertension among US children increased from 2.1 to 3.0% between 1988 and 2006 (McCrindle 6 ; Ostchega et al 7 ) and 16.1-22.9% between 2004 and 2007 in Greece. 8 Pre-hypertension is a high risk for developing hypertension, which may also lead to coronary heart disease. 9 Identifying pre-hypertension in children would help to recognize the need for early management.…”

Section: Introductionmentioning

confidence: 99%

“…However, very few studies address the prehypertension trends in children. [6][7][8] The prevalence of pre-hypertension among US children increased from 7.3 to 9.7% between 1988 and 2006 in the United States, 6,7 and in Greece, escalated from 32.5 to 36.2% between 2004 and 2007 (Kollias et al 8 ).…”

Section: Introductionmentioning

confidence: 99%

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The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

2011

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This study evaluates prevalence of hypertension in 1996 and 2006, and examines the relationship between hypertension and weight of Taiwanese young adolescents. Two cross-sectional surveys, administered in 1996 and 2006, to junior-high school in Taipei were included. Anthropometric and blood pressure were measured using standard methods, and structured questionnaire was used to collect personal history and lifestyle characteristics. Overweight and obesity are defined based on Taiwan's Department of Health criteria and bases pre-hypertension and hypertension on the 90th and 95th percentile distribution of blood pressure of the population of both surveys. The prevalence of pre-hypertension in Taiwan between 1996 and 2006 increased from 12.0 to 14.4% for boys and decreased from 9.5 to 9.4% for girls. Hypertension increased from 22.8-29.7% and 12.5-20.7% for both boys and girls, respectively. In 1996, compared with normal young adolescents, the risk of hypertension for overweight was 1.8 times higher for boys and 3.4 times for girls. However, the risk of hypertension for overweight in 2006 was 1.7 times higher for boys and 1.5 times higher for girls compared with normal. Every unit increment of body mass index and waist circumference was associated with 17-27% and 6-11% risk of hypertension in both genders in 1996, and was associated with 9-13% and 4% risk of hypertension among young adolescents in 2006, respectively. The prevalence of hypertension has increased significantly in young adolescents, especially for overweight. It is necessary to enrol young adolescents in weight management programs to prevent hypertension-related co-morbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

2011

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“…[1][2][3] This change may have important implications in terms of future cardiovascular risk as increased BP levels during childhood predict hypertension in adolescence and early adulthood [4][5][6][7] and are associated with the presence of target-organ damage. [8][9][10][11][12][13] As it is the case in adults, the phenomena of white-coat and masked hypertension appear to be common in young individuals.…”

Section: Introductionmentioning

confidence: 99%

Relationship of home blood pressure with target-organ damage in children and adolescents

et al. 2011

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The objective of this study was to compare home blood pressure (HBP) vs. ambulatory (ABP) and clinic (CBP) measurements in terms of their association with target-organ damage in children and adolescents. A total of 81 children and adolescents (mean age 13±3 years, 53 boys) referred for elevated CBP had measurements of CBP (1 visit), HBP (6 days) and ABP (24-h). Seventy-six participants were also assessed with carotid-femoral pulse wave velocity (PWV) and 54 with echocardiography. Average CBP was 122.1 ± 15.1/71 ± 12.9 mm Hg (systolic/diastolic), HBP 121.3 ± 11.5/69.4 ± 6.6 mm Hg and 24-h ABP 118.9 ± 12/ 66.6 ± 6.1 mm Hg. Left ventricular mass (LVM) was correlated with systolic blood pressure (BP) (coefficient r¼0.55/0.54/0.45 for 24-h/daytime/nighttime ABP, 0.53 for HBP and 0.41 for CBP; all Po0.01). No significant correlations were found for diastolic BP. PWV was also significantly correlated with systolic BP (r¼0.52/0.50/0.48 for 24-h/daytime/nighttime ABP, 0.50 for HBP and 0.47 for CBP; all Po0.01). Only diastolic ABP and HBP were significantly correlated with PWV (r¼0.30 and 0.28, respectively, Po0.05). In multivariate stepwise regression analysis (with age, gender, body mass index [BMI], clinic, home and 24-h ambulatory systolic/diastolic BP and pulse pressure, clinic, home and 24-h heart rate as independent variables), PWV was best predicted by systolic HBP (R 2 ¼0.22, beta ± s.e. ¼0.06 ± 0.01), whereas LVM was determined (R 2 ¼0.67) by 24-h pulse pressure (beta¼1.21±0.41), age (beta¼2.93±1.32), 24-h heart rate (beta¼À1.27±0.41) and BMI (beta¼1.78±0.70). These data suggest that, in children and adolescents, ABP as well as HBP measurements appear to be superior to the conventional CBP measurements in predicting the presence of subclinical end-organ damage.

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The association between cardiovascular risk factors and high blood pressure in adolescents: A school‐based study

Christófaro

Fernandes

Oliveira

et al. 2014

American J Hum Biol

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Trends in high blood pressure prevalence in Greek adolescents

Cited by 61 publications

References 30 publications

The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

Relationship of home blood pressure with target-organ damage in children and adolescents

The association between cardiovascular risk factors and high blood pressure in adolescents: A school‐based study

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