Magalhaes Marina Gabriella Pereira de Andrada, Oliveira Luciano Machado Ferreira Tenorio de, Christofaro Diego Giulliano Destro, Ritti-Dias Raphael Mendes
Universidade de Pernambuco, Recife, PE, Brazil.
Universidade Estadual Paulista, Rio Claro, SP, Brasil.
Rev Bras Epidemiol. 2013 Dec;16(4):849-59. doi: 10.1590/s1415-790x2013000400005.
To review the literature on studies that estimated the prevalence of high blood pressure (HBP) or systemic arterial hypertension (SAH) in Brazilian adolescents, considering the employed methodological procedures.
Bibliographical research of prevalence studies of HBP/SAH in adolescents from 1995 to 2010. The search was conducted in the electronic databases PubMed/Medline, Lilacs, SciELO, and Isi Adolec. The descriptors "hypertension", "BP", "teen", "students", "cross-sectional", "prevalence" and "Brazil" were used in Portuguese and English. Furthermore, a score ranging from 0 to 18 based on Recommendations for Blood Pressure Measurement in Humans and Experimental Animals and the VI Brazilian Guidelines of Hypertension was elaborated, in order to analyze the procedures used to measure BP in studies.
Twenty-one articles were identified, mostly published in the last 10 years, and 90.5% were performed in school-based and regions of the Southeast, Northeast and South. The prevalence of HBP/SAH ranged from 2.5 to 30.9%. The score of the studies ranged from 0 to 16. A significant negative correlation (rho = -0.504; p = 0.020) was observed between the prevalence of HBP/SAH and the score of BP measurement quality.
The great variability of PAE/SAH estimates appears to be influenced by methodological procedures used in the studies.
回顾关于评估巴西青少年高血压（HBP）或系统性动脉高血压（SAH）患病率的研究文献，并考虑所采用的方法程序。
对1995年至2010年青少年HBP/SAH患病率研究进行文献检索。检索在电子数据库PubMed/Medline、Lilacs、SciELO和Isi Adolec中进行。使用葡萄牙语和英语的描述词“高血压”“血压”“青少年”“学生”“横断面研究”“患病率”和“巴西”。此外，根据《人类和实验动物血压测量建议》以及《巴西高血压指南VI》制定了一个从0到18的评分，以分析研究中测量血压所使用的程序。
共识别出21篇文章，大多发表于过去10年，90.5%的研究在东南部、东北部和南部地区的学校进行。HBP/SAH的患病率在2.5%至30.9%之间。研究的评分在0到16之间。观察到HBP/SAH患病率与血压测量质量评分之间存在显著负相关（rho = -0.504；p = 0.020）。
PAE/SAH估计值的巨大差异似乎受到研究中所使用方法程序的影响。
