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Screening for hypertension in a high school population.

D S Silverberg, C V Nostrand, B Juchli

    Canadian Medical Association Journal
    |July 26, 1975
    PubMed
    Summary

    A screening of 15,594 high school students found 2.2% had hypertensive readings. Follow-up revealed 12.2% of those confirmed with hypertension, with only one case of secondary hypertension identified.

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    Area of Science:

    • Pediatrics
    • Cardiology
    • Public Health

    Background:

    • Hypertension is a significant health concern in adolescents.
    • Early detection and management of high blood pressure in youth are crucial for long-term cardiovascular health.

    Purpose of the Study:

    • To determine the prevalence of hypertensive readings in high school students.
    • To assess the follow-up care and diagnosis rates for students identified with hypertension.
    • To investigate potential discrepancies in blood pressure measurements between school screenings and physician offices.

    Main Methods:

    • A screening program measured blood pressure in 15,594 high school students aged 15-20.
    • Students with hypertensive readings (≥150/95 mm Hg) were advised to see a physician.

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  • Follow-up data was collected at 6 months to track physician visits and confirmed diagnoses.

    • Main Results:

    • 2.2% (350/15,594) of students exhibited hypertensive readings.
    • Of those followed up (232 students), 67.2% visited a physician, and 12.2% had their hypertension confirmed.
    • Only one case of secondary hypertension was identified and surgically treated.
    • Blood pressure readings in physicians' offices were significantly lower than in school screenings, potentially due to cuff size differences.

    Conclusions:

    • School-based screenings can identify a notable percentage of adolescents with potential hypertension.
    • Effective follow-up and physician confirmation are essential for accurate diagnosis and management.
    • Discrepancies in measurement techniques, such as cuff size, may lead to underestimation of blood pressure in clinical settings.