32
views
0
recommends
+1 Recommend
2 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Prevalência de pré-hipertensão e de hipertensão arterial e avaliação de fatores associados em crianças e adolescentes de escolas públicas de Salvador, Bahia, Brasil Translated title: Prevalence of pre-hypertension and arterial hypertension and evaluation of associated factors in children and adolescents in public schools in Salvador, Bahia State, Brazil

      research-article

      Read this article at

          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Trata-se de estudo para avaliar os fatores associados à hipertensão e pré-hipertensão. Participaram desta pesquisa 1.125 indivíduos com idade entre 7 e 14 anos da rede pública de ensino em Salvador, Bahia, Brasil. As variáveis de exposição foram: índice de massa corporal, circunferência da cintura, sexo, idade, atividade física, condições ambientais e de moradia, renda familiar, consumo alimentar, escolaridade e idade maternas. Os dados foram analisados utilizando-se a Regressão Logística Politômica e a variável desfecho categorizada em normotensos, pré-hipertensos e hipertensos. A prevalência de pressão arterial elevada foi de 14,1%, sendo 4,8% de hipertensão e 9,3% pré-hipertensão. Houve associação entre pré-hipertensão e excesso de peso (OR: 3,13; IC95%: 1,75-5,57). Hipertensão foi associada a excesso de peso (OR: 3,02; IC95%: 1,45-6,28), sexo feminino (OR: 2,49; IC95%: 1,24-4,98) e padrão alimentar de risco (OR: 1,93; IC95%: 1,04-3,56). A prevalência de pré-hipertensão e hipertensão em crianças e adolescentes é maior entre aqueles com excesso de peso, do sexo feminino e com consumo alimentar inadequado.

          Translated abstract

          This study aimed to assess pre-hypertension and hypertension-related factors in 1,125 seven- to-14-year-old subjects enrolled in the public school system in Salvador, Bahia State, Brazil. Exposure variables, namely body mass index, waist circumference, gender, age, physical activity, environmental and housing status, family income, diet, schooling, and maternal age were analyzed by polytomous logistic regression, and the outcome variable was categorized as normal, pre-hypertensive, and hypertensive. Prevalence of high blood pressure was 14.1%, including the prevalence of both hypertension (4.8%) and pre-hypertension (9.3%). An association was shown between pre-hypertension and overweight (OR: 3.13; 95%CI: 1.75-5.57). Hypertension was associated with overweight (OR: 3.02; 95%CI: 1.45-6.28), female gender (OR: 2.49; 95%CI: 1.24-4.98), and high-risk eating patterns (OR: 1.93; 95%CI: 1.04-3.56). In short, prevalence of pre-hypertension and hypertension in children and adolescents was higher among girls and individuals with overweight and inadequate diet.

          Related collections

          Most cited references108

          • Record: found
          • Abstract: not found
          • Book: not found

          Physical Status: The Use and Interpretation of Anthropometry

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Physical status the use and interpretation of anthropometry.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Childhood cardiovascular risk factors and carotid vascular changes in adulthood: the Bogalusa Heart Study.

              Carotid artery intima-media thickness (IMT) is associated with cardiovascular risk factors and is recognized as an important predictive measure of clinical coronary atherosclerosis events in middle-aged and elderly populations. However, information on the association of carotid IMT in young adults with different risk factors measured in childhood, adulthood, or as a cumulative burden of each of the risk factors measured serially from childhood to adulthood is limited. To examine the association between carotid IMT in young adults and traditional cardiovascular risk factors measured since childhood. A cohort study of 486 adults aged 25 to 37 years from a semirural black and white community in Bogalusa, La (71% white, 39% men), who had at least 3 measurements of traditional risk factors since childhood, conducted between September 1973 and December 1996. Association of carotid IMT with risk factors, including systolic blood pressure, lipoprotein levels, and body mass index. Male vs female (0.757 mm vs 0.719 mm) and black vs white (0.760 mm vs 0.723 mm) participants had increased carotid IMT (P<.001 for both). In multivariable analyses, significant predictors for being in top vs lower 3 quartiles of carotid IMT in young adults were childhood measures of low-density lipoprotein cholesterol (LDL-C) level (odds ratio [OR], 1.42, corresponding to 1-SD change specific for age, race, and sex; 95% confidence interval [CI], 1.14-1.78) and body mass index (BMI; OR, 1.25; 95% CI, 1.01-1.54); adulthood measures of LDL-C level (OR, 1.46; 95% CI, 1.16-1.82), high-density lipoprotein cholesterol (HDL-C) level (OR, 0.67; 95% CI, 0.51-0.88), and systolic blood pressure (OR, 1.36; 95% CI, 1.08-1.72); and long-term cumulative burden of LDL-C (OR, 1.58; 95% CI, 1.24-2.01) and HDL-C (OR, 0.75; 95% CI, 0.58-0.97) levels measured serially from childhood to adulthood. An increasing trend in carotid IMT across quartiles of LDL-C level measured in childhood was observed, with a mean value of 0.761 mm (95% CI, 0.743-0.780 mm) for those at the top quartile vs 0.724 mm (95% CI, 0.715-0.734 mm) for those in the lower 3 quartiles (P<.001). Childhood measures of LDL-C level and BMI predict carotid IMT in young adults. The prevention implications of these findings remains to be explored.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                csp
                Cadernos de Saúde Pública
                Cad. Saúde Pública
                Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (Rio de Janeiro )
                1678-4464
                June 2011
                : 27
                : 6
                : 1065-1075
                Affiliations
                [1 ] Universidade Federal da Bahia Brazil
                [2 ] Universidade Federal de Viçosa Brazil
                Article
                S0102-311X2011000600004
                0fdb4014-2e42-48a6-93d1-fcc67154f605

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=0102-311X&lng=en
                Categories
                Health Policy & Services

                Public health
                Hypertension,Risk Factors,Adolescent,Pré-hipertensão,Child,Hipertensão,Fatores de Risco,Criança,Adolescente,Prehypertension

                Comments

                Comment on this article