دورية أكاديمية
أعرض في EDS

Prevalence of and Factors Associated With High Blood Pressure at 15 Years of Age: A Birth Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Prevalence of and Factors Associated With High Blood Pressure at 15 Years of Age: A Birth Cohort Study.
المؤلفون: Petracco AM; Pontifícia Universidade Católica do Rio Grande do Sul Porto Alegre Brazil., Mattiello R; Postgraduate Program in Epidemiology Universidade Federal do Rio Grande do Sul Porto Alegre Brazil., Bortolotto CC; Postgraduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Brazil., Ferreira RW; Postgraduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Brazil., Matijasevich A; Department of Preventive Medicine Universidade de São Paulo São Paulo Brazil., de Barros FCLF; Postgraduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Brazil., Friedrich FO; Pontifícia Universidade Católica do Rio Grande do Sul Porto Alegre Brazil., Tovo-Rodrigues L; Postgraduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Brazil., de Barros AJD; Postgraduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Brazil., Santos IS; Postgraduate Program in Epidemiology Universidade Federal de Pelotas Pelotas Brazil.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2023 Dec 05; Vol. 12 (23), pp. e029627. Date of Electronic Publication: 2023 Nov 28.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Hypertension*/diagnosis , Hypertension*/epidemiology , Hypertension*/etiology, Pregnancy ; Adolescent ; Humans ; Male ; Infant, Newborn ; Female ; Cohort Studies ; Prevalence ; Risk Factors ; Blood Pressure/physiology ; Body Mass Index ; Weight Gain
مستخلص: Background: Arterial hypertension is the greatest cause of morbidity and mortality worldwide. Our aim was to investigate the prevalence of and factors associated with high blood pressure (HBP) among adolescents.
Methods and Results: The Pelotas 2004 Birth Cohort included 4231 newborns from hospital births in Pelotas, Brazil. A digital automatic OMRON sphygmomanometer (model HEM 742) was used to measure blood pressure on 3 occasions (at 6, 11, and 15 years of age). Those with blood pressure ≥95th percentile for age, height, and sex on each of the 3 occasions were considered as presenting HBP. Independent variables included family (income and history of arterial hypertension), maternal (schooling, age, pregestational body mass index, and smoking during pregnancy), and adolescent characteristics at birth (sex, skin color, gestational age, intrauterine growth, and systolic and diastolic genetic factors), and at 15 years (sleep, physical activity, sodium intake, screen time, work, body mass index, fat mass index, fat-free mass index, growth pattern, and puberty status). The prevalence of HBP (95% CI) was calculated. Crude and adjusted odds ratios (ORs) stratified by sex were obtained by logistic regression. A total of 1417 adolescents with complete information on blood pressure on the 3 occasions were analyzed. The prevalence of HBP was 3.2% (95% CI, 1.9%-4.5%) in female adolescents and 4.3% (95% CI, 2.8%-5.8%) in male adolescents. Female adolescents with a family history of arterial hypertension had a 3 times higher chance of HBP than their counterparts (OR, 3.1 [95% CI, 1.26-7.54]). In male adolescents, excessive maternal pregestational weight was associated with a 2.3-fold increase in the chance of HBP. In both sexes, excessive adolescent weight was associated with HBP (ORs, 3.5 and 5.0, for female and male adolescents, respectively). A higher fat mass index and fat-free mass index in female (ORs, 1.4 and 1.2, respectively) and male adolescents (ORs, 2.5 and 3.0, respectively) increased the chance of HBP. Among male adolescents, the chance of HBP was higher among those with rapid weight gain between 48 months and 6 years and between 6 and 11 years and rapid height gain between 6 and 11 years.
Conclusions: Higher fat mass in both sexes and rapid weight gain in male adolescents are risk factors for HBP in adolescents aged 15 years, potentially amenable to prevention.
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فهرسة مساهمة: Keywords: adolescent; blood pressure; cohort; high blood pressure
تواريخ الأحداث: Date Created: 20231128 Date Completed: 20231207 Latest Revision: 20240103
رمز التحديث: 20240103
مُعرف محوري في PubMed: PMC10727349
DOI: 10.1161/JAHA.123.029627
PMID: 38014655
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.123.029627