Prevalence of hypertension among adolescents: systematic review and meta-analysis

ABSTRACT OBJECTIVE To estimate the prevalence of hypertension among adolescent Brazilian students. METHODS A systematic review of school-based cross-sectional studies was conducted. The articles were searched in the databases MEDLINE, Embase, Scopus, LILACS, SciELO, Web of Science, CAPES thesis...

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Main Authors: Vivian Siqueira Santos Gonçalves, Taís Freire Galvão, Keitty Regina Cordeiro de Andrade, Eliane Said Dutra, Maria Natacha Toral Bertolin, Kenia Mara Baiocchi de Carvalho, Mauricio Gomes Pereira
Format: Article
Language:English
Published: Universidade de São Paulo 2016-01-01
Series:Revista de Saúde Pública
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Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200504&lng=en&tlng=en
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author Vivian Siqueira Santos Gonçalves
Taís Freire Galvão
Keitty Regina Cordeiro de Andrade
Eliane Said Dutra
Maria Natacha Toral Bertolin
Kenia Mara Baiocchi de Carvalho
Mauricio Gomes Pereira
author_facet Vivian Siqueira Santos Gonçalves
Taís Freire Galvão
Keitty Regina Cordeiro de Andrade
Eliane Said Dutra
Maria Natacha Toral Bertolin
Kenia Mara Baiocchi de Carvalho
Mauricio Gomes Pereira
author_sort Vivian Siqueira Santos Gonçalves
collection DOAJ
description ABSTRACT OBJECTIVE To estimate the prevalence of hypertension among adolescent Brazilian students. METHODS A systematic review of school-based cross-sectional studies was conducted. The articles were searched in the databases MEDLINE, Embase, Scopus, LILACS, SciELO, Web of Science, CAPES thesis database and Trip Database. In addition, we examined the lists of references of relevant studies to identify potentially eligible articles. No restrictions regarding publication date, language, or status applied. The studies were selected by two independent evaluators, who also extracted the data and assessed the methodological quality following eight criteria related to sampling, measuring blood pressure, and presenting results. The meta-analysis was calculated using a random effects model and analyses were performed to investigate heterogeneity. RESULTS We retrieved 1,577 articles from the search and included 22 in the review. The included articles corresponded to 14,115 adolescents, 51.2% (n = 7,230) female. We observed a variety of techniques, equipment, and references used. The prevalence of hypertension was 8.0% (95%CI 5.0–11.0; I2 = 97.6%), 9.3% (95%CI 5.6–13.6; I2 = 96.4%) in males and 6.5% (95%CI 4.2–9.1; I2 = 94.2%) in females. The meta-regression failed to identify the causes of the heterogeneity among studies. CONCLUSIONS Despite the differences found in the methodologies of the included studies, the results of this systematic review indicate that hypertension is prevalent in the Brazilian adolescent school population. For future investigations, we suggest the standardization of techniques, equipment, and references, aiming at improving the methodological quality of the studies.
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spelling doaj.art-198ab37f20794defa438b10a6186e8b62022-12-22T03:15:29ZengUniversidade de São PauloRevista de Saúde Pública1518-87872016-01-0150010.1590/S1518-8787.2016050006236S0034-89102016000200504Prevalence of hypertension among adolescents: systematic review and meta-analysisVivian Siqueira Santos GonçalvesTaís Freire GalvãoKeitty Regina Cordeiro de AndradeEliane Said DutraMaria Natacha Toral BertolinKenia Mara Baiocchi de CarvalhoMauricio Gomes PereiraABSTRACT OBJECTIVE To estimate the prevalence of hypertension among adolescent Brazilian students. METHODS A systematic review of school-based cross-sectional studies was conducted. The articles were searched in the databases MEDLINE, Embase, Scopus, LILACS, SciELO, Web of Science, CAPES thesis database and Trip Database. In addition, we examined the lists of references of relevant studies to identify potentially eligible articles. No restrictions regarding publication date, language, or status applied. The studies were selected by two independent evaluators, who also extracted the data and assessed the methodological quality following eight criteria related to sampling, measuring blood pressure, and presenting results. The meta-analysis was calculated using a random effects model and analyses were performed to investigate heterogeneity. RESULTS We retrieved 1,577 articles from the search and included 22 in the review. The included articles corresponded to 14,115 adolescents, 51.2% (n = 7,230) female. We observed a variety of techniques, equipment, and references used. The prevalence of hypertension was 8.0% (95%CI 5.0–11.0; I2 = 97.6%), 9.3% (95%CI 5.6–13.6; I2 = 96.4%) in males and 6.5% (95%CI 4.2–9.1; I2 = 94.2%) in females. The meta-regression failed to identify the causes of the heterogeneity among studies. CONCLUSIONS Despite the differences found in the methodologies of the included studies, the results of this systematic review indicate that hypertension is prevalent in the Brazilian adolescent school population. For future investigations, we suggest the standardization of techniques, equipment, and references, aiming at improving the methodological quality of the studies.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200504&lng=en&tlng=enAdolescenteHipertensão, epidemiologiaPrevalênciaMetanálise
spellingShingle Vivian Siqueira Santos Gonçalves
Taís Freire Galvão
Keitty Regina Cordeiro de Andrade
Eliane Said Dutra
Maria Natacha Toral Bertolin
Kenia Mara Baiocchi de Carvalho
Mauricio Gomes Pereira
Prevalence of hypertension among adolescents: systematic review and meta-analysis
Revista de Saúde Pública
Adolescente
Hipertensão, epidemiologia
Prevalência
Metanálise
title Prevalence of hypertension among adolescents: systematic review and meta-analysis
title_full Prevalence of hypertension among adolescents: systematic review and meta-analysis
title_fullStr Prevalence of hypertension among adolescents: systematic review and meta-analysis
title_full_unstemmed Prevalence of hypertension among adolescents: systematic review and meta-analysis
title_short Prevalence of hypertension among adolescents: systematic review and meta-analysis
title_sort prevalence of hypertension among adolescents systematic review and meta analysis
topic Adolescente
Hipertensão, epidemiologia
Prevalência
Metanálise
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102016000200504&lng=en&tlng=en
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