2012, Number 6
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Rev Fac Med UNAM 2012; 55 (6)
Risk factors for hypertension among school-age children in northwest of Mexico
Brito-Zurita OR, Jorge-Plascencia B, Armenta-Llanes O, Exiga-González EB, Domínguez-Banda A, Sabag-Ruiz E, Ornelas-Aguirre JM
Language: Spanish
References: 38
Page: 11-20
PDF size: 186.61 Kb.
ABSTRACT
Introduction: Epidemiological studies have shown that arterial
hypertension can start since the first years of life. The
aim of this study was to determine the prevalence of hypertension
and risk factors (RF) among school-age children from
one community in the northwest of Mexico.
Material and methods: A poly-stage, randomized study was
carried out in healthy pupils aged 6 to 12 years old. Blood
pressure (BP) and anthropometrical variables were measured.
Hypertension was considered whenever BP in relation to
body height was ≥ 95 percentil in local tables (LT) and task
force (TF). RF was assessed using a questionnaire applied to
parents and students.
Results: In 684 children, 51.3% females and 46.8% males, the
prevalence of hypertension according to TF was 7.74% and
2.63% according to LT. An association between hypertension
and anthropometrical variables was observed. Weight
and age are RF for systolic hypertension, while weight was
RF for diastolic hypertension.
Conclusion: Hypertension prevalence according to LT was
similar to the one reported in other studies; however, it is increased
according to TF. There was a direct correlation between
hypertension and anthropometrical variables. Weight
and age were RF for hypertension.
REFERENCES
Velázquez MO, Rosas PM, Lara EA, Pastelín HG. Hypertension in Mexico: the health national survey 2000. Arch Cardiol Mex. 2002;72(1):71-84.
Organization for Economic Co-operation and Development. Obesity by country. OECD Health Data 2005. Disponible en www.oecd. org/health/healthdata. [Consultado el 23 de Febrero 2008].
Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, et al. Encuesta nacional de salud y nutrición 2006. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública; 2006.
Varda NM, Gregorio A. A diagnostic approach for the child with hypertension. Pediatr Nephrol. 2005;20(4):499-506.
Report of the Second Task Force on Blood Pressure Con- trol in Children 1987. Task Force on Blood Pressure Control in Children. National Heart, Lung, and Blood Institute, Bethesda, Maryland. Pediatrics. 1987;79(1):1-25.
Rosner B, Prineas R, Daniels SR, Loggie J. Blood pressure differences between blacks and whites in relation to body size among US children and adolescents. Am J Epidemiol. 2000;151(10):1007-19.
Alpert BS, Fox ME. Racial aspects of blood pressure in children and adolescents. Pediatr Clin North Am. 1993;40(1):13-22.
Gazzara G, Alvarez I, Barrenechea MC, et al. Hypertension in children and adolescents. Arch Pediatr Urug. 2002;73(1):26-31.
Lurve E, Cifkova R, Cruickshank JK, et al. Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. An Pediatr. 2010;73(1):51
Zinner SH, Martín LF, Sacks F, Rosner B, Kass EH. A longitudinal study of blood pressure in childhood. Am J Epidemiol. 1974;100(6):437-42.
Shieken M. Genetic factors that predispose to hypertension. Clin Ped Nort Am. 1993;1:1-12.
Elkasabany AM, Urbina EM, Daniels SR, Berenson GS. Prediction of adult hypertension by K4 and K5 diastolic blood pressure in children: The Bogalusa Heart Study. J Pediatr. 1998; 132(4):687-92.
Voors AW, Foster TA, Frerichs RR, Webber LS, Berenson GS. Studies of blood pressure in children, ages 5-14 years, in a total biracial community. The Bogalusa Heart Study. Circulation. 1976;54(2):319-27.
Chen W, Srinivasan SR, Li S, Xu J, Berenson GS. Metabolic syndrome variables at low levels in childhood are beneficially associated with adulthood cardiovascular risk: the Bogalusa Heart Study. Diabetes Care. 2005;28(1):126-31.
Gillman W, Curtis R. Prevention of essential hypertension in children. Clin Ped Nort Am. 1993;1:169-84.
He Q, Ding ZY, Fong DY, Karlberg J. Blood Pressure Is Associated With Body Mass Index in Both Normal and Obese Children. Hypertension. 2000;36:165-74.
