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Aydın ilindeki ilkokul çocuklarında hipertansiyon prevalansı ve ilişkili faktörler

Prevalence of hypertension and related factors in primary school students in Aydın

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DOI: 
doi:10.2399/tahd.08.070

Keywords (Original Language):

Abstract (2. Language): 
Objective: The aim of this study was to describe the current prevalence of hypertension and predicting factors in primary school children living in Aydın. Methods: A representative sample of primary school children in Aydin, attending 1st to 5th grades were randomly chosen and their blood pressure, height and weight measurements were obtained. Body mass index (BMI) was calculated by using kg/m2 formula. "Childhood Hypertension Task Force Report" tables were used to classify normal and high blood pressure and "Centres for Disease Control (CDC 2000)" charts were used to identify BMI percentiles normal, overweight, obese classifica¬tion. Results: A total of 826 primary school age children between 6-11 years old were included in the study. Prevalence of hypertension in primary school children in Aydin was 17.8%. Girls, overweight and obese children and children of higher educated mothers were found to be associated with hypertension. BMI percentiles were positively correlated with systolic and diastolic blood pressure. Conclusions: Our results reveal that childhood hypertension remains as an important child health issue and it is associated with overweight. Early identification of children with hypertension is possible by a routine blood pressure monitoring in paediatric well-child visits and blood pressure monitoring in children are yet to be in need of emphasizing its importance. Primary care physicians and health care providers carry an important responsibility on this issue.
Abstract (Original Language): 
Amaç: Çalışmamızın amacı, Aydın ili, ilkokul çocuklarında, hipertansiyon prevalansını ve ilişkili faktörleri belirlemektir. Yöntem: Aydın ilinde ilköğretim çağı 1- 5. sınıflarında öğrenim gören ve rasgele örneklem yöntemiyle seçilen çocukların, kan basıncı, boy ve kilo ölçümleri standart protokoller izlenerek yapıldı. Vücut kitle indeksi (VKI) kg/m2 formülü kullanarak hesaplandı. Çocuklar için cinsiyet, yaş ve boy esas alınarak hazırlanan "Çocuklarda Hipertansiyon Çalışma Grubu Raporu (Childhood Hypertension Task Force Report)" kriterleri izlenerek, normal ve yüksek kan basıncı sınıflaması, 2000 yılı "Centres for Disease Control (CDC 2000)" ölçütleri esas alınarak VKI persantilleri saptandı ve normal, kilolu, obez sınıflaması yapıldı. Bulgular: Yaşları 6-11 arasında değişen, Aydın ili, ilköğretim çağı çocuklarında hipertansiyon prevalansını yansıtmak üzere rasgele yöntemle seçilen 826 çocuk çalışmaya alındı; hipertansiyon prevalansı %17.8 olarak saptandı. Kız olmak, kilolu veya obez olmak ve yüksek eğitimli anne çocuğu olmak çocukluk çağında hipertansi¬yon ile ilişkili bulunan faktörlerdi. VKI persantilleri ile hem sistolik, hem diyastolik kan basıncı arasında pozitif korelasyon vardı. Sonuç: Çalışmamızın sonuçları, çocukluk çağında görülen hiper¬tansiyonun, önemli bir sağlık sorunu haline geldiğini ve obezite ile yakından ilişkili olduğunu göstermektedir. Çocukluk çağında, hi¬pertansiyonun erken tanınması için rutin çocuk muayenelerinde kan basıncı ölçümü yapılmasının önemi, üzerinde durulması gere¬ken bir konudur. Bu konuda öncelikle hekimler olmak üzere tüm birinci basamak çalışanlarına büyük sorumluluk düşmektedir.

REFERENCES

References: 

1. Berenson GS, Srnivasan SR. For the Bogalusa Heart Study Group. Cardiovascular risk factors in youth with implications for aging: the Bogalusa Heart Study. Neurobiol Aging 2005; 26: 303-7.
2. Crawford D. Population strategies to prevent obesity. BMJ 2002; 325: 728-9.
3. Sorof JM, Lai D, Turner J, Poffenberger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004; 113: 475-82.
4. Flynn JT, Alderman MH. Characteristics of children with primary hyper¬tension seen at a referral center. Pediatr Nephrol 2005; 20: 961-6.
Türkiye Aile Hekimliği Dergisi |
Turkish Journal of Family Practice | Cilt 12 | Sayı 2 | 2008
73
5. Rosner B, Prineas R, Daniels SR, Loggie J. Blood pressure differences between blacks and whites in relation to body size among US children and adolescents. Am J Epidemiol 2000; 151: 1007-19.
6. Fredriks AM, Van Buuren S, Sing RA, Wit JM, Verloove-Vanhorick SP. Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to interna¬tional standards. Acta Paediatr 2005; 94: 496-8.
7. Agirbasli M, Cakir S, Ozme S, Gonenc C. Metabolic syndrome in Turkish children and adolescents. Metabolism 2006; 55: 1002-6.
8. WHO. Lwanga SK, Lemeshow S. Sample size determination in health
studies. Geneva, WHO, 1991.
9. National High Blood Pressure Education Program Working Group on Hypertension Control in children and adolescents. Update on the 1987 Task Force Report on High Blood Pressure in children and adolescents a Working Group Report from the National High Blood Pressure Education Program. Pediatrics1996; 98: 649-58.
10. http://www.cdc.gov/nchs/about/major/nhanes/growthcharts/clinical_ charts.htm erişim tarihi 29. 09. 2006.
11.
Neyz
i O, Gunoz H. Büyüme ve Gelişme Bozuklukları. Pediatri'de. Ed. Neyzi O, Ertugrul T. 2. baskı. İstanbul, Nobel Tip Kitabevi, 1993; 69-102.
12. Sorof J, Daniels S. Obesity hypertension in children: a problem of epi¬demic proportions. Hypertension 2002; 40: 441-7.
13. Lopez-Capape M, Alonso M, Colino E, Mustieles C, Corbaton J, Barrio R
Frequency of the metabolic syndrome in obese Spanish pediatric pop¬ulation. Eur J Endocrinol2006;155: 313-9.
14. King CA, Meadows BB, Engelke MK, Swanson M. Prevalence of elevat¬ed body mass index and blood pressure in a rural school-aged population: implications for school nurses. J Sch Health 2006; 76: 145-9.
15. Schiel R, Beltschicow W, Kramer G, Stein G. Overweight, obesity and elevated blood pressure in children and adolescents. Eur J Med Res2006; 11: 97-101.
16. Atabek MW, Pirgon O, Kurtoglu S. Prevalence of metabolic syndrome in obese Turkish children and adolescents. Diabetes Res Clin Pract 2006; 72:
315-21.
17. Costa RF, Cintra Ide P, Fisberg M. Prevalence of overweight and obesi¬ty in school children of Santos City, Brazil. Arq Bras Endocrinol Metabol
2006; 50: 60-7.
18. Deckelbaum RJ, Williams CL. Childhood obesity: the health issue. Obes Res 2001; 9 Suppl 4: 239S-243S.
19. De Onis M, Blossner M. Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr 2000; 72:
1032-9.
20. Falkner B, Gidding SS, Garnica GR, Wiltrout SA, West D, Rappaport EB. The relationship of body mass index and blood pressure in primary care pediatric patients. J Pediatr 2006; 148: 195-200.
21. Larsen L, Mandleco B, Williams M, Tiedeman M. Childhood obesity: Prevention practices of nurse practitioners. J Am Acad Nurse Pract 2006;
18: 70-9.

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