Prevalence and Factors Associated with Hypertension among Community-Dwelling Adolescents in a Rural Area of Haryana, India, Using AAP 2017 and NHBPEP Criteria
© 2022. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation..
OBJECTIVE: To estimate the prevalence and determinants of hypertension among adolescents in a rural area in North India.
METHODS: This was a cross-sectional study conducted among community-dwelling adolescents (10-19 y) and defined blood pressure as per the National High Blood Pressure Education Program (NHBPEP) and American Academy of Pediatrics (AAP) 2017 criteria. A pretested, semistructured questionnaire was used to elicit sociodemographic details and risk factors of hypertension. Association of factors with hypertension, z scores of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were assessed by logistic and linear regression. In multivariable regression model, for both logistic and linear regression, variables with p value < 0.2 were included, excluding collinear variables.
RESULTS: Eight hundred sixty-four adolescents participated with mean (SD) age, BMI of 14.0 ± 2.6 y, 18.3 ± 3.5 kg/m2. Hypertension prevalence was 22.5% (95% CI: 19.7, 25.5) as per AAP and 15.2% (95% CI: 12.9, 17.8) as per NHBPEP criteria. Being hypertensive as per the AAP was associated with family history of noncommunicable disease (NCD) (adjusted odds ratio, AOR 1.80, 95% CI: 1.11, 2.86) and BMI (AOR = 1.09, 95% CI: 1.04, 1.14), and as per the NHBPEP, was only associated with BMI (AOR = 1.11, 95% CI: 1.05, 1.17). SBP z score was significantly associated with male sex (adjusted beta coefficient AC = 0.79, 95% CI: 0.69, 0.90), and weight z scores (AC = 2.00, 95% CI: 1.22, 3.28); DBP z score was significantly associated with z scores of height (AC = 0.70, 95% CI: 0.51, 0.96) and waist (AC = 1.15, 95% CI: 1.02, 1.30).
CONCLUSION: The prevalence of hypertension among adolescents was high and was associated with BMI and family history of NCD.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:89 |
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| Enthalten in: |
Indian journal of pediatrics - 89(2022), 11 vom: 12. Nov., Seite 1099-1106 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Daniel, Roy Arokiam [VerfasserIn] |
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| Links: |
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| Themen: |
Adolescent |
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| Anmerkungen: |
Date Completed 18.10.2022 Date Revised 04.11.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s12098-022-04256-3 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM343502097 |
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| 245 | 1 | 0 | |a Prevalence and Factors Associated with Hypertension among Community-Dwelling Adolescents in a Rural Area of Haryana, India, Using AAP 2017 and NHBPEP Criteria |
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| 500 | |a Date Revised 04.11.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation. | ||
| 520 | |a OBJECTIVE: To estimate the prevalence and determinants of hypertension among adolescents in a rural area in North India | ||
| 520 | |a METHODS: This was a cross-sectional study conducted among community-dwelling adolescents (10-19 y) and defined blood pressure as per the National High Blood Pressure Education Program (NHBPEP) and American Academy of Pediatrics (AAP) 2017 criteria. A pretested, semistructured questionnaire was used to elicit sociodemographic details and risk factors of hypertension. Association of factors with hypertension, z scores of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were assessed by logistic and linear regression. In multivariable regression model, for both logistic and linear regression, variables with p value < 0.2 were included, excluding collinear variables | ||
| 520 | |a RESULTS: Eight hundred sixty-four adolescents participated with mean (SD) age, BMI of 14.0 ± 2.6 y, 18.3 ± 3.5 kg/m2. Hypertension prevalence was 22.5% (95% CI: 19.7, 25.5) as per AAP and 15.2% (95% CI: 12.9, 17.8) as per NHBPEP criteria. Being hypertensive as per the AAP was associated with family history of noncommunicable disease (NCD) (adjusted odds ratio, AOR 1.80, 95% CI: 1.11, 2.86) and BMI (AOR = 1.09, 95% CI: 1.04, 1.14), and as per the NHBPEP, was only associated with BMI (AOR = 1.11, 95% CI: 1.05, 1.17). SBP z score was significantly associated with male sex (adjusted beta coefficient AC = 0.79, 95% CI: 0.69, 0.90), and weight z scores (AC = 2.00, 95% CI: 1.22, 3.28); DBP z score was significantly associated with z scores of height (AC = 0.70, 95% CI: 0.51, 0.96) and waist (AC = 1.15, 95% CI: 1.02, 1.30) | ||
| 520 | |a CONCLUSION: The prevalence of hypertension among adolescents was high and was associated with BMI and family history of NCD | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Adolescent | |
| 650 | 4 | |a Community | |
| 650 | 4 | |a Determinants | |
| 650 | 4 | |a Hypertension | |
| 650 | 4 | |a India | |
| 650 | 4 | |a Prevalence | |
| 700 | 1 | |a Haldar, Partha |e verfasserin |4 aut | |
| 700 | 1 | |a Kant, Shashi |e verfasserin |4 aut | |
| 700 | 1 | |a Krishnan, Anand |e verfasserin |4 aut | |
| 700 | 1 | |a Kumar, Rakesh |e verfasserin |4 aut | |
| 700 | 1 | |a Gupta, Sanjeev Kumar |e verfasserin |4 aut | |
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