Background: Hypertension in
children is a frequently overlooked problem that is an important
cardiovascular risk factor .
Aim: To determine the
prevalence of
hypertension among
school age
children . Material and
Methods: Cross-sectional study of 2980
children aged 10 ± 2years (48 percent
females ) from 10
schools of middle and lower class in Metropolitan Santiago.
Blood pressure (BP) was measured in the
sitting position on three occasions after a
rest period, using a
mercury sphygmomanometer with appropriate cuff
arm diameter, averaging the results of the measurements. Systolic and diastolic
hypertension were defined as
blood pressure values over 95percentilefor age,
sex and height.
Results: The overall
prevalence of
hypertension was 12.2 percent in
women and 15 percent in
men (p < 0.05). According to
nutritional status , the
prevalence was 6.7, 8.9,13.6 and 26 percent in
underweight , eutrophic,
overweight and obese
children , respectively (p < 0.01). Compared with normal weight
children , the
risk of being hypertensive for
overweight children was 1.6 (95 percent
confidence intervals (CI) 1.2-2.3) and for obese
children was 3.6 (95 percent CI 2.8-4.7).
Conclusions: The studied
children had a high
prevalence of
hypertension , that was directly related to a higher
body mass index .