Master in Pediatric Nursing, Psychiatry and Pediatric Nursing Unit, College of Nursing, University of Duhok, Iraq.
Pediatric Department, College of Medicine, University of Duhok; Heevi Pediatrics Teaching Hospital; Kurdistan Pediatrics Society, Iraq.
Hypertension can develop in early childhood and go unnoticed unless it is screened for specifically during this developmental stage. Detecting potential hypertension risk in children is critical to avoiding the serious, long-term complications associated with the condition. The purpose of this study was to investigate the prevalence of hypertension among schoolchildren aged 13 to 18, as well as the risk factors associated with it. A cross-sectional study included 565 students aged 13 to 18 from the Duhok region. The analysis used Chi square testing and logistic regression with JMP Pro 14.3.0 software. Of the 565 students from 32 schools chosen, 242 (42.80%) were male and 323 (57.2%) were female. Notably, 5.84% (n=33) were hypertensive. A significant correlation was found between hypertension prevalence and body mass index, as well as gender. There was no significant relationship found with other variables. Logistic regression revealed that high blood pressure was significantly associated with excess weight, obesity, and age. We concluded that there was an increase in the incidence of hypertension among high school students. Lifestyle changes appeared to play a role in hypertension development among this population. Routine school surveys are recommended to detect potential hypertension cases in children and adolescents, allowing for timely preventative interventions.
References
Charan J, Buch N, Goyal JP, et al. Prevalence of hypertension in school going children of Surat city, Western India. J Cardiovasc Dis Res 2011;2:228-32. DOI: https://doi.org/10.4103/0975-3583.89807 Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003;42:1206-52. DOI: https://doi.org/10.1161/01.HYP.0000107251.49515.c2 Alikhani S, Delavari A, Alaedini F, et al. A province-based surveillance system for the risk factors of non-communicable diseases: A prototype for integration of risk factor surveillance into primary healthcare systems of developing countries. Public Health 2009;123:358-64. DOI: https://doi.org/10.1016/j.puhe.2009.02.011Subhi MD. Blood pressure profiles and hypertension in Iraqi primary school children. Saudi Med J 2006;27:482-6.
Grummer-Strawn LM, Reinold C, Krebs NF; Centers for Disease Control and Prevention (CDC). Use of World Health Organization and CDC growth charts for children aged 0-59 months in the United States. MMWR Recomm Rep 2010;59:1-15. Erratum in: MMWR Recomm Rep 2010;59:1184.
Goran MI, Ball GD, Cruz MLJTJoCE, Metabolism. Obesity and risk of type 2 diabetes and cardiovascular disease in children and adolescents. J Clin Endocrinol Metab 2003;88(4):1417-27. DOI: https://doi.org/10.1210/jc.2002-021442Braveman P, Tarimo E. Screening in primary health care: setting priorities with limited resources: World Health Organization; 1994.
Raja T, Muthukumar T, Mohan AP. A cross sectional study on prevalence of hypertension and its associated risk factors among rural adults in Kanchipuram district, Tamil Nadu. Int J Community Med Public Health 2017;5:249-53. DOI: https://doi.org/10.18203/2394-6040.ijcmph20175791Nur N, Çetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, Sümer HJJoh, population,, et al. Prevalence of hypertension among high school students in a middle Anatolian province of Turkey. J Health Popul Nutr 2008;26:88.
Karatzi K, Protogerou A, Rarra V, Stergiou GJ. Home and office blood pressure in children and adolescents: the role of obesity. The Arsakeion School Study. J Hum Hypertens 2009;23:512-20. DOI: https://doi.org/10.1038/jhh.2008.158 Erlingsdottir A, Indridason OS, Thorvaldsson O, Edvardsson VO. Blood pressure in children and target-organ damage later in life. Pediatr Nephrol 2010;25:323-8. DOI: https://doi.org/10.1007/s00467-009-1350-3Oyewole O, Oritogun KS. Pre-hypertension and hypertension in adolescence: how much does it occur in a Nigerian community? West Afr J Med 2012;31:71-5.
Ujunwa FA, Ikefuna AN, Nwokocha AR, Chinawa JM. Hypertension and prehypertension among adolescents in secondary schools in Enugu, South East Nigeria. Ital J Pediatr 2013;39:1-6. DOI: https://doi.org/10.1186/1824-7288-39-70 Rebelo D, Teixeira J, Marques-Vidal P, Oliveira JM. Obesity markers and blood pressure in a sample of Portuguese children and adolescents. Eur J Cardiovasc Prev Rehabil 2008;15:73-7. DOI: https://doi.org/10.1097/HJR.0b013e3282f0e344 Alhalaiqa F, Abu-shbeeb I, Batiha A-M, Masa'Deh R, Amarneh B. The relation of demographic characteristics with fatigue levels among coronary heart disease patients: A Jordanian study. Adv Stud Biol 2015;7:301-22. DOI: https://doi.org/10.12988/asb.2015.5418 Kalil GZ, Haynes WGJHR. Sympathetic nervous system in obesity-related hypertension: mechanisms and clinical implications. Hypertens Res 2012;35:4-16. DOI: https://doi.org/10.1038/hr.2011.173
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