Volume 20, Issue 8 (November 2022)
Nursing and Midwifery Journal 2022, 20(8): 665-676 |
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Besharati R. FACTORS AFFECTING BLOOD PRESSURE IN CHILDREN AND ADOLESCENTS IN KASHMAR, IRAN. Nursing and Midwifery Journal 2022; 20 (8) :665-676
URL: http://unmf.umsu.ac.ir/article-1-4720-en.html
URL: http://unmf.umsu.ac.ir/article-1-4720-en.html
Assistant Professor, Department of Nursing, Islamic Azad University, Kashmar Branch, Kashmar, Iran , rezabesharati@ymail.com
Abstract: (1859 Views)
Background & Aim: Changes in blood pressure are of special importance in ensuring children's health. Various factors affect blood pressure in them. The aim of this study was to determine the factors affecting blood pressure in children and adolescents.
Material & Methods: In this descriptive cross-sectional study, 1282 students aged 7 to 12 years were studied by cluster and random sampling methods from 49 schools in Kashmar city, Iran. After measuring blood pressure, weight, pulse rate, height, and BMI and collecting demographic and medical information of the research samples, the obtained data were evaluated in SPSS software ver. 21 using analysis of variance test.
Results: Five hundred thirty-six boys and 746 girls participated in this study. Gender had an effect on diastolic and systolic blood pressure at all ages from 7 to 12 years (p=0.0001). The height, pulse rate, weight and BMI had an effect on blood pressure; although there was no significant relationship between height and systolic and diastolic blood pressure at the age of 7 years (p=0.379) and no significant relationship between height and systolic blood pressure at the age of 12 (p=0.239). Family history of high blood pressure had an effect on diastolic blood pressure only at the age of 8 (p=0.028).
Conclusion: Factors such as gender, weight, pulse rate, height, BMI and family history of hypertension were effective on blood pressure of children and adolescents. Considering the differences between the results of this research and other studies, their use in the field of regional prevention of high blood pressure is recommended.
Material & Methods: In this descriptive cross-sectional study, 1282 students aged 7 to 12 years were studied by cluster and random sampling methods from 49 schools in Kashmar city, Iran. After measuring blood pressure, weight, pulse rate, height, and BMI and collecting demographic and medical information of the research samples, the obtained data were evaluated in SPSS software ver. 21 using analysis of variance test.
Results: Five hundred thirty-six boys and 746 girls participated in this study. Gender had an effect on diastolic and systolic blood pressure at all ages from 7 to 12 years (p=0.0001). The height, pulse rate, weight and BMI had an effect on blood pressure; although there was no significant relationship between height and systolic and diastolic blood pressure at the age of 7 years (p=0.379) and no significant relationship between height and systolic blood pressure at the age of 12 (p=0.239). Family history of high blood pressure had an effect on diastolic blood pressure only at the age of 8 (p=0.028).
Conclusion: Factors such as gender, weight, pulse rate, height, BMI and family history of hypertension were effective on blood pressure of children and adolescents. Considering the differences between the results of this research and other studies, their use in the field of regional prevention of high blood pressure is recommended.
References
1. Theodore RF, Broadbent J, Nagin D, Ambler A, Hogan S, Ramrakha S, et al. Childhood to early-midlife systolic blood pressure trajectories: early-life predictors, effect modifiers, and adult cardiovascular outcomes. Hypertension 2018;66:1108-15. [DOI:10.1161/HYPERTENSIONAHA.115.05831] [PMID] [PMCID]
2. Janice L. Hinkle, Kerry H. Cheever, BRUNNER & SUDDARTH'S Textbook of Medical-Surgical Nursing, 14th ed. Walters Clover Press 2018:72. [Google Scholar]
3. Lo JC, Chandra M, Sinaiko A, Daniels SR, Prineas RJ, Maring B, et al. Severe obesity inchildren: prevalence, persistence and relation to hypertension. Int J Pediatr Endocrinol 2018;2014(1):3. [DOI:10.1186/1687-9856-2014-3] [PMID] [PMCID]
4. Robert M. Kliegman, Joseph St. Geme, Nelson Textbook of Pediatrics, 21th ed. Elsevier Press; 2020:612. [URL]
5. Kliegman RM, Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson RC. Nelson Textbook of Pediatrics . ELSEVIER.2021.
