Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Original Paper

Factors Influencing Adolescent Blood Pressure: The Debrecen Hypertension Study

Katona É.a · Zrínyi M.d · Komonyi É.a · Lengyel S.a · Paragh G.a · Zatik J.c · Fülesdi B.b · Páll D.a

Author affiliations

a1st Department of Medicine, and bDepartment of Anaesthesiology and Intensive Care, Medical and Health Center, and cDepartment of Obstetrics and Gynecology, University of Debrecen, Debrecen, Hungary; dWorld Health Organisation, Geneva, Switzerland

Corresponding Author

Dénes Páll, MD, PhD

1st Department of Medicine, Medical and Health Center

University of Debrecen, Nagyerdei krt. 98

HU–4032 Debrecen (Hungary)

Tel. +36 30 9 657 913, E-Mail pall.denes@gmail.com

Related Articles for ""

Kidney Blood Press Res 2011;34:188–195

Do you have an account?

Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



Abstract

Aim: To obtain epidemiological data on the blood pressure (BP) status of high school students and factors influencing BP. Methods: Subjects filled out a questionnaire and three repeated BP measurements were taken. All high school attending students in Debrecen (final sample n = 10,194, mean age 16.6 ± 1.0 years) participated in the study. Results: Boys had significantly higher systolic BP (+11.3 mm Hg) and diastolic BP (+2.2 mm Hg) than girls (p < 0.001). There was a positive correlation between weight and BP (rsyst = 0.42, rdiast = 0.29), height and BP (rsyst = 0.33, rdiast = 0.15), body mass index (BMI) and BP (rsyst = 0.31, rdiast = 0.27). Multiple regression was used for statistical analysis. Gender (β = 0.36), BMI (β = 0.25), hypertension of parents (father β = 0.04 and mother β = 0.02), smoking, alcohol consumption and age determined systolic outcomes in descending order. For the diastolic model, BMI remained a strong determining factor (β = 0.25) and gender was also significant (β = –0.09). Entering independents together accounted for 28.2% of the total variance in systolic and for 18.1% in diastolic BP. Conclusion: Body weight is central to determining BP. Because that is an alterable cardiovascular risk factor, we presume that lifestyle modification will not only result in reduced weight, but also in decreased BP.

