Lege Artis Medicinae

[FACTORS INFLUENCING ADOLESCENT BLOOD PRESSURE - THE DEBRECEN HYPERTENSION STUDY]

PÁLL Dénes, KATONA Éva, ZRÍNYI Miklós, ZATIK János, PARAGH György, FÜLESDI Béla

SEPTEMBER 18, 2004

Lege Artis Medicinae - 2004;14(08-09)

[INTRODUCTION - The aim of the study was to obtain epidemiological data on the blood pressure (BP) status of high school students and familiar, constitutional and lifestyle factors influencing their blood pressure. METHODS - After a 10 minutes rest, three repeated BP measurements were taken from the right upper arm, separated by 5 minute intervals. All measurements were obtained by a validated, automated, digital OMRON M4 device. A total sample of 10 194 high school students from Debrecen, included 5163 boys and 5031 girls, whose average age was 16.55±0.99 years. RESULTS - Boys had a significantly higher BP than girls (122.51±13.47/69.58±8.92 mmHg vs. 111.24±12.5/67.41±8.92 mmHg) (p<0.001). There was a positive correlation between weight and BP (rsyst =0.42, rdiast =0.286; p<0.001), height and BP (rsyst =0.326, rdiast =0.145; p<0.001), but not between the age and BP. Subjects whose father had hypertension differed significantly from controls’ BP (p<0.001). If the mother was considered being hypertensive only the diastolic BP differed. Subjects with low birth weight (<2500 grams) in the history had significantly greater systolic (p<0.002), but not diastolic BP than those weighting >2500 grams at birth. Subjects smoking, consuming alcohol, living a stressful life, eating salty foods, or doing regular workout did not differ in terms of both systolic and diastolic BP in our sample. CONCLUSIONS - Significant positive associations were found between BP and height and weight, with a stronger relationship to systolic BP. The males’ BP exceeded the females’ values, while those having hypertension in their family history or low birth weight had also higher BP.]

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