6. Rao G. Diagnosis, epidemiology, and management of hypertension in children. Pediatrics 2016;138(pii):e20153616. [DOI:10.1542/peds.2015-3616] [PMID]
7. Taghizadeh SH, Abbasalizad Farhangi M, Poorali F, Correlation between Blood Pressure, Body Mass Index, Life Style and Dietary Habits in Children and Adolescents Aged 6 to 18 Years in Tabriz, Iran. J Shahid Sadoughi Univ Med Sci 2020;28(2):2400-10. (Persian) [DOI:10.18502/ssu.v28i2.3479]
8. Cynthia S. Bell, Joyce P. Samuel, Joshua A. Samuels. Hypertension 2019;73(1):148-52. Published online 2018 Nov 5. doi: 10.1161/HYPERTENSIONAHA.118.11673 [DOI:10.1161/HYPERTENSIONAHA.118.11673] [PMID] [PMCID]
9. Mohammadi M, Mirzaei M. The effect of obesity, abdominal obesity and joint effect of them on high blood pressure in men of Mazandaran Province, Iran (population attributable fraction study): brief report. Tehran Univ Med J 2017;74(10):735-40. (Persian) [Google Scholar]
10. Ashraf, M., Irshad, M. & Parry, N.A. Pediatric hypertension: an updated review. Clin Hypertens,2020;26(22). [DOI:10.1186/s40885-020-00156-w] [PMID] [PMCID]
11. Garvick S, Ballen E, Brasher D, Amand ES, Ray O, Vera N, Gregory T. Guidelines for screening and managing hypertension in children. J Am Academy Physician Assist 2021;21(1). [DOI:10.1097/01.JAA.0000723904.18671.e8] [PMID]
12. Taghizadeh Sh, Abbasalizad F M, Poorali F. Correlation between blood pressure, body mass index, life style and dietary habits in children and adolescents aged 6 to 18 years in Tabriz, Iran. J Shahid Sadoughi Uni Med Sci 2020;28(2):2399-410. [In Persian] [DOI:10.18502/ssu.v28i2.3479]
13. Sabri MR, Gheissari A, Mansourian M, Mohammadifard N, Sarrafzadegan N. Essential hypertension in children, a growing worldwide problem, J Res Med Sci 2019;24:109. doi: 10.4103/jrms.JRMS_641_19 . (Persian) [DOI:10.4103/jrms.JRMS_641_19] [PMID] [PMCID]
14. Amuri P, Amirahmadi M, Khoshnam SE. Association of Blood Pressure with Weight and Height among Children, Aging 7 to 11 Years Old in City of Ahvaz. Jundishapur Sci Med J 2017;15(5):573-80. (Persian) [URL]
15. Etaai M, Tabatabaye Z, Motamed Jahromi S,Yosefi P, Sedigh S, Tajiki S. Predictors of Blood Pressure in Iranian Women- A Narrative Review. J Shahid Sadoughi Uni Med Sci 2020;28(8):2889-904. [DOI:10.18502/ssu.v28i8.4448]
16. Solanki JD, Mehta HB, Shah CJ. Pulse wave analyzed cardiovascular parameters in young first degree relatives of hypertensives. J Res Med Sci 2018;23:72. [DOI:10.4103/jrms.JRMS_581_16] [PMID] [PMCID]
17. Ji X, Qi H, Li DB, Liu RK, Zheng Y, Chen HL, et al. Associations between human aldosterone synthase CYP11B2 (-344T/C) gene polymorphism and antihypertensive response to valsartan in Chinese patients with essential hypertension. Int J Clin Exp Med 2015;8:1173-7. [PMCID]
18. Cynthia S. Bell, Joyce P. Samuel, Joshua A. Samuels. Hypertension 2019;73(1):148-52. Published online 2018 Nov 5. doi: 10.1161/HYPERTENSIONAHA.118.11673 [DOI:10.1161/HYPERTENSIONAHA.118.11673] [PMID] [PMCID]
19. Flynn JT, Kaelber DC, Baker-Smith CM, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics 2017;140(3):e20171904. [DOI:10.1542/peds.2017-3035] [PMID]
20. Narang R, Saxena A, Desai A, Ramakrishnan S, Thangjam RS, Kulkarni S, et al. Prevalence and determinants of hypertension in apparently healthy schoolchildren in India: a multi-center study. Eur J Prev Cardiol 2018;25:1775-84. [DOI:10.1177/2047487318790056] [PMID]
21. Zhai Y, Li WR, Shen C, Qian F, Shi XM. Prevalence and correlates of elevated blood pressure in chinese children aged 6-13 years: a Nationwide School-based survey. Biomed Environ Sci 2015;28:401-9. [Google Scholar]
22. Fuly JT, Giovaninni NP, Marcato DG, Alves ER, Sampaio JD, Moraes LI, et al. Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years. J Pediatr 2017;90:65-70. [DOI:10.1016/j.jped.2013.06.007] [PMID]
