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Original Article

Natl J Community Med. 2015; 6(3): 358-363


Pre-hypertension and Hypertension and its Determinants among School Adolescents of Rural Area of Indore- A Cross Sectional Study

Jayashri Bute, Aarti Sahsrabudhhe, Vinod Arora, Harilal Dabhi.

Abstract
"Background: Though hypertension is a problem of adults, but its etiologic process starts in childhood. Very little is known about hypertension among adolescents. Objectives of the study were to evaluate the prevalence of hypertension (HBP) and pre-hypertension (PHT) among the apparently healthy school children and to estimate the association of different risk factors with the HBP.
Methods: A cross sectional study was conducted during the period from August-December 2014.
Results: The prevalence of hypertension was detected to be 5.25% and pre-hypertension was 17.4%.Overall the mean systolic blood pressure and mean diastolic blood pressure were 113 ± 12.44 mm of Hg and 72.96 ± 8.95 mm of Hg respectively which was found to be similar in both sexes. The risk of high blood pressure significantly increased with age (p< 0.0001) Proportion of hypertension was higher among 71 (36.8%) adolescents, who were physically inactive as compared to 41 (13.6%) physically active adolescents which was found to be highly significant.[ OR= 0.26 (0.17-0.4) p < 0.0000001].The major risk factors was additional salt intake (p < 0.00013) & papad/pickle intake(p < 0.0080)OR = 0.59 (0.38-0.90) found to be significant.
Conclusion: In our rural population, the evaluation of blood pressure in children and adolescents is not a routine measure. Physical inactivity is reflecting increasing trend, along with changing dietary habits which is a major risk factor for hypertension."

Key words: Hypertension, Prevalence, Determinants, Rural community


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