Hypertension and its risk factors among male adolescents in intermediate and secondary schools in Sakaka City, Aljouf Region of Saudi Arabia
Hypertension and its risk factors among male adolescents in intermediate and secondary schools in Sakaka City, Aljouf Region of Saudi Arabia
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DOI：
10.4103/njcp.njcp_507_18
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发表时间：
2019-08-01
影响因子：
0.9
通讯作者：
Aldawasri, M. M.
中科院分区：
文献类型：
--
作者：
Bandy, A.;Qarmush, M. M.;Aldawasri, M. M.
目的：青少年高血压是一个新兴的公共卫生问题。本研究旨在评估初高中男性青少年的高血压负担，并确定其危险因素。对象和方法：这是一项以学校为基础的横断面研究，目标是400名年龄在15至17岁之间的男性青少年。血压的定义是根据“关于儿童和青少年高血压的诊断、评估和治疗的第四次报告”。欧洲高血压学会国际协议修订版2010批准使用的电子设备（欧姆龙M3W； HEM-7202-E）用于测量血压。采用CDC的身体质量指数工具来定义超重和肥胖。对高血压及其危险因素进行描述性分析。计算卡方检验和比值比来评估分类变量之间的关联。结果：青少年高血压前期36例（9.0%），高血压前期69例（17.2%）。收缩期高血压前期、收缩期高血压、舒张期高血压前期和舒张期高血压分别占青少年的6.5%、17.2%、5.8%和9.0%。双变量分析显示，超重和肥胖、没有体育锻炼、或每周一次体育锻炼、高血压家族史阳性和吸烟是收缩期高血压前期的预测因素，并显示与收缩期高血压有显著关系。结论：在校男性青少年高血压前期和高血压患病率较高。我们建议以学校为基础的健康教育项目和针对高血压等非传染性疾病危险因素的常规筛查，特别注意肥胖、缺乏运动和吸烟。
Objective: Hypertension among adolescents is an emerging public health problem. The current study aims to estimate the burden of hypertension and identify its risk factors among male adolescents of intermediate and secondary schools. Subjects and Methods: This is a school-based cross-sectional study that targeted 400 male adolescents in the age group of 15u17 years. Blood pressure was defined as per the "Fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents". An electronic device approved for use by the European Society of Hypertension International Protocol revision 2010, (Omron M3W; HEM-7202-E) was used for measuring blood pressure. CDC's body mass index tool was adopted for defining overweight and obesity. Descriptive analysis for hypertension and the risk factors were carried out. Chi-square test and odds ratios were calculated to assess any association between categorical variables. Results: Overall 36 (9.0%) adolescents had prehypertension and 69 (17.2%) had hypertension. Systolic prehypertension, systolic hypertension, diastolic prehypertension, and diastolic hypertension were present in 6.5%, 17.2%, 5.8%, and 9.0% of the adolescents, respectively. Bivariate analysis revealed that overweight and obesity, no physical activity, or once-a-week physical activity, positive family history of hypertension, and smoking were predictors of systolic prehypertension and showed a significant relationship with systolic hypertension. Conclusion: There is a considerable prevalence of prehypertension and hypertension, among school-going male adolescents. We recommend school-based health education programs and routine screening directed toward the risk factors of noncommunicable diseases like hypertension with special attention to obesity, physical inactivity, and smoking.