High blood pressure in schoolchildren: Associated sociodemographic and biochemical factors.

Autor: Reuter CP; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil. Electronic address: cezanereuter@unisc.br., Rodrigues ST; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil., Barbian CD; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil., Silveira JFC; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil., Schneiders LB; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil., Soares SS; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil., Burgos LT; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil., Burgos MS; Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brasil.
Jazyk: English; Portuguese
Zdroj: Revista portuguesa de cardiologia [Rev Port Cardiol (Engl Ed)] 2019 Mar; Vol. 38 (3), pp. 195-201. Date of Electronic Publication: 2019 Apr 17.
DOI: 10.1016/j.repc.2018.06.009
Abstrakt: Introduction and Objective: Pediatric hypertension has increased in the last decade, and it is thus crucial to identify the factors associated with the development of high blood pressure (BP) and other cardiovascular disorders. The aim of this study was to determine whether there is an association between high BP and sociodemographic and biochemical factors in schoolchildren.
Methods: This cross-sectional study included 1201 children and adolescents, between seven and 17 years old, of both sexes. The sociodemographic data analyzed were gender, age, school system and socioeconomic status. Among biochemical indicators, blood glucose, triglycerides, total cholesterol, HDL-cholesterol (HDL-C) and LDL-cholesterol (LDL-C) were assessed. In the analysis of BP, schoolchildren were classified as normal, borderline or hypertensive. Associations were tested using Poisson regression through prevalence ratios (PR).
Results: High BP was identified in 16.2% of the students. In females, the prevalence of high BP was 7% lower than in males (p=0.001), but was higher among adolescents (PR: 1.11, p<0.001) and schoolchildren in the state school system (PR: 1.05; p=0.013). Concerning biochemical indicators, BP change was associated with pre-diabetes (PR: 1.09; p=0.001) and borderline HDL-C (PR: 1.09; p=0.007).
Conclusion: Among the sociodemographic factors associated with high BP are male gender, adolescence and attending the state education system. This condition was also associated with pre-diabetes and borderline HDL-C.
(Copyright © 2019 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE