Comparison of ESHG2016 and AAP2017 hypertension guidelines in adolescents between the ages of 13 and 16: effect of body mass index on guidelines

2021 ◽  
pp. 1-7
Author(s):  
Gülşah Kaya Aksoy ◽  
Dilek Yapar ◽  
Nevin Semerci Koyun ◽  
Çağla Serpil Doğan
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Blood Pressure Measurement ◽  
White Coat Hypertension ◽  
Hypertension Guidelines ◽  
Single Centre Study ◽  
Kappa Value ◽  
Ambulatory Blood Pressure Measurements ◽  
Diagnosis Of Hypertension

Abstract Objective: The diagnosis of hypertension in adolescents aged ≥13 and <16 years is based on the percentile according to age, gender, and height in the European Society of Hypertension guidelines guideline; whereas, the American Academy of Pediatrics guideline uses blood pressure above 130/80 mmHg as a single criterion. Therefore, this study aimed to evaluate the compatibility of these two guidelines in adolescents aged ≥13 and <16 years. Methods: This study was designed by retrospectively screening the records of 395 adolescents with both office and 24-hour ambulatory blood pressure measurements. Each blood pressure measurement was classified according to both the ESGH2016 and AAP2017 guidelines. Patients were divided into three subgroups according to body mass index. Cohen’s kappa analysis was used to evaluate the agreement between the two guidelines. Results: The majority of adolescents were normotensive according to both guidelines, 55.9% by ESHG2016 and 43.1% by AAP2017. For the whole group, the frequency of hypertension was 32.4% with ESHG2016 and 34.4% with AAP2017; while, in obese patients, hypertension frequencies were 38.8% and 43.3%, respectively. The diagnosis of hypertension was demonstrated with the two guidelines, and there was significant agreement at a substantial level, both for the obese subgroup and the whole study group (kappa value = 0.738 and 0.785, respectively). The frequency of white-coat hypertension was higher with the AAP2017 guideline (28.1% versus 16.2%, p < 0.001). Conclusion: With our experience in this single-centre study, it seems that both the AAP2017 and the ESHG2016 guidelines can be used in the diagnosis of hypertension in adolescents.

Body Mass Index and Blood Pressure Measurement during Pregnancy

2010 ◽  
Vol 30 (4) ◽  
pp. 396-400 ◽  
Author(s):  
Jennifer L. Hogan ◽  
Patrick Maguire ◽  
Nadine Farah ◽  
Mairead M. Kennelly ◽  
Bernard Stuart ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Pressure Measurement ◽  
Blood Pressure Measurement

scholarly journals Pemberdayaan Masyarakat sebagai Upaya Deteksi Dini Faktor Risiko Hipertensi

2018 ◽  
Vol 1 (1) ◽  
pp. 59
Author(s):  
Ratna Indriawati ◽  
Sherly Usman
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Body Mass Index ◽  
Community Service ◽  
Body Mass ◽  
Blood Pressure Measurement ◽  
Smoking Behavior ◽  
Age Group ◽  
High Incidence ◽  
Important Health

