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印度巴特那市在校青少年高血压及其危险因素的患病率

Prevalence of Hypertension and its Risk Factors Among School Going Adolescents of Patna, India.

作者信息

Kumar Pragya, Kumar Dhananjay, Ranjan Alok, Singh Chandra Mani, Pandey Sanjay, Agarwal Neeraj

机构信息

Assistant professor, Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS) , Patna, Bihar, India .

Senior Resident, Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS) , Patna, Bihar, India .

出版信息

J Clin Diagn Res. 2017 Jan;11(1):SC01-SC04. doi: 10.7860/JCDR/2017/23886.9196. Epub 2017 Jan 1.

Abstract

INTRODUCTION

Hypertension (HT) has its origin in childhood and adolescent period but it goes undetected due to absence of sign and symptoms, unless specifically looked for during this period. It has been seen that one with raised blood pressure level in this period will also have raised Blood Pressure (BP) level in their adulthood and elderly period.

AIM

The present study was conducted to estimate the prevalence of HT and its risk factor among apparently healthy school going adolescents of Patna district.

MATERIALS AND METHODS

A cross-sectional study among 2913 school going adolescents of eighth to 10 standard was conducted from April 2014 to August 2015 by adopting a two stage cluster sampling technique. The questions pertaining to risk behavior in relation to cardiovascular diseases from WHO's Global School based Student Health Survey were used for this study.

RESULTS

The mean systolic and diastolic blood pressure of study population was 107.4 mm of Hg (95% C.I. 106.93-107.77) and 67.4 mm of Hg (95% C.I. 67.26-67.54), respectively. Prevalence of pre-HT and HT was 10.9% and 4.6% in school going adolescents while prevalence of overweight/obesity was 1.5%. Both systolic and diastolic blood pressures had positive and significant correlation with age, height and body mass index. The proportion of children who had ever taken tobacco was 5.3%, cigarette smoking 4.3%, alcohol consumption 2.1%, and excess salt intake 22.3%. Only 49.1% children were doing physical activity at least one hour a day in past seven days for maintenance of good health.

CONCLUSION

The present study recommends that regular screening of blood pressure level must be initiated in adolescents so that remedial measure can be initiated as early as possible.

摘要

引言

高血压始于儿童和青少年时期,但由于没有症状和体征而未被发现,除非在此期间专门进行检查。已经发现,在此期间血压水平升高的人在成年期和老年期也会有升高的血压水平。

目的

本研究旨在估计巴特那地区看似健康的在校青少年中高血压及其危险因素的患病率。

材料与方法

2014年4月至2015年8月,采用两阶段整群抽样技术,对2913名八至十年级的在校青少年进行了横断面研究。本研究使用了世界卫生组织全球学校学生健康调查中与心血管疾病风险行为相关的问题。

结果

研究人群的平均收缩压和舒张压分别为107.4毫米汞柱(95%置信区间106.93 - 107.77)和67.4毫米汞柱(95%置信区间67.26 - 67.54)。在校青少年中高血压前期和高血压的患病率分别为10.9%和4.6%,而超重/肥胖的患病率为1.5%。收缩压和舒张压均与年龄、身高和体重指数呈正相关且具有统计学意义。曾经吸烟的儿童比例为5.3%,吸香烟的比例为4.3%,饮酒的比例为2.1%,过量摄入盐的比例为22.3%。在过去七天中,只有49.1%的儿童每天至少进行一小时体育活动以保持健康。

结论

本研究建议必须对青少年进行定期血压筛查,以便尽早采取补救措施。

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