scholarly journals Study of anthropometric indices and it’s co-relation with blood pressure in young healthy individuals

Author(s):  
Sano Maleth Zachariah ◽  
Swati Manikrao Mahajan ◽  
Rajesh Keshavrao Dase

Background: Overweight and obesity are shown to be independent risk factors for hypertension by several epidemiological studies. A practical, inexpensive and easily performed method for evaluation of body fat is anthropometry. Hence the present study was undertaken to explore association between anthropometric indices and blood pressure and determine efficacy of neck circumference to identify overweight subjects and define NC cutoff levels for overweight and obesity.Methods: Cross sectional, comparative study conducted on apparently healthy medical college students, 150 having parental history of hypertension and 150 without a parental history of hypertension. Height, weight, waist circumference, hip circumference, neck circumference, body mass index, waist-hip ratio, waist- height ratio, and blood pressure were measured. Data was analyzed using SPSS version 20.Results: Prevalence of pre-hypertension is 42.33%. 54.33% pre-hypertensive subjects had family history of hypertension but there is no statistically significant association between family history of hypertension and pre-hypertension. Neck circumference correlated with BMI, WC, W/H ratio (p<0.05) indicating that NC could be a useful screening tool. NC cutoff values determining overweight & obesity in this study is >33.30 cm in females and >37.15 cm in males. 61.76% and 38.98% pre-hypertensive males and females respectively have BMI above 25Kg/m² in comparison to 19.51% normotensive males and 20.88% normotensive females.Conclusions: Study reveals development of hypertension is attributable to overweight and obesity and no statistically significant relationship has been established between family history of hypertension and risk for developing hypertension. NC>37.15cm for males and >33.30 cm for females was the best cut off levels for determining overweight/obese subjects.

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Zeena Salman ◽  
Gregory D. Kirk ◽  
Mark D. DeBoer

Cardiovascular disease (CVD) frequently has roots in childhood, including following childhood-onset hypertension. Incidence of CVD has increased in developing countries in East Africa during recent urbanization. Effects of these shifts on childhood hypertension are unclear. Our objectives were to (1) Determine the prevalence of hypertension among primary schoolchildren in Khartoum, Sudan; (2) Determine whether hypertension in this setting is associated with obesity. We performed a cross sectional study of 6-12y children from two schools randomly selected in Khartoum, Sudan. Height, weight, BMI, BP and family history of hypertension were assessed. Age-, height- and gender-specific BP curves were used to determine pre-hypertension (90–95%) and hypertension (>95%). Of 304 children, 45 (14.8%) were overweight; 32 (10.5%) were obese; 15 (4.9%) were pre-hypertensive and 15 (4.9%) were hypertensive. Obesity but not family history of hypertension was associated with current hypertension. In multiple logistic regression, adjusting for family history, children who were obese had a relative-risk of 14.7 (CI 2.45-88.2) for systolic hypertension compared to normal-weight children. We conclude that overweight and obesity are highly prevalent among primary schoolchildren in urban Sudan and are strongly associated with hypertension. That obesity-associated cardiovascular sequelae exist in the developing world at young ages may be a harbinger of future CVD in sub-Saharan Africa.


2017 ◽  
Vol 4 (4) ◽  
pp. 1218
Author(s):  
Balakrishnan Nadesan ◽  
Mani Madhavan Sachithananthamoorthi ◽  
Sivaraman Thirumalaikumarasamy ◽  
Ezhilarasu Ramalingam

