Alhawari Hussein H, Al-Shelleh Sameeha, Alhawari Hussam H, Al-Saudi Aseel, Aljbour Al-Majali Dina, Al-Faris Leen, AlRyalat Saif Aldeen
The University of Jordan, Queen Rania Street, Amman 11942, Jordan.
Int J Hypertens. 2018 May 29;2018:4186496. doi: 10.1155/2018/4186496. eCollection 2018.
Hypertension is one of the major risk factors associated with cardiovascular diseases. In this study, we will assess the frequency of hypertension among healthy university students and its association with gender, body mass index, smoking, and family history of both hypertension and cardiovascular diseases. We screened healthy university students ranging from 18 to 26 years of age. For each participant, we performed blood pressure measurements using a previously validated device and obtained demographic data, body mass index (BMI), smoking status, and family history of both hypertension and cardiovascular diseases. Out of the total number of 505 participants included in this study, 35.2% have blood pressure between 130/80 and 139/89, and 13.5% have blood pressure of more than 140/90. We found significant gender differences in both systolic pressure ( = 0.003) with mean difference = 18.08 mmHg (CI: 16.13 to 19.9) and diastolic pressure ( = 0.011) with mean difference = 3.6 mmHg (CI: 2.06 to 5.14), higher in males than in females. Upon comparing the mean difference in both systolic and diastolic blood pressure with BMI, we found significant differences in both systolic ( < 0.001) and diastolic ( = 0.002) blood pressure. We also found that smokers have significantly ( = 0.025) higher systolic blood pressure (mean difference = 4.2 mmHg, CI: 3.2 mmHg to 8.8 mmHg), but no significant difference for diastolic blood pressure ( = 0.386), compared to nonsmokers. First-degree family history of both hypertension and cardiovascular diseases affected systolic but not diastolic blood pressure. Taking into account the adverse short- and long-term effect of hypertension, we recommend adopting an awareness program highlighting the importance of screening blood pressure in young adolescent populations, keeping in mind that both high BMI and smoking are important modifiable factors.
高血压是心血管疾病的主要危险因素之一。在本研究中，我们将评估健康大学生中高血压的发生率及其与性别、体重指数、吸烟以及高血压和心血管疾病家族史的关联。我们对年龄在18至26岁之间的健康大学生进行了筛查。对于每位参与者，我们使用先前验证过的设备进行血压测量，并获取人口统计学数据、体重指数（BMI）、吸烟状况以及高血压和心血管疾病家族史。在本研究纳入的505名参与者中，35.2%的人血压在130/80至139/89之间，13.5%的人血压超过140/90。我们发现收缩压（P = 0.003）存在显著性别差异，平均差异为18.08 mmHg（CI：16.13至19.9），舒张压（P = 0.011）也存在显著性别差异，平均差异为3.6 mmHg（CI：2.06至5.14），男性高于女性。在比较收缩压和舒张压与BMI的平均差异时，我们发现收缩压（P < 0.001）和舒张压（P = 0.002）均存在显著差异。我们还发现，与不吸烟者相比，吸烟者的收缩压显著更高（P = 0.025）（平均差异 = 4.2 mmHg，CI：3.2 mmHg至8.8 mmHg），但舒张压无显著差异（P = 0.386）。高血压和心血管疾病的一级家族史影响收缩压但不影响舒张压。考虑到高血压的短期和长期不良影响，我们建议开展一项宣传计划，强调在青少年人群中筛查血压的重要性，同时要记住高BMI和吸烟都是重要的可改变因素。
