scholarly journals Child Blood Pressure Profile in Bali, Indonesia

2019 ◽  
Vol 7 (12) ◽  
pp. 1962-1967
Author(s):  
Dyah Kanya Wati ◽  
Putu Cintya Denny Yuliyatni ◽  
I Made Krisna Dinata ◽  
Gusti Ayu Putu Nilawati ◽  
I Gede Raka Widiana ◽  
...  

BACKGROUND: Mortality and morbidity in an adult will be reduced by controlling hypertension from an early age. Uncontrolled blood pressure since children can contribute to diseases such as heart disease, organ damage, and decreased quality of life. As changes in lifestyle, it is estimated that hypertension in children will continue to increase. Until now, data regarding the profile of blood pressure in children in Indonesia is still lacking.AIM: The purpose of this study was to determine the prevalence of increased blood pressure and hypertension in children in Bali.METHODS: This study was a cross-sectional study. The sampling technique in this study was multistage random sampling, that is, from 9 regencies in Bali, the selection of 3 regencies to be sampled according to socio-economic stratification based on regional economic growth and regional per capita income in Bali Province.RESULTS: From 1257, samples examined the prevalence of increased blood pressure, and hypertension was 689 children (54.8%). From the age group, the prevalence of an increase in blood pressure and hypertension in the age group ≤ , 12 years was 47.3%, and in the age group > 12 years was 62.2%. Increased blood pressure in nutritional status including Obesity 51.4%, Nutrition More 52.9%, Good Nutrition 42.2%, Nutrition Less 43.9%, Malnutrition 50.0%. In families with a history of hypertension, the prevalence of increased blood pressure and hypertension in subjects was 60.3% and in families without a history of hypertension was 43.4%.CONCLUSION: It can be concluded that there is still a prevalence of hypertension in children in Bali. Health efforts are needed so that they can minimise the further health impact that might occur. It should also be noted that various factors can influence the prevalence of increased blood pressure and hypertension in children.

2017 ◽  
Vol 24 (04) ◽  
pp. 511-515
Author(s):  
Nayyab Zehra ◽  
Ahmed Hassaan Malik ◽  
Zahabia Khalid ◽  
Misha Sabir ◽  
Simra Tanvir ◽  
...  

Objectives: To determine the frequency of risk factors i.e. consanguinity andmaternal age associated with spontaneous abortions in Pakistan and to propose ways toreduce them. Study design: Cross sectional descriptive study. Place of study: Gynecologydepartment of Military Hospital and Combined Military Hospital, Rawalpindi. Duration ofstudy: 6 months (September 2015 to February 2016). Sampling technique: Non probabilityconvenient sampling. Methodology: 150 married female patients in reproductive age group(15-49 years), who were confirmed cases of pregnancy and presented with abortions, wereinterviewed and responses were filled in a structured questionnaire after written consent.The collected data was then entered and analyzed by SPSS 20.0. Results: The major bulkof spontaneous abortions occurred in the maternal age group of 25-35 years (55.3%). A totalof 53.3% of abortions occurred in the gestational age of less than 12 weeks. Around 54.7% offemales had family history of spontaneous abortions and 65.3% had consanguineous marriage.Conclusion: Spontaneous abortions occur more frequently in the females of 25-35 yearsage group and among the fetuses with gestational age less than 12 weeks (1st trimester ofpregnancy). Family history of spontaneous abortions and consanguinity are associated withspontaneous abortions.


2019 ◽  
Vol 6 (3) ◽  
pp. 1068
Author(s):  
Rajesh Kumar Sethi ◽  
Raghava Badabagni ◽  
Padmaja Sridevi Pabbineedi ◽  
Radhika Chennupati

