Presión arterial en adolescentes mexicanos: clasificación, factores de riesgo e importancia / Classifying Mexican adolescents' high blood pressure, associated factors and importance
Salcedo-Rocha, Ana L; García de Alba, Javier E; Contreras-Marmolejo, Margarita.
Rev. salud pública
; 12(4): 612-622, ago. 2010. tab
Article
in Spanish
| LILACS | ID: lil-574935
Objective Determining characteristics regarding risk and high blood pressure (HBP) frequency in a group of 12 to 16 year-old students from the city of León, Mexico, according to two types of classification the 7th Joint National Committee (JNC-7) and 4th report of the working group for diagnosis, evaluation and treatment of HBP in children and adolescents. Methods This was an observational, descriptive cross-sectional study of 458 male students. HBP was determined according to international standards after parents and students' informed consent had been obtained and they answered a questionnaire for recording clinical-epidemiological data. Blood pressure levels were classified as being normal, pre-HBP and hyper-HBP in accordance with the guidelines issued by the 7th National Joint Committee for detecting, evaluating and treating HBP (JNC-7) and the 4th report of the working group for diagnosis, evaluation and treatment of HBP in children and adolescents. Results 61.3 percent and 68.7 percent were found to have normal blood pressure, 34.9 percent and 20.7 percent were pre-HBP and 3.7 percent and 10.4 percent hyper-HBP according to JNC-7 and 4th report guidelines, respectively, whilst 71 percent and 66 percent had a family background of diabetes and HBP, 22 percent were overweight and obese and 24 percent had a background of alcohol consumption. Conclusions It is suggested that 4th report guidelines should be adopted in clinical practice whilst JNC-7 guidelines should be used for epidemiological studies. Accepting the pre-HBP concept and its early detection for preventing HBP will facilitate effective health promotion regarding changes in lifestyle.
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