Qing He, Zong Yi Ding, Daniel Yee-Tak Fong, Johan Karlberg. Blood Pressure Is Associated With Body Mass Index in Both Normal and Obese Children. Hypertension. 2000;36:165-70.
Flores-Huerta S, Villalpando C, Fajardo-Gutiérrez A. Evaluación antropométrica del estado de nutrición en los niños. Procedimientos estandarización y significado. Bol Med Hosp Infant Mex. 1990;47:725-35.
Moragrega A, Serrano MA. Presión arterial y obesidad. Estudio en ninos. Arch Inst Cardiol Mex. 1980;50(6):703.
Del-Rio-Navarro BE, Velazquez-Monroy O, Sanchez-Castillo CP, Lara-Esqueda A, Berber A, Fanghanel G, et al. National Health Survey 2000. The high prevalence of overweight and obesity in Mexican children. Obes Res. 2004;12:215-23.
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. Pediatrics. 2004;114:555-6.
Kilcoyne MM. Adolescent hypertension. Am J Med. 1975; 58(6):735-9.
Swartz H, Leitch CJ. Differences in mean adolescent blood pressure by age, sex, ethnic origin, obesity and familial tendency. J Sch Health. 1975;45(2):76-82.
Moragrega JL, Mendoza A. Figures Blood Pressure in Children and Adolescents in Mexico. Arch Inst Cardiol Mex. 1981;51(2):179-84.
Moreno-Altamirano L, Kuri-Morales P, Guémez-Sandoval JC, Villazón-Salem S. Blood pressure in schoolchildren in Mexico City: the importance of tables of normal values. Bol Med Hosp Infant Mex. 1987;44:389-95.
Moragrega JL, Mendoza A, Martínez R. Hypertension in adolescents. Arch Inst Cardiol Méx. 1978;48:1059-73.
Dávila-Rodríguez MI, Cortez-Gutiérrez EI, Rivera-Prieto RA, Gallegos-Cabriales EC, Cerda-Flores RM. Epidemiología Genética de la Obesidad en el Noreste de México. Búsqueda de familias nucleares informativas. Gac Med Mex. 2005;141(3):243-6.
Sánchez-Castillo CP, Lara JJ, Villa AR, et al. Unusually high prevalence rates of obesity in tour Mexican rural communities. Eur J Clin Nutr. 2001;55:833-40.
Cobos O, Rubio R, García-de Alba JE, Parra JZ. La presión arterial en escolares de Guadalajara. Salud Publica Mex. 1983; 25:177-83.
Cervantes J, Acoltzin C, Aguayo A. Diagnosis and prevalence of hypertension in children under 19 years in the city of Colima. Salud Publica Mex. 2000;42:529-32.
Dei-Cas SA, De-Cas IJ, Dei-Cas PG, S et al. Study of blood pressure in adolescents of 15 years: its relationship with anthropometric characteristics and risk factors for hypertension. Arch Argent Pediatr. 2000;98(3):161-70.
Bendersky M, Resk J, Kuschnir E, Molina de Illia M, Iglesias L, Aprile E, et al. Blood pressure control in children of Cordoba, Argentina. Hypertension. 1992;19(Suppl 2):273-8.
Van den Elzen AP, de Ridder MA, Grobbee DE, Hofman A, Witteman JC, Uiterwaal CS. Families and the natural history of blood pressure. A 27-year follow-up study. Am J Hypertens. 2004;17(10):936-40.
Weiss R, Dziura J, Burgert TS, TamborlaneWV, Taksali SE, Yeckel CW, et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med. 2004;350:2362-74.
Lackland DT, Egan BM, Ferguson PL. Low birth weight as a risk factor for hypertension. Clin Hypertens (Greenwich). 2003;5(2):133-6.
Leon DA, Johansson M, Rasmussen F. Gestational Age and Growth Rate of fetal mass are inversely associated with systolic Blood pressure in young adults: An Epidemiologic Study of 165, 136 Swedish men aged 18 years. Am J Epidemiol. 2000;152(7):597-604.
Whincup PH, Bredow M, Payne F, Sadler S, Golding J. Size at Birth and Blood presure at 3 years of age. The Avon Longitudinal Study of Pregnancy and Childhood (ALSPAC). Am J Epidemiol. 1999;149(8):730-9.
Bergel E, Haelterman E, Belizán J, Villar J, Carroli G. Perinatal Factors Associated with Blood Pressure during Childhood. Am J Epidemiol. 2000;151(6):594-601.