Background: The measurement of blood pressure is an important component of routine Pediatric physical examination. Children with higher levels of blood pressure tend to maintain higher blood pressure levels in adulthood in comparison to their peer group. The aims and objectives of this study were to define the normal pattern of blood pressure and prevalence of hypertension in urban school children between the age group of 5-15 years and to evaluate relationship of blood pressure with variables such as age, sex, height, weight and BMI in Amalapuram, Andhra Pradesh.Methods: This was a prospective cross-sectional observational study conducted from July 2016 to December 2018 in Department of Pediatrics, KIMS Amalapuram.Results: The overall prevalence of hypertension in the present study was 3.2%. Of these 16 children 11 were males amounting to 4.41% of total number of males and 5 were females amounting to 1.99% of total number of females. The prevalence of hypertension was more in the males. It was observed that there is not much increase in mean blood pressure up to 130 cms (both in males and females) and increased significantly and gradually in children above 130 cms of height. Blood pressure increases gradually and in a proportionate manner with increase in weight and BMI.Conclusions: Blood pressure is an important vital sign which reflects the integrity of the cardiovascular system, renal, endocrinal system and other systems in the body. Blood pressure of an individual varies with age, sex, height, weight and BMI. It also has a strong correlation with family history of hypertension. Thus, concluded that hypertension has its roots in childhood and early adolescence.


2019 ◽  
Vol 7 (3) ◽  
pp. 233 ◽  
Author(s):  
Nienda Mustika Wahyuning Tyas ◽  
Rachmah Indawati

Background: Volcanic ash due to volcanic eruptions has an impact on health. Volcanic ash can cause health problems such as irritation and acute respiratory infections (ARI). Purpose: This study aims to know the outlook of ARI cases before and after exposure to volcanic ash. Methods: This research is a descriptive observational study with a cross-sectional approach that used secondary data from Kepohbaru Health Centre. The population of this study was ARI patients in Kepohbaru Health Centre in February 2013 and February 2014. The sampling technique used is total sampling. The analysis used is univariate analysis. Results: The results of this study indicate that before exposure to volcanic ash, the majority of ARI cases were males (52.01%), age group 5–11 years (16.3%), and with no history of ARI (67, 85%). The majority of ARI patients after exposure to volcanic ash were female (53.67%), age group 5–11 years (15.5%), and with no history of ARI (58.37%). More cases of ARI occurred after rather than before exposure to volcanic ash. Conclusion: Before and after exposure, the most common cases of ARI were suffered by respondents in the age group 5–11 years who had no history of respiratory disease. The number of cases of ARI was higher after exposure to volcanic ash. ARI cases happened more on males before exposure, whereas after exposure, it happened more on females.


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.


Author(s):  
Neeta Dilip Rathod ◽  
Rushali Rajan Lilare

Background: Hypertension is one of the commonest health related risk factor in India, with the largest contribution to burden of disease and mortality. Awareness of hypertension in India is low while appropriate treatment and control among those with hypertension is even lower. This mainly effects the middle age adult populations especially in urban slum area are more vulnerable for hypertension as they are so busy with their job responsibilities, family commitments, economic stress etc. If hypertension is detected early it is possible to minimize the risk of heart attack, heart failure, and stroke and kidney failure. An estimated 18 per cent of men and 13 per cent of women with high blood pressure are not receiving treatment that could protect them from an early death. So it is necessary to study the prevalence of hypertension in adult population of 40 to 60 years in an urban slum and to study the socio- demographic profile of this population.Methods: A cross-sectional study was carried out in the field practice area of the T. N. Medical College, Mumbai during the period of July 2015 to June 2016. A total 350 participants in the age group of 40 to 60 years using systematic sampling technique from urban slum area were interviewed and examined. A pre-tested interview tool was used to collect necessary information. Blood pressure <120/80 mmHg (normal), 120/80 to 139/89 mmHg (pre hypertension) and >140/90 mmHg (hypertension).Results: Out of the 350 participants, 148 (42.3%) participants had normal blood pressure and 81 (23.1%) participants had pre-hypertension, 79 (22.6%) participants had stage I hypertension and 42 (12.0%) participants had stage II hypertension.Conclusions: Prevalence of hypertension and pre-hypertension was 34.5% and 23.1% respectively. Various factors like gender, increasing age, low physical activity (exercise), high BMI, history of addiction, history of extra salt intake and family history of hypertension was associated with hypertension.