23. Shirasawa T, Shimada N, Ochiai H, Ohtsu T, Hoshino H, Nishimura R, et al. High blood pressure in obese and nonobese Japanese children: blood pressure measurement is necessary even in nonobese Japanese children. J Epidemiol 2017;20:408-12. [DOI:10.2188/jea.JE20090207] [PMID] [PMCID]
24. Ebrahimi H, Emamian MH, Hashemi H, Fotouhi A. Prevalence of Prehypertension and Hypertension and its Risk Factors in Iranian School Children: A Population-Based Study. J Hypertens 2018;36(9):1816-24. (Persian) [DOI:10.1097/HJH.0000000000001789] [PMID]
25. Zrdast1 M, Namakin K, Taheri F, Chahkandi T, Bita Bijari B, Kazemi T. Prevalence of high blood pressure in primary school children in Birjand-Iran, J Birjand Univ Med Sci 2017;19(6):61-8 . [In Persian] [Google Scholar]
26. Mehr-Alizadeh S, GhorbanI R, Sharafi S. Prevalence of hypertension in 9-17 years old schoolchildren in Iranian population. Koomesh, J Semnan Univ Med Sci 2018;12(1):1-7. [In Persian] [URL]
27. Jafarpour P, Mohseni Moghadam F, Aghamohamad Hasani P,Taleghani F, Hosseini SH. Frequency of hypertension among school-age children in Rafsanjan, Iran. ARYA Atherosclerosis J 2019;8 (Special Issue in National Hypertension Treatment):S195-S8. [In Persian]
28. Stein DR, Ferguson MA. Evaluation and treatment of hypertensive crises in children. Integr Blood Press Control 2016;9:49-58. [DOI:10.2147/IBPC.S50640] [PMID] [PMCID]
29. Wühl E. Hypertension in childhood obesity. Acta Paediatr 2019;108:37-43. [DOI:10.1111/apa.14551] [PMID]
30. Sabri M, Gheissari A, Mansourian M, Mohammadifard N, Sarrafzadegan N, Essential hypertension in children, a growing worldwide problem. J Res Med Sci 2019; 24:109. [DOI:10.4103/jrms.JRMS_641_19] [PMID] [PMCID]
31. Falkner B, Daniels SR, Flynn JT, Gidding S, Green LA, Ingelfinger JR, et al. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Maryland: NIH Publication; 2005: 9-15. [Google Scholar]
32. Dehghandar M, Hassani Bafrani A, Dadkhah M, Qorbani M, Kelishadi R. Diagnosis of Obesity and Hypertension in Isfahani Students Using Artificial Neural Network. J Health Biomed Inf 2021;8(1):12-23. [In Persian] [Google Scholar]
33. Mofidi A, NCD Risk Factor Collaboration (NCD-RisC) Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128•9 million children, adolescents, and adults. Lancet 2017;390:2627-42. [DOI:10.1016/S0140-6736(17)32129-3] [PMID]
34. Harris K, Benoit G, Dionne J, Feber J, Cloutier L, Zarnke K, et al. Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, and Assessment of Risk of Pediatric Hypertension. Can J Cardiol 2017;32:589e597. [DOI:10.1016/j.cjca.2016.02.075] [PMID]
35. Ataei N , Hosseini,M, Fayaz,M, I Navidi3, Taghiloo, A, Kalantari5, K Ataei ,F. Blood pressure percentiles by age and height for children and adolescents in Tehran, Iran. J Hum Hypertens 2016;30:268-77. [DOI:10.1038/jhh.2015.52] [PMID]
36. Daliri S, Khanbeigi M, Heidary Moghadam R, Asadollahi P, Asadollahi KH. Relationship between some indices of cardiovascular functions and pulse pressure as a predictor index for heart diseases: a case-control study. Tehran Univ Med J 2021;79(8):628-35. [Google Scholar]
37. Selvaraj S, Steg PG, Elbez Y, Sorbets E, Feldman LJ, Eagle KA, et al. Pulse pressure and risk for cardiovascular events in patients with atherothrombosis: from the REACH registry. J Am Coll Cardiol 2016;67(4):392-403. [DOI:10.1016/j.jacc.2015.10.084] [PMID]
38. Gamil S, Erdmann J, Abdalrahman IB, Mohamed AO. Association of NOS3 gene polymorphisms with essential hypertension in Sudanese patients: a case control study. BMC Med Gen 2017;18:128. [DOI:10.1186/s12881-017-0491-7] [PMID] [PMCID]
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