Hipertensi masih merupakan masalah kesehatan yang penting. Prevalensi hipertensi nasional di Daerah Istimewa Yogyakarta (DIY) sebesar 35,8% dengan proporsi kasus hipertensi yang telah didiagnosis oleh tenaga kesehatan sebesar 24%. Hal ini berarti bahwa masih ada 76,0% kasus hipertensi di masyarakat yang belum terdiagnosis. Tingginya angka insidensi hipertensi di propinsi DIY tersebut turut mempengaruhi insidensi penyakit ini di kabupaten Bantul. Pola makan yang tidak sehat dan kurang terjaga, perilaku merokok, stress psikososial karena faktor ekonomi, dan minimnya sarana & prasarana kesehatan merupakan faktor pemicu tingginya insidensi penyakit hipertensi di wilayah ini. Pengabdian masyarakat ini bertujuan untuk memberikan tambahan pengetahuan faktor risiko, menanggulangi penyakit hipertensi dan komplikasi hipertensi serta pelatihan kader kesehatan terkait penyakit hipertensi. Kegiatan pengabdian masyarakat ini meliputi: melakukan pemeriksaan kesehatan dan faktor risiko hipertensi (berat badan, tinggi badan, dan body mass index/BMI) untuk skrining hipertensi, promosi kesehatan berupa penyuluhan hipertensi, pelatihan pengukuran tekanan darah yang baik dan benar, dan pembuatan dan pembagian leaflet hipertensi. Sebanyak 105 orang yang diperiksa tekanan darahnya, didapatkan 31 orang menderita hipertensi. Rentang umur kurang dari 40 tahun didapatkan 8 orang penderita hipertensi. Sedangkan kelompok umur 45-55 tahun juga didapatkan 8 orang dengan hipertensi. Terdapat 15 orang dengan hipertensi pada kelompok usia lebih dari 75 tahun.Kata kunci: hipertensi, faktor risiko, tekanan darah, berat badanAbstractHypertension is still the important health problem. The prevalence of national hypertension in the Special Region of Yogyakarta (DIY) was 35.8% with the proportion of cases of hypertension diagnosed by health personnel at 24%. This means that there are still 76.0% cases of hypertension in the community that have not been diagnosed. The high incidence of hypertension in the province of DIY also affects the incidence of this disease in the Bantul district. Unhealthy and poorly maintained eating patterns, smoking behavior, psychosocial stress due to economic factors, and the lack of health facilities & infrastructure are factors that trigger the high incidence of hypertension in this region. This community service aims to provide additional knowledge of risk factors, overcome hypertension and complications of hypertension and health cadres training related to hypertension. These community service activities included: conducting health checks and risk factors for hypertension (body weight, height, and body mass index/BMI) for hypertension screening, health promotion in the form of hypertension counseling, excellent and correct blood pressure measurement training, and making hypertension leaflets. A total of 105 people who were tested for blood pressure were 31 people suffering from hypertension. The age range of fewer than 40 years found eight people with hypertension. Whereas the age group of 45-55 years also found eight people with hypertension. There are 15 people with hypertension in the age group over 75 years.

scholarly journals Hypertension and blood pressure among meat eaters, fish eaters, vegetarians and vegans in EPIC–Oxford

2002 ◽  
Vol 5 (5) ◽  
pp. 645-654 ◽  
Author(s):  
Paul N Appleby ◽  
Gwyneth K Davey ◽  
Timothy J Key
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Lower Prevalence ◽  
Cross Sectional ◽  
Men And Women ◽  
Blood Pressures ◽  
Prospective Investigation

AbstractObjective:To compare the prevalence of self-reported hypertension and mean systolic and diastolic blood pressures in four diet groups (meat eaters, fish eaters, vegetarians and vegans) and to investigate dietary and other lifestyle factors that might account for any differences observed between the groups.Design:Analysis of cross-sectional data from participants in the Oxford cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC–Oxford).Setting:United Kingdom.Subjects:Eleven thousand and four British men and women aged 20–78 years at blood pressure measurement.Results:The age-adjusted prevalence of self-reported hypertension was significantly different between the four diet groups, ranging from 15.0% in male meat eaters to 5.8% in male vegans, and from 12.1% in female meat eaters to 7.7% in female vegans, with fish eaters and vegetarians having similar and intermediate prevalences. Mean systolic and diastolic blood pressures were significantly different between the four diet groups, with meat eaters having the highest values and vegans the lowest values. The differences in age-adjusted mean blood pressure between meat eaters and vegans among participants with no self-reported hypertension were 4.2 and 2.6 mmHg systolic and 2.8 and 1.7 mmHg diastolic for men and women, respectively. Much of the variation was attributable to differences in body mass index between the diet groups.Conclusions:Non-meat eaters, especially vegans, have a lower prevalence of hypertension and lower systolic and diastolic blood pressures than meat eaters, largely because of differences in body mass index.

2496-PUB: Effect of Body Mass Index on HbA1c, Blood Pressure, and Cholesterol (ABC) Control in Patients with Type 2 Diabetes from Tibet in China

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2496-PUB
Author(s):  
ZHANG CHENGHUI ◽  
LI MINGXIA ◽  
WANG SUYUAN ◽  
WU YUNHONG
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Body Mass Index ◽  
Body Mass

KEJADIAN PENYAKIT HIPERTENSI DAN INDEKS MASSA TUBUH PADA PEREMPUAN YANG TINGGAL DI PEDESAAN DAN PERKOTAAN

2019 ◽  
pp. 127-136
Author(s):  
Venti Agustina
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Rural Women ◽  
Urban Areas ◽  
Stage I ◽  
Normal Body Mass Index ◽  
Cross Sectional ◽  
Normal Body ◽  
Stadium I

