Cargando…

Budding adult hypertensives with modifiable risk factors: “Catch them young”

BACKGROUND: Since the data of primary hypertension (HT) in children is scanty in India, this study attempted to evaluate HT by a multidimensional investigation of the various risk factors in children and adolescents. MATERIALS AND METHODS: A total of 3906 subjects were recruited, all of whom lived i...

Descripción completa

Detalles Bibliográficos
Autores principales: Ramanathan, Aravind S. K., Senguttuvan, Prabha, Prakash, Vel, Vengadesan, Appasamy, Padmaraj, Rajendiran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4745200/
https://www.ncbi.nlm.nih.gov/pubmed/26929728
http://dx.doi.org/10.4103/2230-8229.172232
_version_ 1782414598492651520
author Ramanathan, Aravind S. K.
Senguttuvan, Prabha
Prakash, Vel
Vengadesan, Appasamy
Padmaraj, Rajendiran
author_facet Ramanathan, Aravind S. K.
Senguttuvan, Prabha
Prakash, Vel
Vengadesan, Appasamy
Padmaraj, Rajendiran
author_sort Ramanathan, Aravind S. K.
collection PubMed
description BACKGROUND: Since the data of primary hypertension (HT) in children is scanty in India, this study attempted to evaluate HT by a multidimensional investigation of the various risk factors in children and adolescents. MATERIALS AND METHODS: A total of 3906 subjects were recruited, all of whom lived in Chennai, an urban area of Tamil Nadu. The children and adolescents aged from 10 to 17 years were selected by random sampling. The children/adolescents were randomized into one control and further divided into two groups. The National High Blood Pressure Education Program fourth report (2004) and anthropometric body mass index (BMI), food frequency questionnaire (PURE) were followed in the study. RESULTS: Out of 3906 children, 2107 were girls and 1799 boys. On screening, we found 9.5% to be hypertensive with the prevalence rate of boys and girls 8% and 10.8%, respectively. Overall obesity was 2.7%, (boys 2%, girls 3.32%); hypertensives and normotensives were 8.4% and 2.1%, respectively. We found that overweight (odds ratio [OR]: 2.06 [1.40–3.01] 95% confidence interval [CI]), obese children (OR: 1.21 [2.72–6.48] 95% CI), and those with a family history of HT (OR: 1.66 [1.20–2.30] 95% CI) had increased risk of hypertension. Females were 1.39 times (OR: 1.39 [1.11–1.72] 95% CI) more at risk of getting HT. Multivariate analysis showed that obese children/adolescent were four times more likely to have HT than children with normal BMI (OR: 4.67 [3.00–7.26] 95% CI]. CONCLUSION: Family history of HT, obesity, and female gender are associated with a high risk of HT. The prevalence of HT was higher among obese adolescents than among slender subjects. This may be related to their sedentary lifestyle, faulty eating habits, high fat content in the diet and little physical activity.
format Online
Article
Text
id pubmed-4745200
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-47452002016-02-29 Budding adult hypertensives with modifiable risk factors: “Catch them young” Ramanathan, Aravind S. K. Senguttuvan, Prabha Prakash, Vel Vengadesan, Appasamy Padmaraj, Rajendiran J Family Community Med Original Article BACKGROUND: Since the data of primary hypertension (HT) in children is scanty in India, this study attempted to evaluate HT by a multidimensional investigation of the various risk factors in children and adolescents. MATERIALS AND METHODS: A total of 3906 subjects were recruited, all of whom lived in Chennai, an urban area of Tamil Nadu. The children and adolescents aged from 10 to 17 years were selected by random sampling. The children/adolescents were randomized into one control and further divided into two groups. The National High Blood Pressure Education Program fourth report (2004) and anthropometric body mass index (BMI), food frequency questionnaire (PURE) were followed in the study. RESULTS: Out of 3906 children, 2107 were girls and 1799 boys. On screening, we found 9.5% to be hypertensive with the prevalence rate of boys and girls 8% and 10.8%, respectively. Overall obesity was 2.7%, (boys 2%, girls 3.32%); hypertensives and normotensives were 8.4% and 2.1%, respectively. We found that overweight (odds ratio [OR]: 2.06 [1.40–3.01] 95% confidence interval [CI]), obese children (OR: 1.21 [2.72–6.48] 95% CI), and those with a family history of HT (OR: 1.66 [1.20–2.30] 95% CI) had increased risk of hypertension. Females were 1.39 times (OR: 1.39 [1.11–1.72] 95% CI) more at risk of getting HT. Multivariate analysis showed that obese children/adolescent were four times more likely to have HT than children with normal BMI (OR: 4.67 [3.00–7.26] 95% CI]. CONCLUSION: Family history of HT, obesity, and female gender are associated with a high risk of HT. The prevalence of HT was higher among obese adolescents than among slender subjects. This may be related to their sedentary lifestyle, faulty eating habits, high fat content in the diet and little physical activity. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4745200/ /pubmed/26929728 http://dx.doi.org/10.4103/2230-8229.172232 Text en Copyright: © 2016 Journal of Family and Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ramanathan, Aravind S. K.
Senguttuvan, Prabha
Prakash, Vel
Vengadesan, Appasamy
Padmaraj, Rajendiran
Budding adult hypertensives with modifiable risk factors: “Catch them young”
title Budding adult hypertensives with modifiable risk factors: “Catch them young”
title_full Budding adult hypertensives with modifiable risk factors: “Catch them young”
title_fullStr Budding adult hypertensives with modifiable risk factors: “Catch them young”
title_full_unstemmed Budding adult hypertensives with modifiable risk factors: “Catch them young”
title_short Budding adult hypertensives with modifiable risk factors: “Catch them young”
title_sort budding adult hypertensives with modifiable risk factors: “catch them young”
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4745200/
https://www.ncbi.nlm.nih.gov/pubmed/26929728
http://dx.doi.org/10.4103/2230-8229.172232
work_keys_str_mv AT ramanathanaravindsk buddingadulthypertensiveswithmodifiableriskfactorscatchthemyoung
AT senguttuvanprabha buddingadulthypertensiveswithmodifiableriskfactorscatchthemyoung
AT prakashvel buddingadulthypertensiveswithmodifiableriskfactorscatchthemyoung
AT vengadesanappasamy buddingadulthypertensiveswithmodifiableriskfactorscatchthemyoung
AT padmarajrajendiran buddingadulthypertensiveswithmodifiableriskfactorscatchthemyoung