© 2011 S. Karger AG, Basel


References

  1. Lurbe E, Cifkova R, Cruickshank JK, Dillon MJ, Ferreira I, Invitti C, et al: Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens 2009;27:1719–1742.
  2. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555–576.
  3. National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents. Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents. Pediatrics 1996;98:649–658.
  4. Pall D, Settakis G, Katona E, Csiba L, Kakuk G, Limburg M, et al: Debrecen Hypertension Study. Increased common carotid artery intima media thickness in adolescent hypertension: results from the Debrecen Hypertension Study. Cerebrovasc Dis 2003;15:167–172.
  5. Israeli E, Korzets Z, Tekes-Manova D, Tirosh A, Schochat T, Bernheim J, et al: Blood-pressure categories in adolescence predict development of hypertension in accordance with the European guidelines. Am J Hypertens 2007;20:705–709.
  6. Chen X, Wang Y: Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation 2008;117:3171–3180.
  7. Gillman MW, Cook NR: Blood pressure measurement in childhood epidemiological studies. Circulation 1995;92:1049–1057.
  8. Goonasekera CD, Dillon MJ: Measurement and interpretation of blood pressure. Arch Dis Child 2000;82:261–265.
  9. Pall D, Katona E, Fulesdi B, Zrínyi M, Zatik J, Bereczki D, et al: Blood pressure distribution in a Hungarian adolescent population: comparison with normal values in the USA. J Hypertens 2003;21:41–47.
  10. Sharma BK, Sagar S, Wahi PL, Talwar KK, Singh S, Kumar L: Blood pressure in schoolchildren in northwest India. Am J Epidemiol 1991;134:1417–1426.
  11. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ: Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004;113:475–482.
  12. Harrabi I, Belarbia A, Gaha R, Essoussi AS, Ghannem H: Epidemiology of hypertension among a population of school children in Sousse, Tunisia. Can J Cardiol 2006;22:212–216.
  13. Moore WE, Eichner JE, Cohn EM, Thompson DM, Kobza CE, Abbott KE: Blood pressure screening of school children in a multiracial school district: the Healthy Kids Project. Am J Hypertens 2009;22:351–356.
  14. Milligan RA, Burke V, Dunbar DL, Spencer M, Balde E, Beilin LJ, Gracey MP: Associations between lifestyle and cardiovascular risk factors in 18-year-old Australians. J Adolesc Health 1997;21:186–195.
  15. Nur N, Cetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, Sümer H: Prevalence of hypertension among high school students in a middle Anatolian province of Turkey. J Health Popul Nutr 2008;26:88–94.
  16. Chiolero A, Madeleine G, Gabriel A, Burnier M, Paccaud F, Bovet P: Prevalence of elevated blood pressure and association with overweight in children of a rapidly developing country. J Hum Hypertens 2007;21:120–127.
  17. Hansen ML, Gunn PW, Kaelber DC: Underdiagnosis of hypertension in children and adolescents. JAMA 2007;22;298:874–879.
    External Resources
  18. Ostchega Y, Carroll M, Prineas RJ, McDowell MA, Louis T, Tilert T: Trends of elevated blood pressure among children and adolescents: data from the National Health and Nutrition Examination Survey 1988–2006. Am J Hypertens 2009;22:59–67.
  19. Himmelmann A, Svensson A, Hansson L: Blood pressure and left ventricular mass in children with different maternal histories of hypertension: the Hypertension in Pregnancy Offspring Study. J Hypertens 1993;11:263–268.
  20. Mo R, Omvik P, Lund-Johansen P: The Bergen Blood Pressure Study. Offspring of two hypertensive parents have significantly higher blood pressures than offspring of one hypertensive and one normotensive parent. J Hypertens 1995;13:1614–1617.
  21. Brenner BM, Garcia DL, Anderson S: Glomeruli and blood pressure. Less of one, more the other? Am J Hypertens 1988;1:335–347.
  22. Hardy R, Sovio U, King VJ, Skidmore PM, Helmsdal G, Olsen SF, et al: EURO-BLCS Study Group. Birthweight and blood pressure in five European birth cohort studies: an investigation of confounding factors. Eur J Public Health 2006;16:21–30.
  23. Barker DJ, Osmond C, Forsen TJ, Kajantie E, Eriksson JG: Maternal and social origins of hypertension. Hypertension 2007;50:565–571.
  24. Pall D, Katona E, Fulesdi B, Zrinyi M, Takacs E, Polgar P, Kakuk G: Blood pressure values of high school students in Debrecen. The Debrecen Hypertension Study: methodological procedures and initials results. Hypertens Nephrol 2001;5:237–243.
  25. Stergiou GS, Yiannes NG, Rarra VC: Validation of the Omron 705 IT oscillometric device for home blood pressure measurement in children and adolescents: the Arsakion School Study. Blood Press Monit 2006;11:229–234.
  26. Coleman A, Freeman P, Steel S, Shennan A: Validation of the Omron 705IT (HEM-759-E) oscillometric blood pressure monitoring device according to the British Hypertension Society protocol. Blood Press Monit 2006;11:27–32.
  27. Jaber L, Eisenstein B, Shohat M: Blood pressure measurements in Israeli Arab children and adolescents. Isr Med Assoc J 2000;2:118–121.
  28. Paulus D, Saint-Remy A, Jeanjean M: Blood pressure during adolescence: a study among Belgian adolescents selected from a high cardiovascular risk population. Eur J Epidemiol 1999;15:783–90.
  29. Cordente-Martínez CA, García-Soidán P, Sillero-Quintana M, Stirling JR: Correlations between the blood pressure and other health variables in Spanish adolescents. Int J Adolesc Med Health 2009;21:635–651.
    External Resources
  30. Soyannwo MA, Kurashi NY, Gadallah M, Hams J, el-Essawi O, Khan NA, Singh RG, Alamri A, Beyari TH: Blood pressure pattern in Saudi population of Gassim. Afr J Med Med Sci 1998;27:107–116.
  31. Mijinyawa MS, Iliyasu Z, Borodo MM: Prevalence of hypertension among teenage students in Kano, Nigeria. Niger J Med 2008;17:173–178.
  32. Keijzer-Veen MG, Finken MJ, Nauta J, Dekker FW, Hille ET, Frölich M, et al: Dutch POPS-19 Collaborative Study Group. Is blood pressure increased 19 years after intrauterine growth restriction and preterm birth? A prospective follow-up study in The Netherlands. Pediatrics 2005;116:725–731.
  33. Hovi P, Andersson S, Räikkönen K, Strang-Karlsson S, Järvenpää AL, Eriksson JG, et al: Ambulatory blood pressure in young adults with very low birth weight. J Pediatr 2010;156:54–59.
  34. Kollias A, Antonodimitrakis P, Grammatikos E, Chatziantonakis N, Grammatikos EE, Stergiou GS: Trends in high blood pressure prevalence in Greek adolescents. J Hum Hypertens 2009;23:385–390.
  35. Flouris AD, Faught BE, Klentrou P: Cardiovascular disease risk in adolescent smokers: evidence of a ‘smoker lifestyle’. J Child Health Care 2008;12:221–231.
  36. Jorgensen RS, Maisto SA: Alcohol consumption and prehypertension: an investigation of university youth. Behav Med 2008;34:21–28.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 13, 2010
Accepted: February 17, 2011
Published online: April 18, 2011
Issue release date: May 2011

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 5

ISSN: 1420-4096 (Print)
eISSN: 1423-0143 (Online)

For additional information: https://www.karger.com/KBR


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.