Biophysical profile of blood pressure in urban school children

  • Dr. K. Pavan Kumar Department of Pediatrics, MNR Medical College & Hospital, Sangareddy, Telangana
  • Dr. S. Srikrishna Consultant Pediatrician, NICE Foundation
  • Dr. P.S. Murthy Head of the Department, Pediatrics, NICE Hospital
  • Dr. Padmanabha Reddy CEO, NICE Foundation, Hyderabad.
Keywords: Biophysical profile, Blood pressure, BMI, Hypertension, Pre-hypertension, Urban school children, systolic blood pressure and diastolic blood pressure

Abstract

Background: A Systematic review & meta-analysis revealed that there is ‘Strong evidence for tracking of Blood pressure from childhood to adulthood i.e., the Children in the upper percentile of Blood Pressure levels are more likely to become hypertensive in adulthood.

Objective: To study the prevalence of Pre-hypertension & Hypertension and the relationship of Blood Pressure with variables like age, sex, weight, height, body Mass Index (BMI), Socio economic status and Family history in Urban school children.

Materials & Methods: The present Cross-sectional study conducted in urban school children, Hyderabad. Total 2500 children of 5-14 years age group were involved in the study group; children were selected in random sampling method.

Results: The Prevalence of Hypertension among children between 5 – 14 yrs was 7.2% (6.6 % in Boys & 7.9% in girls). Pre-hypertension prevalence was found higher in boys (6.2%) compared to girls (3%). Multiple Regression Analysis showed Positive and significant correlation of age, weight, height with each systemic blood pressure and diastolic blood pressure (P value <0.001).

Conclusion: Regular Blood pressure measurement of children is mandatory for early detection of Pre-hypertension & hypertension.

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References

1. Hansen ML, Gunn PW, Kaelber DC. Under diagnosis of hypertension in children and adolescents. JAMA. 2007 Aug 22;298(8):874-9.

2. Sheps SG, Roccella EJ. Reflections on the sixth report of the Joint National Committee on. Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Curr Hypertens Rep. 1999;1:342-5. PR.

3. Guyton, John E. Hall.—11th ed. p. ; cm. Includes bibliographical references and index. ISBN 0-7216-0240-1.

4. Sachdev Y. Normal blood pressure and hypertension in Indian children. Indian Pediatr. 1984 Jan;21(1):41-8.

5. Rames LK, Clarke WR, Connor WE, Reiter MA, Lauer RM. Normal blood pressure and the evaluation of sustained blood pressure elevation in childhood: the Muscatine study. Pediatrics. 1978 Feb;61(2):245-51.

6. Jaddou HY, Bateiha AM, Khawaldeh AM, Goussous YM, Ajlouni KM. Blood pressure profile in schoolchildren and adolescents in Jordan. Ann Saudi Med. 2001 Jan-Mar;21(1-2):123-6. [PubMed]

7. Subhi MD. Blood pressure profiles and hypertension in Iraqi primary school children.Saudi Med J. 2006 Apr;27(4):482-6.

8. Mohan B, Kumar N, Aslam N, Rangbulla A, Kumbkarni S, Sood NK, Wander GS. Prevalence of sustained hypertension and obesity in urban and rural school going children in Ludhiana. Indian Heart J. 2004 Jul-Aug;56(4):310-4.

9. Chadha SL, Tandon R, Shekhawat S, Gopinath N. An epidemiological study of blood pressure in school children (5-14 years) in Delhi. Indian Heart J. 1999 Mar-Apr;51(2):178-82.

10. Schiel R, Beltschikow W, Kramer G, Stein G. Overweight, obesity and elevated blood pressure in children and adolescents. Eur J Med Res. 2006 Mar 27;11(3):97-101. PubMed PMID: 16751109. [PubMed]

11. Anand NK, Tandon L. Prevalence of hypertension in school going children. Indian Pediatr. 1996 May;33(5):377-81.

12. Gupta AK, Ahmad AJ. Childhood obesity and hypertension. Indian Pediatr. 1990;27(4):3337. 30. [PubMed]

13. Laroia D, Sharma M, Diwedi V, Belapurkar KM, Mathur PS. Profile of blood pressure in normal school children. Indian Pediatr. 1989 Jun;26(6):531-6. [PubMed]

14. Agarwal V.K, Rajiv Sharan, Srivastava A.K, Prem Kumar Pandey C.M. Blood Pressure Profile in Children of age 3-14 years. Indian Pediatrics 1983;20; 921-925.

15. Ribeiro J, Guerra S, Pinto A, Oliveira J, Duarte J, Mota J. Overweight and obesity in children and adolescents: relationship with blood pressure, and physical activity. Ann Hum Biol. Mar-Apr 2003;30(2):203-213.

16. He Q, Ding ZY, Fong DY, Karlberg J. Blood pressure is associated with body mass index in both normal and obese children. Hypertension. 2000 Aug;36(2):165-70.

17. Wang WJ, Wang KA, Chen CM, Cao RX, Bai YM, Ma LM, Ren ZY, Niu ZH, Gao Q. [The study on relationship of body mass index and blood pressure in children and adolescents of Beijing]. Zhonghua Liu Xing Bing Xue Za Zhi. 2004 Feb;25(2):109-12. [PubMed]

18. Munger R.G., Rineas RJ, Gomez-Mamo. Persistent evaluation of blood pressure among children with family history of hypertension. J. Hypertens, 1988;6:647-653.

19. Londe S, Bourgoignie JJ, Robson AM, Goldring D. Hypertension in apparently normal children. J Pediatr. 1971 Apr;78(4):569-77.

20. Chahar CK, Shekhawat V, Miglani N, Gupta BD. A study of blood pressure in school children at Bikaner.Indian J Pediatr. 1982 Nov-Dec;49(401):791-4.

21. Agarwal R, Mandowara S.L. Bhandari B, Gar O.P. Prevalence of hypertension in apparently health school children. Indian Pediatrics.1982;19: 779-784.
Biophysical profile of blood pressure in urban school children
CITATION
DOI: 10.17511/ijpr.2018.i02.02
Published: 2018-02-28
How to Cite
Dr. K. Pavan Kumar, Dr. S. Srikrishna, Dr. P.S. Murthy, & Dr. Padmanabha Reddy. (2018). Biophysical profile of blood pressure in urban school children. Pediatric Review: International Journal of Pediatric Research, 5(2), 48-54. https://doi.org/10.17511/ijpr.2018.i02.02
Section
Original Article