Background: Hypertension is considered as a major health issue in developed as well as developing countries and its possible origin during childhood prompts pediatricians to routinely include measurement of blood pressure (BP) as an integral part of pediatric physical examination. The objectives of the study were to evaluate the normal range of blood pressure in adolescent school going students of 12-16 years, prevalence of hypertension and relationship of BP with variables like age, body mass index (BMI), socioeconomic status and family history of hypertension.Methods: A cross sectional study was undertaken for a period of one year in adolescent school children in age groups between 12-16 years. Detailed clinical examination was done in 1060 adolescent school children and BP was recorded in right upper limb and correlation of BP with BMI, family history of hypertension and diabetes were studied.Results: Mean systolic and diastolic pressure showed linear relationship with age. There was a highly statistically significant difference between mean systolic and diastolic blood pressure between lower and middle socio-economic class. Prevalence of obesity in our study was 1.13%, overweight was 7.83%. Prevalence of hypertension in obese children was 33.33% and in overweight children 18.07%. Family history of hypertension and diabetes carry a significant correlation with elevated systolic and diastolic blood pressure in adolescents.Conclusions: This study revealed that socio economic factors play a significant role in determining the blood pressure of the individual. Children of middle class have significantly elevated mean systolic pressure and mean diastolic pressure than low socio-economic groups. 


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Yudhaputra Setiadhi ◽  
Shirley E.S. Kawengian ◽  
Nelly Mayulu

Abstract: Hypertension is a condition where the systolic blood pressure is >140mmHg and the diastolic blood pressure is >90mmHg measured by a sphygmomanometer. The measurements were performed at least 2 times in a span of one week. Uncontrolled hypertension can cause damage to the arteries, damage to the heart, damage to the brain, kidneys and eyes, as well as accelerating the onset of chronic cardiovascular diseases. Hypertension in pregnancy could affect such things as reduced blood flow to the placenta, fetal growth restriction, premature birth, fetal death, and increased risk of cardiovascular disease. One of the factors that affect the risk of hypertension is a family history of hypertension.The study aimed to see whether there is a relationship between a family history of hypertension and hypertension in pregnancy. The data were collected using cross-sectional method. This cross-sectional study was conducted in September-November 2016, in Bahu Public Health Center, Ranotana Public Health Center, Tuminting Public Health Center, Kombos Public Health Center, and Paniki Public Health Center. The sample were taken with total sampling method, with the total number of respondents that are willing around 144 respondent. Based on the research, from 50 respondent with a family history of hypertension, 1 respondent (2%) belong to the category of stage 1 hypertension, 20 respondent (40%) belong to the category of pre-hypertension and 29 respondents (58%) were normal. Conclusion: Based on the results, it can be deduced that a family history of hypertension mostly did not affect the incidence of hypertension in pregnant woman.Keywords: hypertension, maternal hypertension, family history of hypertension  Abstrak: Hipertensi merupakan keadaan dimana tekanan darah sistolik >140mmHg dan tekanan darah diastolik >90mmHg yang diukur dengan sphygmomanometer. Pengukuran dilakukan minimal 2 kali dalam rentang waktu 1 minggu. Hipertensi yang tidak terkontrol dapat menyebabkan kerusakan pada pembuluh darah arteri, kerusakan pada jantung, kerusakan pada otak, ginjal dan mata, serta mempercepat terjadinya penyakit kardiovaskular yang kronis. Hipertensi pada wanita hamil dapat mempengaruhi beberapa hal seperti aliran darah ke plasenta berkurang, pertumbuhan janin terhambat, kelahiran prematur, bayi meninggal dalam kandungan, dan meningkatnya risiko terkena penyakit kardiovaskular. Salah satu faktor rikiko yang mempengaruhi hipertensi adalah riwayat hipertensi pada keluarga. Penelitian ini bertujuan untuk melihat apakah ada hubungan antara riwayat hipertensi pada keluarga dan hipertensi pada kehamilan. Pengambilan data dilakukan dengan menggunakan metode cross-sectional. Penelitian cross-sectional ini dilakukan pada bulan September-November 2016 di Puskesmas Bahu, Puskesmas Ranotana, Puskesmas Tuminting, Puskesmas Kombos dan Puskesmas Paniki. Pengambilan sampel dilakukan berdasarkan dengan metode total sampling dengan jumlah responden yang bersedia sebanyak 144 orang. Berdasarkan penelitian didapatkan dari 50 responden dengan riwayat hipertensi pada keluarga 1 responden (2%) masuk ke dalam kategori hipertensi stadium 1, 20 responden (40%) masuk ke dalam kategori pre-hipertensi dan 29 responden (58%) yang normal. Simpulan: Berdasarkan hasil tersebut, dapat ditarik kesimpulan bahwa riwayat hipertensi pada keluarga sebagian besar tidak mempengaruhi angka kejadian hipertensi pada ibu hamilKata kunci: hipertensi, hipertensi kehamilan, riwayat hipertensi pada keluarga


