Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years
Objective: To estimate the prevalence of high blood pressure (BP) in school children, as well as the reported frequency of previous measurements of BP in these children, and to identify high BP risk markers in the sample. Methods: This was a cross-sectional study involving 794 children aged 6 to 13...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Brazilian Society of Pediatrics
2014-01-01
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| Series: | Jornal de Pediatria (Versão em Português) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2255553614000081 |
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| author | Jeanne Teixeira Bessa Fuly Nayara Paula Bermudes Giovaninni Daniele Gasparini Marcato Eduardo Roberty Badiani Alves Jéssica Dutra Sampaio Leonardo Iezzi de Moraes Thaís Coutinho Nicola Julyanna Silva Araújo de Jesus Everlayny Fiorot Costalonga |
| author_facet | Jeanne Teixeira Bessa Fuly Nayara Paula Bermudes Giovaninni Daniele Gasparini Marcato Eduardo Roberty Badiani Alves Jéssica Dutra Sampaio Leonardo Iezzi de Moraes Thaís Coutinho Nicola Julyanna Silva Araújo de Jesus Everlayny Fiorot Costalonga |
| author_sort | Jeanne Teixeira Bessa Fuly |
| collection | DOAJ |
| description | Objective: To estimate the prevalence of high blood pressure (BP) in school children, as well as the reported frequency of previous measurements of BP in these children, and to identify high BP risk markers in the sample.
Methods: This was a cross-sectional study involving 794 children aged 6 to 13 years, enrolled in public elementary schools. A questionnaire was given to parents/guardians, consisting of perinatal, socioeconomic data, and information on previous measurements of BP in these children. Anthropometric measurements included weight, height, waist, hip, and arm and neck circumference, in addition to the three BP measurements. Classification of BP levels was carried out according to current international recommendations, established in 2004.
Results: The prevalence of high BP (hypertension or prehypertension) was 7%. Only 21.7% of children had previously undergone BP measurements. The odds ratio of high BP among children with and without overweight was 2.9 (95% CI = 1.7 to 5.0, p < 0.001). None of the anthropometric measurements was superior to the Z-score of BMI as a predictor of high BP. History of hypertension during pregnancy (p < 0.001), prematurity (p = 0.006), maternal hypertension (p = 0.01), and paternal hypertension (p = 0.008) were also correlated with the presence of high BP in children.
Conclusions: Overweight and family history constitute the main risk markers of high BP in children. The low frequency of BP measurement in children observed in this municipality contributes to the underdiagnosis of the disease, with irreversible consequences for these individuals. |
| first_indexed | 2024-04-13T16:42:27Z |
| format | Article |
| id | doaj.art-0ec9ef22a23d4d2784dd1f5711b33893 |
| institution | Directory Open Access Journal |
| issn | 2255-5536 |
| language | Portuguese |
| last_indexed | 2024-04-13T16:42:27Z |
| publishDate | 2014-01-01 |
| publisher | Brazilian Society of Pediatrics |
| record_format | Article |
| series | Jornal de Pediatria (Versão em Português) |
| spelling | doaj.art-0ec9ef22a23d4d2784dd1f5711b338932022-12-22T02:39:10ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362014-01-01901657010.1016/j.jpedp.2013.06.006Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 yearsJeanne Teixeira Bessa FulyNayara Paula Bermudes GiovaninniDaniele Gasparini MarcatoEduardo Roberty Badiani AlvesJéssica Dutra SampaioLeonardo Iezzi de MoraesThaís Coutinho NicolaJulyanna Silva Araújo de JesusEverlayny Fiorot CostalongaObjective: To estimate the prevalence of high blood pressure (BP) in school children, as well as the reported frequency of previous measurements of BP in these children, and to identify high BP risk markers in the sample. Methods: This was a cross-sectional study involving 794 children aged 6 to 13 years, enrolled in public elementary schools. A questionnaire was given to parents/guardians, consisting of perinatal, socioeconomic data, and information on previous measurements of BP in these children. Anthropometric measurements included weight, height, waist, hip, and arm and neck circumference, in addition to the three BP measurements. Classification of BP levels was carried out according to current international recommendations, established in 2004. Results: The prevalence of high BP (hypertension or prehypertension) was 7%. Only 21.7% of children had previously undergone BP measurements. The odds ratio of high BP among children with and without overweight was 2.9 (95% CI = 1.7 to 5.0, p < 0.001). None of the anthropometric measurements was superior to the Z-score of BMI as a predictor of high BP. History of hypertension during pregnancy (p < 0.001), prematurity (p = 0.006), maternal hypertension (p = 0.01), and paternal hypertension (p = 0.008) were also correlated with the presence of high BP in children. Conclusions: Overweight and family history constitute the main risk markers of high BP in children. The low frequency of BP measurement in children observed in this municipality contributes to the underdiagnosis of the disease, with irreversible consequences for these individuals.http://www.sciencedirect.com/science/article/pii/S2255553614000081Arterial hypertensionChildrenObesityRisk marker |
| spellingShingle | Jeanne Teixeira Bessa Fuly Nayara Paula Bermudes Giovaninni Daniele Gasparini Marcato Eduardo Roberty Badiani Alves Jéssica Dutra Sampaio Leonardo Iezzi de Moraes Thaís Coutinho Nicola Julyanna Silva Araújo de Jesus Everlayny Fiorot Costalonga Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years Jornal de Pediatria (Versão em Português) Arterial hypertension Children Obesity Risk marker |
| title | Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years |
| title_full | Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years |
| title_fullStr | Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years |
| title_full_unstemmed | Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years |
| title_short | Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years |
| title_sort | evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years |
| topic | Arterial hypertension Children Obesity Risk marker |
| url | http://www.sciencedirect.com/science/article/pii/S2255553614000081 |
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