Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu
Background: Essential hypertension is one of the fastest rising noncommunicable diseases among adolescents and poses a major public health issue globally. This study aimed to estimate the prevalence of prehypertension and hypertension among school-going adolescents in Chennai and also to delineate t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | International Journal of Preventive Medicine |
| Subjects: | |
| Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2022;volume=13;issue=1;spage=98;epage=98;aulast=Baskar |
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| author | Shreemathee Baskar B Nisha Gomathy Parasuraman Ruma Dutta Timsi Jain |
| author_facet | Shreemathee Baskar B Nisha Gomathy Parasuraman Ruma Dutta Timsi Jain |
| author_sort | Shreemathee Baskar |
| collection | DOAJ |
| description | Background: Essential hypertension is one of the fastest rising noncommunicable diseases among adolescents and poses a major public health issue globally. This study aimed to estimate the prevalence of prehypertension and hypertension among school-going adolescents in Chennai and also to delineate the role of nutritional and environmental determinants in the development of hypertension. Methods: This cross-sectional study was conducted among school-going adolescents aged 14 to 18 years in northern Chennai. Four schools (two private, two public) out of 21 were selected randomly using probability proportionate to sampling size and 401 students were recruited after consent. Data were collected using an adapted modified World Health Organization (WHO) Global School-based student Health Survey (GSHS) questionnaire; anthropometry and blood pressure measurements were done by trained healthcare professionals using standard procedures. Prehypertension was defined when systolic or diastolic pressure >90th percentile and <95th percentile; hypertension when systolic or diastolic pressure >95th percentile. Data were analyzed using SPSS, descriptive statistics like frequencies, mean, and percentages were used and inferential statistics like Chi-square test and logistic regression were used to elicit predictors of essential hypertension. Results: Out of 401 participants, 185 (46.1%) were males and 216 (53.9%) were females. Overall prevalence of prehypertension and hypertension was 14.2% and 5.5%, respectively. Gender (P = 0.039), overweight/obese (P = 0.000), junk food intake for >3 days/week (P = 0.000), physical inactivity for <3 days/week (P = 0.000), and parent's history (P = 0.005) were significant determinants in the development of prehypertension and hypertension. Conclusions: Nutritional and environmental determinants play a critical role in influencing blood pressure status among adolescents, this requires lifestyle and behavioral modification. |
| first_indexed | 2024-04-13T10:48:51Z |
| format | Article |
| id | doaj.art-36ce803cc1a14867b4d5bff1e05110c0 |
| institution | Directory Open Access Journal |
| issn | 2008-7802 2008-8213 |
| language | English |
| last_indexed | 2024-04-13T10:48:51Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj.art-36ce803cc1a14867b4d5bff1e05110c02022-12-22T02:49:42ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132022-01-01131989810.4103/ijpvm.ijpvm_223_21Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil NaduShreemathee BaskarB NishaGomathy ParasuramanRuma DuttaTimsi JainBackground: Essential hypertension is one of the fastest rising noncommunicable diseases among adolescents and poses a major public health issue globally. This study aimed to estimate the prevalence of prehypertension and hypertension among school-going adolescents in Chennai and also to delineate the role of nutritional and environmental determinants in the development of hypertension. Methods: This cross-sectional study was conducted among school-going adolescents aged 14 to 18 years in northern Chennai. Four schools (two private, two public) out of 21 were selected randomly using probability proportionate to sampling size and 401 students were recruited after consent. Data were collected using an adapted modified World Health Organization (WHO) Global School-based student Health Survey (GSHS) questionnaire; anthropometry and blood pressure measurements were done by trained healthcare professionals using standard procedures. Prehypertension was defined when systolic or diastolic pressure >90th percentile and <95th percentile; hypertension when systolic or diastolic pressure >95th percentile. Data were analyzed using SPSS, descriptive statistics like frequencies, mean, and percentages were used and inferential statistics like Chi-square test and logistic regression were used to elicit predictors of essential hypertension. Results: Out of 401 participants, 185 (46.1%) were males and 216 (53.9%) were females. Overall prevalence of prehypertension and hypertension was 14.2% and 5.5%, respectively. Gender (P = 0.039), overweight/obese (P = 0.000), junk food intake for >3 days/week (P = 0.000), physical inactivity for <3 days/week (P = 0.000), and parent's history (P = 0.005) were significant determinants in the development of prehypertension and hypertension. Conclusions: Nutritional and environmental determinants play a critical role in influencing blood pressure status among adolescents, this requires lifestyle and behavioral modification.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2022;volume=13;issue=1;spage=98;epage=98;aulast=Baskaradolescentenvironmental factoressential hypertensionnutritionalprehypertension |
| spellingShingle | Shreemathee Baskar B Nisha Gomathy Parasuraman Ruma Dutta Timsi Jain Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu International Journal of Preventive Medicine adolescent environmental factor essential hypertension nutritional prehypertension |
| title | Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu |
| title_full | Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu |
| title_fullStr | Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu |
| title_full_unstemmed | Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu |
| title_short | Role of nutritional and environmental factors in the development of essential hypertension among school-going adolescents in Chennai, Tamil Nadu |
| title_sort | role of nutritional and environmental factors in the development of essential hypertension among school going adolescents in chennai tamil nadu |
| topic | adolescent environmental factor essential hypertension nutritional prehypertension |
| url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2022;volume=13;issue=1;spage=98;epage=98;aulast=Baskar |
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