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Explorar los determinantes de las disminuciones seculares en la presión arterial y la hipertensión en la infancia
1Department of Preventive Medicine, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-Gu, Seoul, Korea. youngk@amc.seoul.kr
Circulation
|July 7, 2011
Resumen
La presión arterial infantil disminuyó significativamente en los adolescentes coreanos durante una década, y la prevalencia de hipertensión disminuyó sustancialmente. Las razones exactas de estas tendencias de la presión arterial a nivel poblacional en los jóvenes siguen sin estar claras.
Área de la Ciencia:
- La pediatría es la medicina de los niños.
- Salud Cardiovascular La salud cardiovascular.
- Salud Pública La salud pública.
Sus antecedentes:
- La presión arterial infantil no se ve afectada significativamente por las intervenciones médicas o los cambios en el estilo de vida después del diagnóstico.
- Comprender los factores a nivel poblacional que influyen en la presión arterial y la hipertensión en los niños es crucial.
Objetivo del estudio:
- Examinar las tendencias seculares en la presión arterial infantil y la prevalencia de la hipertensión en Corea.
- Identificar posibles factores que contribuyen a los cambios observados en la presión arterial en adolescentes.
Principales métodos:
- Análisis de los datos de las 4 oleadas de la Encuesta Nacional de Salud y Nutrición de Corea (1998-2008).
- Inclusión de 5909 niños y niñas de 10 a 19 años.
- Análisis estadístico ajustado por edad y altura de la presión arterial y la prevalencia de hipertensión.
Principales resultados:
- La presión arterial sistólica promedio disminuyó significativamente tanto en los niños (8,7 mm Hg) como en las niñas (10,0 mm Hg) durante 10 años.
- La prevalencia de la hipertensión infantil y la pre-hipertensión / hipertensión disminuyó en un 52% a 86%.
- Estas disminuciones se produjeron en todas las edades, grupos socioeconómicos y no estaban vinculadas a cambios en la obesidad, comportamientos de salud, nutrición o factores sociodemográficos.
Conclusiones:
- Se observaron disminuciones significativas en la presión arterial a nivel de la población en niños y adolescentes coreanos (10-19 años) durante una década.
- Las causas subyacentes de estas tendencias seculares observadas en la presión arterial requieren una investigación adicional.
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