2020 ◽  
Vol 22 (3) ◽  
pp. 173-180
Author(s):  
Bharati Shakya ◽  
N Shrestha ◽  
SR Shrestha

Diabetes mellitus is a chronic disease that through its complications can seriously impact the quality of life of an individual. The incidence of diabetes mellitus is starting to rise at a younger age. This study is carried out to determine the prevalence of diagnosed diabetes mellitus in productive aged persons and to study the association of socio-demographic characteristics, body mass index (BMI) and blood pressure among persons with and without diabetes mellitus. A community-based cross-sectional, observational study was conducted in Makalbari area. Systematic random sampling technique was used to select the households. The family members from those households who met the inclusion criteria were interviewed with self-constructed semi-structured questionnaire which included socio-demographic information of respondents. Height, weight and blood pressure were recorded. BMI was interpreted as per WHO guidelines and hypertension was defined as per Joint National Committee (JNC) VII guidelines. Among total 662 participants, 342 (51.7%) were female and 320 (48.3%) were male. About 196 (29.6%) of subjects were between 25 to 34 age group followed by 145(21.9%) of them in 35 to 44 age group. Prevalence of diagnosed diabetes mellitus in productive aged persons in urban area was 3.8%. The prevalence of BMI of ≥25 was 42.4%. Out of total subjects, maximum number of respondents were prehypertensive 406 (61.3%). Mean age of total participants was 37.9±13.59 and BMI was 24.15±3.89.The age of respondents was highly statistically significant among the persons with diabetes (p = 0.000). The number of diabetes mellitus increased with increase in age and BMI of the participants. Prevalence of diabetes mellitus was almost same in both male 13 (52.0%) and female 12 (48.0%). Diabetes mellitus was seen more in subjects who had completed secondary level education 11 (44.0%) and in homemakers and government job holders, 3 (33.3%) each. In conclusion, most of the people in productive age groups were preobese and were in prehypertensive stage which may increase the risk of acquiring diabetes mellitus in future. This necessitates the screening of more persons in productive age group for diabetes mellitus.


2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B77-B81
Author(s):  
Camilla Torlasco ◽  
Andrea Faini ◽  
Martino F Pengo ◽  
Claudio Borghi ◽  
Guido Grassi ◽  
...  

Abstract Cardiovascular (CV) diseases are burdened by high mortality and morbidity, being responsible for half of the deaths in Europe. Although hypertension is recognized as the most important CV risk factor, hypertension awareness, and blood pressure (BP) control are still unsatisfactory. In 2017 and 2018, respectively &gt;10 000 and &gt;5000 individuals took part in the May Measurement Month (MMM) campaign in Italy, of whom 30.6% and 26.3% were found to have high BP, respectively. To raise public awareness on the importance of hypertension and to collect BP data on a nation-wide scale in Italy. In the frame of the MMM campaign, an opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2019. BP measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. Screening was conducted in multiple sites by health personnel. Among the 10 182 people screened (females: 52.3%, mean age 58 ± 16years) mean BP was 127/78 mmHg, and 3171 (31.1%) participants had arterial hypertension, of whom 62.1% were aware of being hypertensive. Diabetes, body mass index &gt;25 kg/m2 were associated with higher BP and previous myocardial infarction with lower BP. For the third consecutive year we collected a nation-wide snapshot of BP control in a large sample of individuals. The high participation, with some yearly fluctuations likely due to the limitations of the sampling technique, confirms the power of this kind of health campaign in reaching a significant number of people to raise awareness on health topics.


2021 ◽  
Vol 9 (1) ◽  
pp. 19-24
Author(s):  
Sultana Sobnam Dipu ◽  
Md Tufael Hossain

This study was conducted to estimate vaccination coverage of infant and young children in a selected rural area of Mymensingh. This was done on the background that vaccine preventable diseases are major causes of under-5 mortality and morbidity in Bangladesh. Though EPI coverage in Bangladesh is high still there are reported cases of meningitis, pneumonia and measles. This was a community-based cross-sectional descriptive study conducted among 240 children belonging from birth to 24 months age group from Churkhai village of Bhavokhali union, Sadar Mymensingh during January 2019 as a part of Residential Field Site Training of 3rd year students under the guidance of Department of Community Medicine of Community Based Medical College Bangladesh. The sampling technique was purposive. A pre-designed, pre-tested questionnaire has been used to collect required information by face to face interviewing mothers of infant and young child with verification of immunization card. Out of total children between birth to 24 months age group surveyed, 121 (50.42%) were males and 119 (49.58%) were females. Most of them 217 (90.42%) were fully immunized and 23 (9.58%) were partially immunized. BCG vaccination was 100% though 19 (7.92%) were 2 months late. Pentavalent, PCV, b OPV, f IPV vaccination coverage was 92.89% each, though 5 (2.37%) were 2 months late. Measles-Rubella coverage was 83.04%. Vaccination coverage was better than the finding of other studies in Bangladesh and neighboring countries except Measles-Rubella coverage. We should motivate mothers to attain a full vaccination coverage of 100%. CBMJ 2020 January: Vol. 09 No. 01 P: 19-24