1970 ◽  
Vol 29 (3) ◽  
pp. 99-103
Author(s):  
AFM Mizanur Rahman ◽  
Ainun Afroze ◽  
MN Islam

Despite general belief that hypertension is a disease of adulthood, children and adolescents can also suffer from the condition and may remain unnoticed because of lack of routine measurement of blood pressure. Hypertension in children in Bangladesh has not been well studied. Hence a study was conducted among 6-16 year-old school children of Dhaka city to find out the pattern of blood pressure (BP), prevalence of hypertension and its risk factors in this age group.In this cross sectional study, 1995 apparently healthy children of specified age group were systematically sampled from 6 purposively selected schools in Dhaka city. Their BP were measured methodically under ideal situation. On the same day, their anthropometry were also done by taking height and weight. All of them were given a questionnaire to take home for filling up the family history of hypertension, education, occupation and monthly income of their parents. Those who had BP above 95th centile on three occasions with an interval of two weeks, were diagnosed as hypertensive.Among the 1995 children, male female ratio was 1:1. There were 127-238 children in each single-year age category. Most of their fathers were service holders with 10-14 years of education. Mean systolic BP (SBP) ranged from 88.6 to 113.5 mm Hg, and mean diastolic BP (DBP) from 55.3 to 74.2 mm Hg. Girls had both SBP and DBP more than boys of same age category.Both SBP and DPB have linear relationship with age. There was significant increment in both the systolic and diastolic BP among the female children from 9 to 10 years of age. Similar sudden increment of only systolic blood pressure was seen from 13 to 14 year old male children.This study showed that prevalence of hypertension in school going children of Dhaka city was 0.55% and there was a significant relationship of hypertension with the obesity and family history of hypertension. Among the 11 hypertensive children, 9 (81.8%) had either of the two risk factors, odds ratio (95% CI) being 15.37 (3.31 - 71.37). Key words: Hypertension; school going children. DOI: 10.3329/bjch.v29i3.6184 Bangladesh J Child Health 2005; Vol 29 (3): 82-87


Author(s):  
Akash K. Singh ◽  
Sunil K. Misra ◽  
Shailendra S. Chaudhary ◽  
Geetu Singh

Background: Hypertension once considered a problem of adults only in the high income countries, now dramatically is on the rise in low and middle income countries. An established predictor of adult hypertension and organ damage is childhood hypertension. Thus for the control, effective treatment and prevention of its complications, early diagnosis of hypertension in adolescents in an important strategy. The objective was to study the blood pressure profile and its socio-demographic determinants among school going adolescents in urban Agra.Methods: A cross-sectional survey was done among 534 adolescent in age group of 13-18 years studying in various government and private schools in urban Agra. Socio demographic details, anthropometric measurements and family history of hypertension were obtained. Also the dietary habits, physical activity, mode of transport to school were included in the present study. Blood pressure was measured at 0 and 30 minutes and average of two readings was taken as the final reading of that individual.Results: It was found that 49.82% of the study subjects had above normal blood pressure and among them 21.16% were hypertensive and 28.66% had pre-hypertension. Higher blood pressure showed a statistically significant (p<0.05) association with gender, age, dietary habits, physical activity, body mass index, and parental history of hypertension.Conclusions: Hypertension among the adolescent age group was very high. Prevalence of high blood pressure significantly associated with age, gender, family history of hypertension, physical activity, type of school and dietary habits.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Yendelela Cuffee ◽  
Ming Wang ◽  
Nathaniel Geyer ◽  
Susanne Akuley ◽  
Sangeeta Saxena ◽  
...  

