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CC BY 4.0 · Journal of Child Science 2021; 11(01): e273-e279
DOI: 10.1055/s-0041-1736240
Original Article

A Study on Burden of Prehypertension in Youth (or Pediatric Hypertension) in West Bengal, India

Sourav RoyChoudhury 
1   Department of Pediatric Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
,
Kaustav Nayek
1   Department of Pediatric Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
,
Jinia Saha 
1   Department of Pediatric Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
› Author Affiliations Funding None.
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Abstract

Hypertension is a silent threat to the developing countries in recent times. The aim of this article was to determine the burden of prehypertension and hypertension among school-going children and the risk factors associated with those conditions. A cross-sectional study was conducted among school-going children (6–18 years) in seven schools of Burdwan, West Bengal, India, selected by stratified random sampling from March 2017 to August 2018. Anthropometric and blood pressure measurements were obtained along with sociodemographic parameters. Prehypertension and hypertension were defined as per American Pediatric Society's definition. Mean age of the study population was 11.3 ± 3.8 years (n = 604). Prevalence of prehypertension and hypertension was estimated to be 5% and 4.6%, respectively. Both prehypertension and hypertension were more common among children aged > 15 years (10.3% and 15.5%). In logistic regression, the independent determinants of hypertension were higher socioeconomic condition, increasing age, obesity, increased intake of junk food, parental hypertension, and obesity among first-degree relatives. Proper preventive measures are the need of the hour to tackle the emerging epidemic at its root. Periodic measurements of blood pressure at regular intervals are advisable at community levels to recognize high-risk children, control obesity, and prevent irreversible end organ damages.

Keywords

obesity - hypertension - community - pre-hypertension - systolic hypertension - children

Authors' Contributions

S.R.C. conceived and designed the survey. J.S. drafted the manuscript. J.S. and S.R.C. were responsible for the collection of data. J.S. participated in statistical analysis of data and the interpretation of the data. K.N. critically evaluated the manuscript and rechecked all data. All authors reviewed and approved the final version of the manuscript for submission.




