scholarly journals Riwayat Hipertensi Keluarga Sebagai Faktor Dominan Hipertensi pada Remaja Kelas XI SMA Sejahtera 1 Depok Tahun 2017

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

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


2017 ◽  
Vol 1 ◽  
pp. 73-82
Author(s):  
Naresh Manandhar

Background: Hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiologies. Males have slightly higher prevalence than female in most of countries of Southeast-Asian region.Objective: The objective of study is to find out prevalence and the risk factors of hypertension at Sipaghat, Sindhulchowk, Nepal.Materials and Methods: A cross-sectional study was conducted at Sipaghat of Sindhupalchowk district in May 2016 and 260 persons were selected randomly. Results: The prevalence of hypertension was higher in male (25.4%) than female (17.4%). Mean age of study population was 42.08 years with standard deviation, 15.95 years. Variables namely age group, smoking, alcohol consumption and family history of hypertension were found to be significant at 5 percent level of significance. Alcohol consumption and smokers have more than two times higher chance of getting hypertension compared to alcohol non-consumer and nonsmoker with 95% confidence intervals were 1.08-4.80 and 1.21-6.10, respectively. Persons with family history of hypertension have 3.8 times more chance of getting hypertension compared to no family history of hypertension with 1.89-7.61 of 95% confidence interval.Conclusion: Lifestyle modification reduces blood pressure which prevents or delays the incidence of hypertension. Hypertension can be controlled and prevented by modifying the lifestyle. People should be advised to avoid modifiable risk factors of hypertension like smoking, consumption of alcohol and physical inactivity through health education programs.Nepalese Journal of Statistics, 2017, Vol. 1, 73-82


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


2016 ◽  
Vol 62 (4) ◽  
pp. 347-352 ◽  
Author(s):  
Maria Wany Louzada Strufaldi ◽  
Fabíola Isabel Suano de Souza ◽  
Rosana Fiorini Puccini ◽  
Maria do Carmo Pinho Franco

Summary Objective: To describe the values of non-HDL cholesterol (NHDL-c) and the frequency of a family history of early cardiovascular disease (family HCVD) in healthy prepubescent children. Analyze the association between NHDL-c and family HCVD, and possible associations with other risk factors for cardiovascular disease (CVD). Method: Cross-sectional study including 269 prepubescent (aged 6-10 years) schoolchildren with a normal body mass index (+1SD<BMI>-2SD). Data collected: Family HCVD; weight and height, waist circumference and systemic blood pressure; lipid profile (total cholesterol TC, HDL-c, triglycerides and LDL-c), NHDL-c calculation (CT-HDL-c, cut-off = 145 mg/dL) and insulin resistance (HOMA-IR). Results: High levels were found for NHDL-c in 10 (3.7%) of these schoolchildren, and family early HCVD was found in 46 (17.1%) of them. There was a weak association between family HCVD and NHDL-c (Cramer’s-V-test = 0.120; p=0.050). Among the children with NHDL-c≥145 mg/dL, 4 (40%) have family HCVD. The presence of family HCVD was not associated with the variables being studied. The variables independently associated with NHDL-c ≥ 145 mg/dL were: HOMA-IR (OR=1.7; 95CI 1.1-2.6) and diastolic blood pressure (OR=1.1; 95CI 1.02-1.2). Conclusion: NHDL-c values were associated with blood pressure and insulin resistance. Family HCVD was not associated with other classic risk factors for CVD, even though the frequency found was five times higher than that of high NHDL-c.


Author(s):  
Sunil Kumar Singh ◽  
Anita Verma

AbstractIntroductionHypertension is a global epidemic. Hypertension has become an increasingly important medical problem in children and adolescents. Evidence shows that hypertension begins in childhood and its associated risk factors like obesity, unhealthy eating habits also emerge in children of school going age.ObjectivesTo study the prevalence of hypertension among school going adolescent boys in Najafgarh, Delhi and to find out the factors associated with hypertension among them.Materials and methodsA cross-sectional study was planned in which a self-administered questionnaire was used to collect information from the study participants. A total of 600 adolescent boys of 9th to 12th classes from four different schools in Delhi, were included in the study over a period of 12 months. Blood pressure, height, weight and waist circumference were measured for all children. Data was analyzed using SPSS software version 21.0 and for qualitative data analysis a chi-square (χ2) test was used.ResultsThe mean age of study subjects was 15.1 years. The majority of the study subjects, 372 (62%), were in the age group of 14–16 years. Among the study subjects, 44 (7.3%) had pre-hypertension and 26 (4.3%) had hypertension. Hypertension was significantly higher in those with a family history of hypertension and who were overweight/obese.ConclusionThe prevalence of hypertension was significantly high among adolescents of Delhi. Obesity and family history of hypertension were identified as important risk factors prevalent in the study population.


e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Waenly M. Tumanduk ◽  
Jeini E. Nelwan ◽  
Afnal Asrifuddin

Abstract: Hypertension is characterized by increased systolic and diastolic blood pressures. Risk factors that can affect hypertension are divided into modified risk factors such as smoking habit and unmodified risk factors such as genetics, gender, and age. This study was aimed to evaluate the risk factors of hypertension at Rumah Sakit Robert Wolter Mongisidi Manado. This was an observational and analytical study with a cross sectional design. There were 75 patients as respondents, obtained by using non-probability random sampling (accidental sampling). Variables in this study were age, sex, smoking habit, and family history of hypertension. Data were analyzed by using the Fisher’s exact test. The results showed that there was a significant relationship between age and hypertension (p=0.041). Albeit, there were no significant relationships between other variables and hypertension, with the p-values as follows: sex (p=1.000), smoking habit (p=1.000), and family history of hypertension (p=1.000). In conclusion, age was the risk factor of hypertension among hypertensive patients at Rumah Sakit Robert Wolter Mongisidi Manado.Keywords: risk factors, hypertensionAbstrak: Hipertensi ditandai dengan peningkatan tekanan darah sistolik dan diastolik. Faktor risiko yang dapat memengaruhi hipertensi terbagi menjadi faktor yang dapat dikendalikan seperti kebiasaan merokok serta faktor yang tidak dapat dikendalikan seperti genetik, jenis kelamin, dan usia. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan kejadian hipertensi di Rumah Sakit Robert Wolter Mongisidi Manado. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Jumlah responden penelitian ini sebanyak 75 pasien yang dipilih menggunakan metode non-probability random sampling yaitu accidental sampling. Variabel penelitian yang diteliti yaitu usia, jenis kelamin, kebiasaan merokok, dan riwayat keluarga. Data yang diperoleh dianalisis secara bivariat menggunakan Fisher’s exact test. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara usia dengan kejadian hipertensi (p=0,041). Variabel lainnya tidak berhubungan bermakna dengan kejadian hipertensi dengan nilai p sebagai berikut: jenis kelamin (p=1,000), kebiasaan merokok (p=1,000), dan riwayat keluarga (p=1,000). Simpulan penelitian ini ialah faktor usia merupakan faktor risiko kejadian hipertensi pada penyandang hipertensi di Rumah Sakit Robert Wolter Mongisidi Manado.Kata kunci: faktor risiko, hipertensi


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.


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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