Abstract Background Whereas hypertension and vitamin D concentrations have heritable components, these factors have not been investigated concurrently among young adults. The objective of this study is to investigate hypertension risk among young adults with respect to family history of hypertension, adjusting for vitamin D status. Methods Resting blood pressure was measured in 398 college students aged 18-35 and classified according to the 2017 American Heart Association criteria. Plasma vitamin D metabolite (25(OH)D3; 24,25(OH)2D3; 1,25(OH)2D3) concentrations were determined using liquid chromatography tandem mass spectrometry (LC-MS/MS). Stepwise logistic regression was used to select covariates. Results Nearly 40 percent of young adults were classified with elevated blood pressure or hypertension. Compared with no parental history, the adjusted odds ratio (AOR) for hypertension was elevated among participants with two parents having hypertension (AOR=4.5, 95% CI: 1.70-11.76), adjusting for sex, body mass index, physical activity, and plasma 25(OH)D3. Results for systolic hypertension were similar but more extreme (two parents AOR=7.1, 95% CI: 2.82, 17.66), although dihydroxy metabolites (1,25(OH)2D3 and 24,25(OH)2D3) were significant. Approximately five percent (4.8%) of those with hypertension reported knowledge of their hypertensive status. Conclusions The findings suggested a strong influence of dual parental history of hypertension on hypertensive status among young healthy adults. The overall prevalence and the combined lack of self-awareness of hypertensive status among relatively well-educated healthy young adults emphasizes the need for targeted primary and secondary prevention efforts. Key messages Hypertension was prevalent in nearly one-third of the sample and underscores the need for targeted prevention for young adults.


2018 ◽  
Vol 46 (1) ◽  
pp. 1-10
Author(s):  
Annisa Nursita Angesti ◽  
Triyanti Triyanti ◽  
Ratu Ayu Dewi Sartika

AbstractNutritional status changes, diet, and lifestyle are risk factors adolescent’s hypertension. This study isa cross sectional research to determine the most dominant factor of hypertension among adolescentsat SMA Sejahtera 1 Depok 2017. Collected data include blood pressure, nutritional status (BMI forage), intake nutrients (sodium, potassium, calcium, fat, fruits and vegetables consumption), lifestyle(sleep duration, stress, and physical activity), and adolescent characteristics (sex and family historyof hypertension). Blood pressure was measured using mercury sphygmomanometer, nutritional statuswith anthropometry, nutrient intake with Semi Quantitative FFQ, lifestyle and characteristics withquestionnaire. The study showed that 42.4% of adolescents had hypertension (≥95 percentile). Factorsassociated with hypertension were BMI for age and family history of hypertension. The most dominantfactor associated with hypertension was family history of hypertension. Education on genetic relatedrisk factors of hypertension such as genetic counseling through Health School Program was needed forprevent adolescent’s hypertension, so that students with a family history of hypertension may be moreconcerned about other risk factors such as nutritional status.Keywords : adolescent, family history of hypertension, hypertension   AbstrakPerubahan status gizi, pola makan dan gaya hidup pada remaja merupakan faktor risiko hipertensi remaja.Penelitian ini merupakan penelitian cross sectional untuk mengetahui faktor dominan hipertensi padaremaja di SMA Sejahtera 1 Depok tahun 2017. Data yang dikumpulkan meliputi tekanan darah, statusgizi (IMT/U), asupan zat gizi (natrium, kalium, kalsium, lemak, konsumsi buah dan sayur), pola hidup(durasi tidur, stres, aktivitas fisik), dan karakteristik remaja (jenis kelamin dan riwayat hipertensi keluarga).Tekanan darah diukur menggunakan sfigmomanometer air raksa, status gizi dengan antropometri,asupan zat gizidengan Semi Quantitative FFQ, pola hidup dan karakteristik dengan kuesioner. Hasilpenelitian menunjukkan bahwa sebanyak 42,4% remaja SMA Sejahtera 1 Depok mengalami hipertensi(≥95 persentil). Terdapat hubungan IMT/U dan riwayat hipertensi keluarga pada hipertensi remajanya.Faktor dominan yang paling berhubungan dengan hipertensi pada remaja di SMA Sejahtera 1 Depoktahun 2017 adalah riwayat hipertensi keluarga. Diperlukan edukasi seperti kegiatan konseling genetikmelalui UKS (Usaha Kesehatan Sekolah) tentang faktor risiko riwayat hipertensi keluarga sebagaipencegahan hipertensi remaja, sehingga bagi siswa yang memiliki riwayat hipertensi keluarga dapat lebihmemperhatikan faktor risiko lainnya seperti status gizi.Kata kunci: hipertensi, remaja, riwayat hipertensi keluarga