Author(s):  
Anup L. Kharde ◽  
Rutuja M. Phulambrikar ◽  
Jayant D. Deshpande ◽  
Varsha N. Mahavarkar ◽  
Amruta A. Kharde

Background: Hypertension causes morbidity as well as increases mortality either by acting independently or by affecting multiple organ system. Risk factors of hypertension are categorized as modifiable or non-modifiable risk factors. Early identification of these risk factors is not only essential for prediction of hypertension and but also to reduce effect associated with it.Methods: The present descriptive cross-sectional study was carried out at field practice area of tertiary care teaching hospital of western Maharashtra. Total 1537 sample sized was achieved using systematic random sampling technique. All the village individuals, both male and female, over 18 years of age were included in the study whereas, pregnant women, extremely debilitated persons and subjects who were not willing to give informed consent were excluded. A pre-designed and pre-tested questionnaire was used for data collection.Results: In present study the prevalence of hypertension and pre-hypertension was 11.49% (117). On regression analysis risk factors like age, BMI, high salt intake, family history of blood pressure etc., were found to be associated with hypertension.Conclusions: The present study showed a higher prevalence of both hypertension among the rural population and risk factors such as age, obesity, elite social class, high salt intake, family history of blood pressure were the predictors of the hypertension.


2017 ◽  
Vol 4 (4) ◽  
pp. 1179
Author(s):  
Chidambram Sudhakar ◽  
Raisur Rahman

Background: A significant number of population in India are below poverty line. It contributes to the higher incidence of malnutrition especially among children which is 48% according to NFHS-3 (National family Health survey). Blood Pressure tracking studies suggest that hypertension in adulthood often has its origin in childhood. Blood pressure in childhood is the best predictor of hypertension in later life. There have been very few studies on malnutrition and Hypertension association and none in this area. One rationale for screening for hypertension in children and adolescents is that early identification of primary hypertension could lead to interventions to reduce blood pressure during childhood and adolescence, resulting in a reduced risk for cardiovascular events and death in adulthood.Methods: The present cross sectional prospective study was conducted on School going children (5-14 years) belonging to lower socio-economic status attending schools from Bhilai, DistrictDurg Chhattisgarh, India, within 5 km range of Chandulal Chandrakar Memorial Hospital over a period of 12 months from March 2015 to February 2016.The present study took 300 sample size. List of schools was arranged from district education officer (DEO) and required government schools were shortlisted on within 5 km range of hospital. After short history and examination, as per the prerequisite of proforma, the following measurements were taken. For all the statistical analysis MS EXCEL and SPSS 16 (Statistical Package for Social Science) version were used. The information collected was tabulated and the data was analyzed using suitable statistics.Results: 60% of the subjects were belongs to 5-10 years of age and 40% in 10-14 years’ age group. Males and females were equal in distributions (50% each), thus there were 150 males and 150 females in the current study. Overall prevalence of malnutrition in our study was 38.6%. The present study found 88 subjects (29.3%) having grade 1 malnutrition and 28 subjects (38.7%) having grade 2 and 0 (0%) with grade 3 and grade 4 malnutrition. There were 2 pre-hypertensives in our study, out of which one was male and one female. When analyzed according to nutritional status, there were 2 hypertensives in malnourished group. Similarly. there was 1 hypertensive in normal nutritional status group.Conclusions: There is a significant prevalence of malnutrition in our society which contributes to a more number of problems than what is presented to practicing paediatricians. The prevalence is higher in children <5 years age group overall which continues through school age and adolescent age group as shown in our study. The focus of attention should be identification of various diseases along with hypertension at the earliest and prevention of malnutrition.


Sign in / Sign up

Export Citation Format

Share Document