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Systemic hypertension and associated factors in school adolescents

Author(s): Salma B. Galal | Soheir A. Fahmy | Somia Lashine | Nahed Abdel-Fattah | Mohammed Omar Galal

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 3;
Issue: 3;
Start page: 194;
Date: 2011;
Original page

Keywords: Stress/ tension | sleep | salting food | hypertension | adolescent | overweight

Background: Systemic hypertension is an endemic disease, which causes serious morbidities andmortality in all age groups. Hypertension of adults in Egypt is 26%. It can start in childhood and needs tobe assessed in Egyptian children and adolescents.Aim and objectives: This study aims to investigate the prevalence of systemic hypertension in 12-14year old school children and associated factors.Methods and study design: A cross sectional study was done in some preparatory public and privateschools selected from a district of Cairo. The 234 children (167 females, 67males) in this study were 12 -14 year of age. Their weight ranged from 30 – 100 kg Subjects with high blood pressure (BP) wereidentified according to the percentiles of Rosner, et al. Beside characteristics of the sample and bloodpressure (BP), associated factors investigated were: - weight and body mass index (BMI), tea / coffeeconsumption, "added salt before tasting food", sleeping less than 8 hours per day and physical activity.Each student filled out stress and tension level tests. The school health team obtained informed parentalconsent to include their children in this study. Statistical analysis was done with EPI using chi-square, ttest,odd ratio (OR) with 95% confidence limits (Cl) and logistic regression with the 5% level for tests.The ethical committee of the faculty approved the study.Results / Finding: The prevalence of systemic hypertension was 10%. Children with high BP (23) werecompared to 211 subjects with normotensive BP. High stress and tension score, less sleeping hours / day,adding salt to food and higher BMI were found significantly associated (p
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