2018 ◽  
Vol 30 (2) ◽  
pp. 74-77
Author(s):  
Md Hanif Howlader ◽  
AKM Mazharul Islam ◽  
Md Mostafizur Rahman ◽  
Umme Sadia Mili ◽  
Rommana Sayla Nur ◽  
...  

The trend of increasing overweight and obesity is not related to genetic factors only; rather majority of this burden is attributable to the environmental factors. The aim of the study was to observe the correlation between body mass index (BMI) and fasting blood glucose (FBG) level in a selected group of teenagers of Bangladesh. A cross sectional study was conducted involving 39 male and 41 female MBBS students of Faridpur Medical College during 06-04-2014 to 22-05- 2014 by purposive sampling. Data were collected using a questionnaire & check list. Out of 80 students 48.8% male, 51.2% female, 12.5% underweight, 67.5% normal, 16.2% overweight & 3.8% was obese. Mean age of the students was 18.99, BMI 21.99, SBP 121.12, DBP 79.19 and FBG 4.53. Most of students were normotensive (SBP 88.8%; DBP 96.2%) & a few students (SBP 8.8% & DBP 3.8%) were hypertensive. Majority of students (66.2%) were normoglycemic and rest of the students were hypoglycemic. Correlation between BMI and FBG (P=0.65) was not significant but correlation between BMI and systolic blood pressure (SBP) (p<0.0001); BMI & diastolic blood pressure (DBP) (p<0.05) was significant. Comparison of SBP between male and female students showed (p<0.001) was significant. BP and family history of hypertension showed (x2=5.85), p=0.05 level of significance. BMI and FBG showed no significant correlation. BMI and BP showed positive correlation. Male has higher BP than female. Students with family history of hypertension are prone to develop hypertension.Medicine Today 2018 Vol.30(2): 74-77


2020 ◽  
Vol 1 (1) ◽  
pp. 8-13
Author(s):  
Dilli Bahadur Pun ◽  
Sonam Chaudhary ◽  
Prashanna Shrestha ◽  
Bobby Thapa ◽  
Nirjala Laxmi Madhikarmi

Introduction: Inter-arm difference (IAD) in blood pressure is the difference in the systolic and the diastolic blood pressure between arms of an individual. Studies regarding IAD among elderly, pregnant women, patients with cardiovascular disease and diabetes have been conducted but there are very limited studies carried out among young healthy adults. Thus, this study aimed to investigate the inter-arm blood pressure difference and its association with age, sex, BMI and family history of hypertension among Nepalese healthy young adults. Materials and methods: A cross-sectional study was carried out among 230 students of Kantipur Dental College, Kathmandu, Nepal. Blood pressure was measured using a mercurial sphygmomanometer. Statistical analysis was done using paired t test, chi-square and Pearson’s correlation test using SPSS 16. Results: The absolute mean IAD for SBP was 5.03±3.88 mm Hg and for DBP was 3.84±3.77 mm Hg. There is significant inter-arm difference for SBP (t=4.882, p<0.001) but not for DBP. Inter-arm SBP difference was significantly associated with family history of hypertension (χ2 = 6.41, p=0.01) and positive but weakly correlated with age (r = +0.135, p=0.04). There is no significant association of inter-arm SBP difference with sex and BMI. Meanwhile, there is no statistically significant association of sex, family history of hypertension, age and BMI with inter-arm DBP. Conclusions: There is a significant inter-arm systolic blood pressure difference among the healthy young Nepalese adults and it is associated with the positive family history of hypertension and age.


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