Department of Family Medicine, Sevket Yilmaz Training and Research Hospital, Bursa.
Fam Pract. 2013 Dec;30(6):629-33. doi: 10.1093/fampra/cmt048. Epub 2013 Sep 25.
Hypertension is an independent risk factor for cardiovascular disease. It is known that essential hypertension begins at a very early age. Recently, there have been reports of an increase in childhood hypertension, which has been attributed to an increase in the prevalence of childhood obesity. Obesity-dependent or independent asymptomatic hypertension can only be determined by random blood pressure measurements in children.
In this study, we aimed to investigate the prevalence of obesity and asymptomatic hypertension among children living in Bursa, Turkey.
One thousand children living in Nilüfer district and being served by the Fethiye Bulvar Family Health Care Center were enrolled in this study. All seven family physicians working at the centre participated in the study.
Eighty-five children (8.5%) were determined to be hypertensive. One hundred and twelve children (11.2%) were obese. Blood pressure and body mass index (BMI) increased with age, with peak prevalence of hypertension at age 12 and of obesity at age 10.
The prevalence of obesity and hypertension is high among school-age children in Turkey. Family physicians should consistently perform blood pressure and BMI measurements as a part of well child visits through late childhood.
高血压是心血管疾病的独立危险因素。众所周知,原发性高血压在很早的年龄就开始了。最近,有报道称儿童高血压的发病率有所增加,这归因于儿童肥胖症的流行。肥胖依赖性或非肥胖依赖性无症状高血压只能通过儿童随机血压测量来确定。
本研究旨在调查土耳其布尔萨儿童肥胖和无症状高血压的患病率。
本研究纳入了居住在 Nilüfer 区并由 Fethiye Bulvar 家庭保健中心服务的 1000 名儿童。该中心的 7 名家庭医生均参与了这项研究。
有 85 名儿童(8.5%)被确定为高血压。有 112 名儿童(11.2%)肥胖。血压和体重指数(BMI)随年龄增长而增加,高血压的患病率在 12 岁时达到峰值,肥胖的患病率在 10 岁时达到峰值。
土耳其学龄儿童的肥胖和高血压患病率较高。家庭医生应在整个儿童期持续进行血压和 BMI 测量,作为儿童健康检查的一部分。