Hipertensiadalah penyebab kematian utama di Indonesia. Kematian akibat hipertensi lebih banyak terjadi di perkotaan dibandingkan di desa. Tingginya kejadian hipertensi dipengaruhi oleh faktor yang dapat dikontrol (obesitas,berat badan lebih, konsumsi garam berlebih,aktivitas fisik rendah, perokok, dan konsumsi alkohol) dan faktor yang tidak dapat dikontrol (genetik, usia, dan jenis kelamin). Penelitian bertujuan memberikan gambarandistribusi tekanan darah dan indeks massa tubuh (IMT) pendudukperempuan di kota maupun di desa.Desain penelitian adalah deskriptif kuatitatif dengan pendekatan cross sectional. Data primer didapatkan melalui pengukuran tekanan darah, tinggi badan dan berat badan. Penelitian dilakukan di Desa Kutowinangun Kidul, Kecamatan Tingkir,Salatiga yang mewakili penduduk perempuan di perkotaan dan Desa Batur, Kecamatan Getasan, Kabupaten Semarangyang mewakili penduduk perempuan pedesaan. Adapun jumlah sampel masing-masing 66 respondendan 72responden. Hasil penelitian menunjukkan bahwa kejadian penyakit hipertensi, resiko obese dan obese lebih didominasi oleh respondendi perkotaan dibandingkan di pedesaan dengan rentang usia di atas 46 tahun. Respondendi desa dengan indeks massa tubuh normal cenderung mengalami pre-hipertensi (8,3%) dan hipertensi stadium I (6,9%) sementararesponden dengan resiko obese dan obese cenderung mengalami hipertensi stadium I (1,4%).Respondendi kota dengan indeks massa tubuh normal cenderung mengalami pre hipertensi (6,06%), hipertensi stadium I (4,5%) dan II (7,5%). Responden dengan resiko obese cenderung mengalami hipertensi stadium I (4,5%), dan responden dengan obese I dan II cenderung mengalami pre-hipertensi (4,5%).   Hypertension is the leading cause of death in Indonesia. Deaths due to hypertension are more common in urban areas than in villages. The high incidence of hypertension is influenced by factors that can be controlled (obesity, overweight, excessive salt consumption, low physical activity, smokers, and alcohol consumption) and factors that cannot be controlled (genetic, age, and sex). The study aimed to provide an overview of blood pressure distribution and body mass index (BMI) of female residents in cities and villages. The study design was descriptive quantitative with a cross sectional approach. Primary data was obtained through measurements of blood pressure, height and weight. The study was conducted in Kutowinangun Kidul Village, Tingkir Subdistrict, Salatiga representing women in urban areas and Batur Village, Getasan Subdistrict, Semarang Regency, representing rural women. The number of samples was 66 respondents and 72 respondents respectively. The results showed that the incidence of hypertension, the risk of obese and obese was more dominated by respondents in urban areas than in rural areas with ages above 46 years. Respondents in villages with normal body mass index tended to experience pre-hypertension (8.3%) and stage I hypertension (6.9%) while respondents with obese and obese risk tended to experience stage I hypertension (1.4%). Respondents in cities with normal body mass index tended to experience pre-hypertension (6.06%), stage I hypertension (4.5%) and II (7.5%). Respondents with obese risk tended to experience stage I hypertension (4.5%), and respondents with obese I and II tended to experience pre-hypertension (4.5%).

Effects of Menopause on Trends of Serum Cholesterol, Blood Pressure, and Body Mass Index

Circulation ◽  
1996 ◽  
Vol 94 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Masazumi Akahoshi ◽  
Midori Soda ◽  
Eiji Nakashima ◽  
Katsutaro Shimaoka ◽  
Shinji Seto ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Serum Cholesterol

Association of Body Mass Index With Blood Pressure in Elderly Japanese American Men

Hypertension ◽  
1997 ◽  
Vol 29 (2) ◽  
pp. 673-677 ◽  
Author(s):  
Kamal H. Masaki ◽  
J. David Curb ◽  
Darryl Chiu ◽  
Helen Petrovitch ◽  
Beatriz L. Rodriguez
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Japanese American ◽  
Elderly Japanese
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