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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

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Kidney Blood Press Res 2011;34:188–195

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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


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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)

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