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Different diagnostic criteria significantly affect the rates of hypertension in 18-year-old high school students.

Symonides B, Jędrusik P, Artyszuk L, Gryboś A, Dziliński P, Gaciong Z - Arch Med Sci (2010)

Bottom Line: We compared the rates of diagnosis of hypertension in a group of 18-year-old subjects using BP percentiles and the adult criteria.Our study indicates high prevalence of hypertension in 18-year-old students - especially in men - and the importance of obesity as a risk factor of hypertension.The use of percentile charts instead of adult cut-off values increases the prevalence of hypertension in men by 35% from 16.2% to 21.9% and in women more than 7 times, i.e. from 0.9% to 6.6%.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hypertension, and Angiology, Medical University of Warsaw, Poland.

ABSTRACT

Introduction: Childhood hypertension is defined based on the normative distribution of blood pressure (BP), but from the age of 18 years high BP is diagnosed using adult criteria. We compared the rates of diagnosis of hypertension in a group of 18-year-old subjects using BP percentiles and the adult criteria.

Material and methods: Blood pressure was measured by registered nurses in 1472 18-year-old high-school students (780 men and 692 women). Also weight, height and waist circumference were recorded.

Results: The prevalence of hypertension was 9% (16.2% in men and 0.9% in women, p < 0.001) using adult cut-off values and 14.7% (21.9% in men and 6.6% in women, p < 0.001) using percentile charts. Obesity was diagnosed in 2.4% and overweight in 13% of subjects, respectively. The relative risk ratio of diagnosing hypertension according to the adult criteria in overweight or obese subjects was 2.94 (95% CI 2.25-3.86) in men and 6.44 (95% CI 3.51-11.82) in women.

Conclusions: Our study indicates high prevalence of hypertension in 18-year-old students - especially in men - and the importance of obesity as a risk factor of hypertension. The use of percentile charts instead of adult cut-off values increases the prevalence of hypertension in men by 35% from 16.2% to 21.9% and in women more than 7 times, i.e. from 0.9% to 6.6%. It seems reasonable to use higher (i.e. 98(th)) percentile values for definition of high blood pressure.

No MeSH data available.


Related in: MedlinePlus

Mean SBP and DBP in BMI categories in both genders. Data presented as means, interquartile range and SD p for trends for SBP and DBP in women and SBP in men < 0.001; for DBP in men p < 0.01
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Figure 2: Mean SBP and DBP in BMI categories in both genders. Data presented as means, interquartile range and SD p for trends for SBP and DBP in women and SBP in men < 0.001; for DBP in men p < 0.01

Mentions: The higher the BMI category, the higher was the blood pressure observed in both genders (Figure 2) and the presence of hypertension disregarding the criteria used (Figure 3). Hypertensive patients had a higher BMI than normotensive subjects (25.3 ±4.4 kg/m2 vs. 21.8 ±3.0 kg/m2, p < 0.001).


Different diagnostic criteria significantly affect the rates of hypertension in 18-year-old high school students.

Symonides B, Jędrusik P, Artyszuk L, Gryboś A, Dziliński P, Gaciong Z - Arch Med Sci (2010)

Mean SBP and DBP in BMI categories in both genders. Data presented as means, interquartile range and SD p for trends for SBP and DBP in women and SBP in men < 0.001; for DBP in men p < 0.01
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3298336&req=5

Figure 2: Mean SBP and DBP in BMI categories in both genders. Data presented as means, interquartile range and SD p for trends for SBP and DBP in women and SBP in men < 0.001; for DBP in men p < 0.01
Mentions: The higher the BMI category, the higher was the blood pressure observed in both genders (Figure 2) and the presence of hypertension disregarding the criteria used (Figure 3). Hypertensive patients had a higher BMI than normotensive subjects (25.3 ±4.4 kg/m2 vs. 21.8 ±3.0 kg/m2, p < 0.001).

Bottom Line: We compared the rates of diagnosis of hypertension in a group of 18-year-old subjects using BP percentiles and the adult criteria.Our study indicates high prevalence of hypertension in 18-year-old students - especially in men - and the importance of obesity as a risk factor of hypertension.The use of percentile charts instead of adult cut-off values increases the prevalence of hypertension in men by 35% from 16.2% to 21.9% and in women more than 7 times, i.e. from 0.9% to 6.6%.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Hypertension, and Angiology, Medical University of Warsaw, Poland.

ABSTRACT

Introduction: Childhood hypertension is defined based on the normative distribution of blood pressure (BP), but from the age of 18 years high BP is diagnosed using adult criteria. We compared the rates of diagnosis of hypertension in a group of 18-year-old subjects using BP percentiles and the adult criteria.

Material and methods: Blood pressure was measured by registered nurses in 1472 18-year-old high-school students (780 men and 692 women). Also weight, height and waist circumference were recorded.

Results: The prevalence of hypertension was 9% (16.2% in men and 0.9% in women, p < 0.001) using adult cut-off values and 14.7% (21.9% in men and 6.6% in women, p < 0.001) using percentile charts. Obesity was diagnosed in 2.4% and overweight in 13% of subjects, respectively. The relative risk ratio of diagnosing hypertension according to the adult criteria in overweight or obese subjects was 2.94 (95% CI 2.25-3.86) in men and 6.44 (95% CI 3.51-11.82) in women.

Conclusions: Our study indicates high prevalence of hypertension in 18-year-old students - especially in men - and the importance of obesity as a risk factor of hypertension. The use of percentile charts instead of adult cut-off values increases the prevalence of hypertension in men by 35% from 16.2% to 21.9% and in women more than 7 times, i.e. from 0.9% to 6.6%. It seems reasonable to use higher (i.e. 98(th)) percentile values for definition of high blood pressure.

No MeSH data available.


Related in: MedlinePlus