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Published on: February 2, 2017
Risk factors associated with high blood pressure in two-to five-year-old children
Paula Azevedo Aranha Crispim1, Maria do Rosário Gondim Peixoto1, Paulo César Brandão Veiga Jardim1
1Universidade Federal de Goiás, GoiásGO, Brasil.
Insights
High blood pressure (BP) is increasingly common in children. This study found that overweight and younger children had a higher prevalence of high BP, highlighting the need for early identification of risk factors.
Area of Science:
- Pediatrics
- Cardiology
- Public Health
Background:
- Childhood high blood pressure (BP) prevalence has risen significantly in recent decades.
- Identifying early risk factors for pediatric hypertension is crucial for disease prevention.
- Several contributing factors to high BP in children are known.
Purpose of the Study:
- To determine the prevalence of high blood pressure (BP) in young children.
- To investigate associated risk factors for high BP in pediatric populations.
- To inform early intervention strategies for childhood hypertension.
Main Methods:
- A cross-sectional, population-based study was conducted in Goiânia, Goiás, Brazil.
- The study included 276 children aged two to five years.
- Data collected included BP, sociodemographics, birth weight, family history of high BP, passive smoking, breastfeeding, diet, physical activity, and nutritional status. Poisson regression analyzed risk factor associations.
Main Results:
- The prevalence of high blood pressure (BP) was 19.9% and overweight was 11.2% in the study cohort.
- Direct associations were found between high BP and increasing age (PR = 2.3) and overweight (PR = 2.0).
- No other investigated variables showed a significant association with high BP in children.
Conclusions:
- The prevalence of high blood pressure (BP) among children in this study was notably high.
- Overweight status and younger age were identified as significant factors associated with a greater prevalence of high BP.
- These findings underscore the importance of monitoring weight and age in the context of pediatric hypertension.
Background:
Over recent decades, the prevalence of high blood pressure (BP) has increased among children. Several risk factors are involved in the genesis of high BP during childhood, and their early identification can prevent the development of that disease.
Objectives:
To assess the prevalence of high BP and associated factors in children.
Methods:
Cross-sectional, population-based study, carried out at the household. This study included 276 two- to five-year-old children in the city of Goiânia, state of Goiás, and assessed their BP, sociodemographic characteristics, birth weight, high BP family history, passive smoking, maternal breastfeeding, dietary habits, sedentary lifestyle and nutritional status. Poisson regression was used to assess the association between risk factors and high BP.
Results:
Their mean age was 3.1 ± 0.79 years, and high BP and overweight were observed in 19.9% and 11.2% of the children, respectively. Direct association of high BP was identified with age [prevalence ratio (PR) = 2.3; 95%CI: 1.2 - 4.8; p = 0.017] and overweight (PR = 2.0; 95%CI: 1.2 - 3.6; p = 0.014). No other variable associated with high BP.
Conclusions:
The prevalence of high BP in children was high. Overweight and younger children had greater prevalence of high BP.
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