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Child Blood Pressure Profile in Bali, Indonesia
Dyah Kanya Wati1, Putu Cintya Denny Yuliyatni2, I Made Krisna Dinata3
1Department of Child Health, School of Medicine Udayana University, Sanglah Denpasar Hospital, Denpasar, Indonesia.
Insights
Hypertension in children is a significant concern in Bali, with over half of those studied showing increased blood pressure or hypertension. Early detection and intervention are crucial to prevent long-term health issues in pediatric populations.
Area of Science:
- Pediatric Cardiology
- Public Health
- Epidemiology
Background:
- Controlling hypertension early in life is vital for reducing adult mortality and morbidity.
- Uncontrolled childhood blood pressure can lead to serious health conditions like heart disease and organ damage.
- Lifestyle changes are increasing childhood hypertension rates, necessitating local data.
Purpose of the Study:
- To determine the prevalence of elevated blood pressure and hypertension among children in Bali.
- To provide essential data on pediatric hypertension in Indonesia.
Main Methods:
- A cross-sectional study design was employed.
- Multistage random sampling selected 3 regencies from 9 in Bali.
- Sampling considered socio-economic stratification based on regional economic growth and per capita income.
Main Results:
- The prevalence of elevated blood pressure and hypertension was 54.8% (689 out of 1257 children).
- Prevalence was higher in children over 12 years (62.2%) compared to those 12 years and under (47.3%).
- Obesity (51.4%) and 'Nutrition More' (52.9%) showed higher prevalence, as did children with a family history of hypertension (60.3%).
Conclusions:
- A notable prevalence of hypertension exists in children in Bali.
- Targeted health initiatives are required to mitigate future health impacts.
- Multiple factors, including age, nutritional status, and family history, influence childhood hypertension.
Background:
Mortality and morbidity in an adult will be reduced by controlling hypertension from an early age. Uncontrolled blood pressure since children can contribute to diseases such as heart disease, organ damage, and decreased quality of life. As changes in lifestyle, it is estimated that hypertension in children will continue to increase. Until now, data regarding the profile of blood pressure in children in Indonesia is still lacking.
Aim:
The purpose of this study was to determine the prevalence of increased blood pressure and hypertension in children in Bali.
Methods:
This study was a cross-sectional study. The sampling technique in this study was multistage random sampling, that is, from 9 regencies in Bali, the selection of 3 regencies to be sampled according to socio-economic stratification based on regional economic growth and regional per capita income in Bali Province.
Results:
From 1257, samples examined the prevalence of increased blood pressure, and hypertension was 689 children (54.8%). From the age group, the prevalence of an increase in blood pressure and hypertension in the age group ≤ , 12 years was 47.3%, and in the age group > 12 years was 62.2%. Increased blood pressure in nutritional status including Obesity 51.4%, Nutrition More 52.9%, Good Nutrition 42.2%, Nutrition Less 43.9%, Malnutrition 50.0%. In families with a history of hypertension, the prevalence of increased blood pressure and hypertension in subjects was 60.3% and in families without a history of hypertension was 43.4%.
Conclusion:
It can be concluded that there is still a prevalence of hypertension in children in Bali. Health efforts are needed so that they can minimise the further health impact that might occur. It should also be noted that various factors can influence the prevalence of increased blood pressure and hypertension in children.
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