Nutrition status and 24-hour blood pressure parameters in hospitalised adolescents with primary hypertension
The occurrence of overweight and obesity in children and adolescents can be associated with increased incidence of hypertension in this population. Aim of the study: Assessment of the relationship between 24-hour blood pressure parameters in hospitalised teenagers with primary hypertension and the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medical Communications Sp. z o.o.
2016-12-01
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| Series: | Pediatria i Medycyna Rodzinna |
| Subjects: | |
| Online Access: | http://www.pimr.pl/index.php/issues/2016-vol-12-no-4/nutrition-status-and-24-hour-blood-pressure-parameters-in-hospitalised-adolescents-with-primary-hypertension?aid=1002 |
| Summary: | The occurrence of overweight and obesity in children and adolescents can be associated with increased incidence
of hypertension in this population. Aim of the study: Assessment of the relationship between 24-hour blood pressure
parameters in hospitalised teenagers with primary hypertension and their nutrition status at the stage of diagnosis. Material
and methods: The study group consisted of 112 patients aged 11–17 years (42 girls and 70 boys) with diagnosed primary
hypertension. Nutrition indicators were taken into account. The study group was divided into group I – persons with normal
nutrition status (40 patients) and group II – persons with overweight/obesity (72 patients). The groups were compared using the t-test with a separate variance estimation or with the Mann–Whitney U test. The relationship between blood pressure
parameters and nutrition status indicators was assessed based on Spearman’s rank correlation. Results: The study groups
were significantly different in terms of the nutrition status indicators, but no significant differences were observed in the evaluated blood pressure parameters. The nutrition status indicators in group I were not significantly correlated with the
blood pressure parameters. Significant correlations were found in group II. Positive correlation with the nutrition indicators
were observed for nocturnal systolic blood pressure load and average nighttime value of this load. Body mass index exhibited a negative correlation with nocturnal systolic load decline. Conclusions: 1) 24-hour blood pressure parameters in hospitalised adolescents with primary hypertension that correlated with the nutrition status include nighttime systolic blood pressure parameters (nocturnal load, mean measure, nocturnal fall). 2) The relationship of these parameters with the nutrition status was observed only in patients with overweight/obesity. |
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| ISSN: | 1734-1531 2451-0742 |