Prevalence of hypertension in healthy school children in Pakistan and its relationship with body mass index, proteinuria and hematuria

Autor: Hira Naeem, Sohail Ashraf, Zubair Ali Khowaja, Farah Naz Qamar, Shafaq Binte Tariq, Arshalooz Jamila Rahman
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Saudi Journal of Kidney Diseases and Transplantation, Vol 24, Iss 2, Pp 408-412 (2013)
ISSN: 1319-2442
Popis: To determine the prevalence of high blood pressure (BP) in healthy school Pakistani children and its association with high body mass index (BMI), asymptomatic hematuria and proteinuria, we studied 661 public school children and measured their body weight, height and BP and urine dipstick for hematuria performed on a single occasion. Hypertension (BP >95 th centile) and pre-hypertension (BP >90 th centile) were defined based on the US normative BP tables. Over-weight and obesity were defined according to the World Health Organization (WHO) classification of BMI. The mean age of the children was 14 ± 1.3 years. The mean BMI was 18.5 ± 4.3 kg/m 2 . The majority (81.8%) of the children were found to be normotensive (BP 25 (RR for BMI b/w 25-30 = 2.6, RR for BMI >30 = 4.3), positive urine dipstick for proteinuria (RR = 2.3 95% CI 0.7-7.7) and positive urine dipstick for hematuria (RR 1.0 95% CI 0.2-8.3). Hypertension in children is strongly correlated with obesity, asymptomatic proteinuria and hematuria. Community based screening programs for children should include BP recording, BMI assessment and urine dipsticks analysis and approach high-risk groups for early detection and lifestyle modifications.
Databáze: OpenAIRE