“Prevalence of Hypertension in school going adolescents – A Prospective observational Cross-sectional study”

Main Article Content

Dipika P Baria
Hemendra R Suthar
Hitesh Bhabhor
Jayna Devalia

Abstract

Introduction: Hypertension is a significant risk factor for cardiovascular diseases (CVDs) and premature mortality worldwide, affecting approximately one billion individuals, with a higher prevalence in developing countries. Globally, hypertension is defined as having an average systolic blood pressure of at least 140 mmHg, an average diastolic blood pressure of at least 90 mmHg, or the use of antihypertensive medication, with a prevalence of 31%. In India, the prevalence of hypertension among adults is slightly lower at 28%.


Materials and Methodology: This cross-sectional study focused on school adolescents aged 13-17 years, with a calculated sample size of 200. The study was conducted over four months at Shri Ambe Vidhyalaya School in Vadodara, Gujarat, India. Inclusion criteria included willingness to participate and being an adolescent aged 13-17 years, while exclusion criteria included unwillingness to participate, advised rest for more than 15 days due to sickness in the last 6 months, acute or chronic illness, and absence during the study period. Data collection included a self-administered questionnaire, anthropometric measurements, and blood pressure measurements.


Results: Out of 200 subjects, 52.2% were male and 47.5% were female. The prevalence of hypertension and prehypertension was 4.86% and 14.02%, respectively. Factors such as gender, junk food consumption, and sleep hours were not statistically significant, while family history was significantly associated with high blood pressure and hypertension. Conclusion: The study concludes that among school adolescents, the prevalence of raised blood pressure is 14.02%, with hypertension at 4.86%. Family history was significantly associated with hypertension, while other factors such as gender, junk food consumption, and sleep hours were not statistically linked.

Article Details

How to Cite
Dipika P Baria, Hemendra R Suthar, Hitesh Bhabhor, & Jayna Devalia. (2023). “Prevalence of Hypertension in school going adolescents – A Prospective observational Cross-sectional study”. Journal for ReAttach Therapy and Developmental Diversities, 6(9s), 1818–1824. https://doi.org/10.53555/jrtdd.v6i9s.2493
Section
Articles
Author Biographies

Dipika P Baria

Associate Professor, Department of Physiology, Smt. B.K. Shah Medical institute and research centre. Sumandeep Vidyapeeth deemed to be University, Vadodara, Gujarat, India

Hemendra R Suthar

Assistant Professor, Department of Physiology, GMERS Medical College, Gotri, Vadodara, Gujarat, India

Hitesh Bhabhor

Assistant Professor, Department of Community Medicine, GMERS Medical College, Navsari, Gujarat, India

Jayna Devalia

Assistant Professor, Department of Physiology, GMERS Medical College, Navsari, Gujarat, India

References

Hu J, Ding Z, Han D, Hai B, Lv H, Yin J, Shen H, Gu A and Yang H (2022) Prevalence of hypertension and related risk factors among children and adolescents at three separate visits: A large school-based study in China. Front. Pediatr. 10:976317. doi: 10.3389/fped.2022.976317

Romano I, Buchan C, Baiocco-Romano L, Ferro MA: Physical-mental multimorbidity in children and youth: a scoping review. BMJ Open. 2021, 11:10.1136/bmjopen-2020-043124

Mills KT, Bundy JD, Kelly TN, et al.: Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016, 134:441-50.

Tackling G, Borhade MB. Hypertensive heart disease. In: StatPearls [Internet]. Treasure Island (FL). StatPearls Publishing; 2020 [cited 2021 Mar 19] Available from: http://www.ncbi.nlm.nih.gov/books/NBK539800/.

Sabri M, Gheissari A, Mansourian M, Mohammadifard N, Sarrafzadegan N. Essential hypertension in children, a growing worldwide problem. J Res Med Sci Off J Isfahan Univ Med Sci [Internet; 2019 Dec 23, 24. [cited 2021 Mar 19] Available from: http s://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950331/.

Brady TM. Obesity-related hypertension in children. In: Front Pediatr [Internet]; 2017 Sep 25, 5. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PM C5622310/.

Mucci N, Giorgi G, De Pasquale Ceratti S, Fiz-P´erez J, Mucci F, Arcangeli G. Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults. Front Psychol [Internet]; 2016 Oct 28, 7. [cited 2021 Mar 19] Available from: http://www.ncbi.nlm.nih. gov/pmc/articles/PMC5083786/.

Luma GB, Spiotta RT. Hypertension in children and adolescents. Am Fam Physician. 2006 May 1;73(9):1558–1566.

Anyaegbu E, Dharnidharka V. Hypertension IN the teenager. Pediatr Clin. 2014 Feb; 61(1):131–151.

Office of the Registrar General & Census Commissioner, India . (2011). https://censusindia.gov.in/census.website/.

Daniel RA, Haldar P, Prasad M, Kant S, Krishnan A, Gupta SK, Kumar R: Prevalence of hypertension among adolescents (10-19 years) in India: a systematic review and meta-analysis of cross-sectional studies. PLoS One. 2020, 15:10.1371/journal.pone.0239929

India National Family Health Survey 2019-21 (FR375) . (2022). https://dhsprogram.com/pubs/pdf/FR375/FR375.pdf.

Yang L, Sun J, Zhao M, Liang Y, Bovet P, Xi B. Elevated blood pressure in childhood and hypertension risk in adulthood: a systematic review and metaanalysis. J Hypertens. (2020) 38:2346–55. doi: 10.1097/HJH.0000000000002550

Wang C, Yuan Y, Zheng M, Pan A, Wang M, Zhao M, et al. Association of age of onset of hypertension with cardiovascular diseases and mortality. J Am Coll Cardiol. (2020) 75:2921–30. doi: 10.1016/j.jacc.2020.04.038

Gartlehner G, Vander Schaaf EB, Orr C, Kennedy SM, Clark R, Viswanathan M. Screening for hypertension in children and adolescents: updated evidence report and systematic review for the US preventive services task force. JAMA. (2020) 324:1884–95. doi: 10.1001/jama.2020.11119

Maiti M, Bandyopadhyay L. Variation in blood pressure among adolescent schoolchildren in an urban slum of Kolkata, West Bengal. Postgrad Med. 2017 Nov;93 (1105):648–652.

Singh SK, Verma A. Prevalence of hypertension among school going adolescent boys in Najafgarh, Delhi, India. Int J Adolesc Med Health. 2020 Jan 18.

Gupta R, Goyle A, Kashyap S, Agarwal M, Consul R, Jain BK. Prevalence of atherosclerosis risk factors in adolescent school children. Indian Heart J. 1998 Oct;50 (5):511–515.

Anand T, Ingle GK, Meena GS, Kishore J, Kumar R. Hypertension and its correlates among school adolescents in Delhi. Int J Prev Med. 2014 Mar;5(Suppl 1):S65–S70.

Buch N, Goyal JP, Kumar N, Parmar I, Shah VB, Charan J. Prevalence of hypertension in school going children of Surat city, Western India. J Cardiovasc Dis Res. 2011;2(4): 228–232.

Sharma A, Grover N, Kaushik S, Bhardwaj R, Sankhyan N. Prevalence of hypertension among schoolchildren in Shimla. Indian Pediatr. 2010 Oct;47(10): 873–876.

Kumar R, Sharma M, Srivastava A. A cross sectional study of hypertension in adolescent girls of district Moradabad, Uttar Pradesh, India. Int J Community Med Public Health. 2017 Jan 5;3(6):1388–1392.

Nayak BS, Dsouza A, Shetty S, Ravishankar N. Prevalence of childhood hypertension in South Asia: a systematic review and meta-analysis [Internet] J Clin Diagn Res; 2018 [cited 2021 Mar 19] Available from: https://jcdr.net/article_fulltext.asp?iss n=0973-709x&year=2018&volume=12&issue=10&page=LC13&issn=0973709x &id=12200.

Shetty SK, Shetty SS, Sasidharan S, Shenoy VM. Prevalence of pre-hypertension and hypertension in asymptomatic urban school going children of Mangalore and its correlation with BMI. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861. Volume 9, Issue 1 (Jul.- Aug. 2013), pp. 76-79

Canner PL, Borhani NO, Oberman A, Cutler J, Prineas RJ, Langford H, et al. [21] The hypertension prevention trial assessment of the quality of blood pressure measurements. Am J Epidemiol. 1991;134:379– 92.

Sinaiko AR, Gomez Marin O, Prineas RJ. Diastolic fourth and fifth phase blood [22] pressure in 10-15 year old children: The children and adolescents blood pressure program. Am J Epidemiol. 1990;132:647–55.

Sarin D, Chaturvedi P. Normal blood pressure and prevalence of hypertension in [23] school going children. J MGIMS. 1997;1:32–35.

Voors AW, Webber LS, Frerichs RR. Body height and body mass as determinants [24] of basal blood Report of the Dietary Guidelines Advisory Committee, 2010 Dietary Guidelines for Americans. Evidence based guidelines: http://www.cnpp. usda.gov/DGAs2010-DGACReport.htm.

Kumar A, Atul K, Apeksha P, Neha G, Deba PB. Preva-lence and risk factors associated with hypertension in children and adolescents. Pediatr On Call J. 2015;12.

Fadnis VP, Poyekar SP, Ambike DA, Lazar S. Prevalence and risk factors for pre-hypertension and hypertension amongst school going adolescents in a rural area: an observational study. Int J Contemp Pediatr 2020;7:1292-7.

The fourth report on the Diagnosis, Evaluation and Treatment of high blood pressure in children and adolescents. National High Blood Pressure Education Program working group on High Blood Pressure in Children and Adolescents. Pediatrics. 2004;114:555-76.

Vedavathy S, Sangamesh. Prevalence of hypertension in urban school going adolescents of Bangalore, India. Int J Contemp Pediatr 2016;3:416-23.