Publication History

Received: 15 April 2021

Accepted: 19 August 2021

Article published online:
19 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015; 385 (9963): 117-171
    CrossrefPubMedGoogle Scholar
  • 2 WHO. A Global Brief on Hypertension: Silent Killer, Global Public Health Crisis. World Health Day 2013. Geneva: World Health Organization Press; 2013
    Google Scholar
  • 3 Falkner B, Gidding SS, Portman R, Rosner B. Blood pressure variability and classification of prehypertension and hypertension in adolescence. Pediatrics 2008; 122 (02) 238-242
    CrossrefPubMedGoogle Scholar
  • 4 Vaidya A, Pokharel PK, Karki P, Nagesh S. Exploring the iceberg of hypertension: a community based study in an eastern Nepal town. Kathmandu Univ Med J (KUMJ) 2007; 5 (03) 349-359 (KUMJ)
    PubMedGoogle Scholar
  • 5 Mohan B, Kumar N, Aslam N. et al. Prevalence of sustained hypertension and obesity in urban and rural school going children in Ludhiana. Indian Heart J 2004; 56 (04) 310-314
    PubMedGoogle Scholar
  • 6 Gupta AK, Ahmad AJ. Childhood obesity and hypertension. Indian Pediatr 1990; 27 (04) 333-337
    PubMedGoogle Scholar
  • 7 Sabapathy S, Nagaraju BA, Bhanuprakash CN. Prevalence of childhood hypertension and pre-hypertension in school going children of Bangalore rural district: a cross sectional study. Int J Contemp Pediatr 2017; 4 (05) 1701-1704
    CrossrefPubMedGoogle Scholar
  • 8 Rauniyar SK, Rahman MM, Rahman MS, Abe SK, Nomura S, Shibuya K. Inequalities and risk factors analysis in prevalence and management of hypertension in India and Nepal: a national and subnational study. BMC Public Health 2020; 20 (01) 1341
    CrossrefPubMedGoogle Scholar
  • 9 National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. National heart, lung, and blood institute. Bethesda, Maryland: National institute of health, NIH publication; 2005 . Available at: https://pediatrics.aappublications.org/content/114/Supplement_2/555.long
    PubMedGoogle Scholar
  • 10 Donohoue PA. Obesity. In: Behrman RE, Kleigman RM, Jenson HB. eds. Nelson Textbook of Pediatrics. 17th ed.. Philadelphia: WB Saunders; 2004
    Google Scholar
  • 11 Noubiap JJ, Essouma M, Bigna JJ, Jingi AM, Aminde LN, Nansseu JR. Prevalence of elevated blood pressure in children and adolescents in Africa: a systematic review and meta-analysis. Lancet Public Health 2017; 2 (08) e375-e386
    CrossrefPubMedGoogle Scholar
  • 12 Liang YJ, Xi B, Hu YH. et al. Trends in blood pressure and hypertension among Chinese children and adolescents: China Health and Nutrition Surveys 1991-2004. Blood Press 2011; 20 (01) 45-53
    CrossrefPubMedGoogle Scholar
  • 13 Peters H, Whincup PH, Cook DG, Law C, Li L. Trends in blood pressure in 9 to 11-year-old children in the United Kingdom 1980-2008: the impact of obesity. J Hypertens 2012; 30 (09) 1708-1717
    CrossrefPubMedGoogle Scholar
  • 14 Sinaiko AR, Gomez-Marin O, Prineas RJ. Prevalence of “significant” hypertension in junior high school-aged children: the Children and Adolescent Blood Pressure Program. J Pediatr 1989; 114 (4 Pt 1): 664-669
    CrossrefPubMedGoogle Scholar
  • 15 McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr 2007; 150 (06) 640-644 , 644.e1
    CrossrefPubMedGoogle Scholar
  • 16 Laroia D, Sharma M, Diwedi V, Belapurkar KM, Mathur PS. Profile of blood pressure in normal school children. Indian Pediatr 1989; 26 (06) 531-536
    PubMedGoogle Scholar
  • 17 Verma M, Chhatwal J, George SM. Obesity and hypertension in children. Indian Pediatr 1994; 31 (09) 1065-1069
    PubMedGoogle Scholar
  • 18 Falkner B. Hypertension in children and adolescents: epidemiology and natural history. Pediatr Nephrol 2010; 25 (07) 1219-1224
    CrossrefPubMedGoogle Scholar
  • 19 Rockwood MR, Howlett SE, Rockwood K. Orthostatic hypotension (OH) and mortality in relation to age, blood pressure and frailty. Arch Gerontol Geriatr 2012; 54 (03) e255-e260
    CrossrefPubMedGoogle Scholar
  • 20 Wu S, Chen D, Zeng X. et al. Arterial stiffness is associated with target organ damage in subjects with pre-hypertension. Arch Med Sci 2018; 14 (06) 1374-1380
    CrossrefPubMedGoogle Scholar
  • 21 Rockwood MR, Howlett SE. Blood pressure in relation to age and frailty. Can Geriatr J 2011; 14 (01) 2-7
    CrossrefPubMedGoogle Scholar
  • 22 Everett B, Zajacova A. Gender differences in hypertension and hypertension awareness among young adults. Biodemogr Soc Biol 2015; 61 (01) 1-17
    CrossrefPubMedGoogle Scholar
  • 23 Reckelhoff JF. Gender differences in the regulation of blood pressure. Hypertension 2001; 37 (05) 1199-1208
    CrossrefPubMedGoogle Scholar
  • 24 Fitchett G, Powell LH. Daily spiritual experiences, systolic blood pressure, and hypertension among midlife women in SWAN. Ann Behav Med 2009; 37 (03) 257-267
    CrossrefPubMedGoogle Scholar
  • 25 Soylu A, Kavukçu S, Türkmen M, Cabuk N, Duman M. Effect of socioeconomic status on the blood pressure in children living in a developing country. Pediatr Int 2000; 42 (01) 37-42
    CrossrefPubMedGoogle Scholar
  • 26 Conen D, Glynn RJ, Ridker PM, Buring JE, Albert MA. Socioeconomic status, blood pressure progression, and incident hypertension in a prospective cohort of female health professionals. Eur Heart J 2009; 30 (11) 1378-1384
    CrossrefPubMedGoogle Scholar
  • 27 Daştan İ, Erem A, Çetinkaya V. Urban and rural differences in hypertension risk factors in Turkey. Anatol J Cardiol 2017; 18 (01) 39-47
    PubMedGoogle Scholar
  • 28 SarrafZadegan N, AminiNik S. Blood pressure pattern in urban and rural areas in Isfahan, Iran. J Hum Hypertens 1997; 11 (07) 425-428
    CrossrefPubMedGoogle Scholar
  • 29 Sweazea KL, Johnston CS, Miller B, Gumpricht E. Nitrate-rich fruit and vegetable supplement reduces blood pressure in normotensive healthy young males without significantly altering flow-mediated vasodilation: a randomized, double-blinded, controlled trial. J Nutr Metab 2018; 2018: 1729653
    CrossrefPubMedGoogle Scholar
  • 30 Gando Y, Sawada SS, Kawakami R. et al. Combined association of cardiorespiratory fitness and family history of hypertension on the incidence of hypertension: a long-term cohort study of Japanese males. Hypertens Res 2018; 41 (12) 1063-1069
    CrossrefPubMedGoogle Scholar
  • 31 Liu M, He Y, Jiang B. et al. Association between family history and hypertension among Chinese elderly. Medicine (Baltimore) 2015; 94 (48) e2226
    CrossrefPubMedGoogle Scholar
  • 32 Shen Y, Chang C, Zhang J, Jiang Y, Ni B, Wang Y. Prevalence and risk factors associated with hypertension and prehypertension in a working population at high altitude in China: a cross-sectional study. Environ Health Prev Med 2017; 22 (01) 19
    CrossrefPubMedGoogle Scholar
  • 33 Brouhard BH. Hypertension in children and adolescents. Cleve Clin J Med 1995; 62 (01) 21-28
    CrossrefPubMedGoogle Scholar