Prevalence Of High Blood Pressure Research Articles

High Blood Pressure in Children Aged 3 to 12 Years Old With Overweight or Obesity.

Objective: (1) To describe the prevalence of high blood pressure (BP) and the association with BMI in young children with overweight/obesity; (2) to evaluate the accuracy of a single high BP to diagnose sustained hypertension over three visits. Methods: We used pre-intervention data from the Improving Pediatric Obesity Practice Using Prompts (iPOP-UP) trial. We included children aged 3-12 years with BMI ≥85th percentile at well-visits in 2019-2021 at 84 primary care practices in 3 US health systems in the Northeast, Midwest, and South. BP percentiles were calculated from the first visit with BP recorded during the study period. Hypertensive-range BP was defined by the 2017 American Academy of Pediatrics guideline. We tested the association between BMI classification and hypertensive BP using multivariable logistic regression. Results: Of 78,280 children with BMI ≥85th percentile, 76,214 (97%) had BP recorded during the study period (mean 7.4 years, 48% female, 53% with overweight, and 13% with severe obesity). The prevalence of elevated or hypertensive BP was 31%, including 27% in children with overweight and 33%, 39%, and 49% with class I, II, and III obesity, respectively. Higher obesity severity was associated with higher odds of hypertensive BP in the multivariable model. Stage 2 hypertensive BP at the initial visit had specificity of 99.1% (95% confidence interval 98.9-99.3) for detecting sustained hypertension over ≥3 visits. Conclusions: High BP is common in 3- to 12-year-olds with overweight/obesity, with higher obesity severity associated with greater hypertension. Children with overweight/obesity and stage 2 BP are likely to have sustained hypertension and should be prioritized for evaluation. Trial Registration: ClinicalTrials.gov Identifier: NCT05627011.

Sleep duration and consumption of ultra-processed foods among Brazilian adolescents

BackgroundSleep duration influences the dietary pattern and quality of life of adolescents and is associated with increased ultra-processed food (UPF) consumption among those with inadequate sleep duration, which may be related to the increased prevalence of obesity, insulin resistance, and high blood pressure in this age group. Thus, the study objective was to verify the association between sleep duration and UPF intake among Brazilian adolescents participating in the Study of Cardiovascular Risks in Adolescents (ERICA). MethodsCross-sectional study using ERICA data, conducted between March 2013 and December 2014 with adolescents aged 12 to 17 years from public and private schools in Brazilian cities with more than 100,000 inhabitants. UPF consumption was obtained by recording a 24-hour food diary and was used as the outcome variable (in grams). The sleep duration was obtained through a questionnaire, stratified into recommended sleep duration (eight to 10 hours) and inadequate sleep duration (less than 8 hours and more than 10 hours). Linear regression was performed to verify the association between sleep duration and UPF consumption. The analyses were carried out using Stata. Results66,791 adolescents were included in the study, 55.94% of whom had inadequate sleep duration. Regardless of sleep duration, male adolescents had a higher average UPF consumption, as did adolescents in the 14-15 age group, who belong to the high socioeconomic score. Adolescents who slept less than 8 or more than 10 hours a night (inadequate sleep duration) showed an increase in UPF consumption compared to adolescents who complied with the recommended hours of sleep (37.20 (22.64 – 51.76). ConclusionThe results show the importance of healthy lifestyle habits, such as adequate sleep duration and healthy eating, for health promotion. Food and Nutrition Education actions in schools are recommended to warn about the harm of inadequate sleep time and excessive UPF consumption.

Health literacy and high blood pressure among Myanmar migrant workers in Northeastern Thailand.

Hypertension, related to serious consequences unless diagnosed and treated, is a global concern, also affecting migrant workers. Due to the high prevalence of hypertension among migrant workers in Thailand, the influences of health literacy and other factors on blood pressure were needed to explore among Myanmar migrant workers in Northeastern Thailand. Hence, this study aimed to identify the prevalence of high blood pressure (HBP), its association with health literacy and other factors among Myanmar migrant workers in Northeastern Thailand. A cross-sectional analytical study was conducted in Northeastern Thailand. A multistage sampling procedure was applied. Data was gathered through interviews utilizing validated and reliable structured questionnaire. Descriptive statistics and inferential statistics with multiple logistic regression were used. Among 406 participants, about 60% were male and about 70% of them were married. The prevalence of overall HBP was 63.3% (95% CI: 58.49-67.86), 52% in females and 71.86% in males. Participants with limited health literacy were 79% more likely to have HBP than those with excellent and adequate health literacy (AOR = 1.79, 95% CI: 1.13-2.84). Other factors substantially linked with having HBP were being male gender (AOR = 4.68, 95% CI: 2.81-7.78), being overweight (AOR = 2.23, 95% CI: 1.18-4.23), being obese (AOR = 5.69, 95% CI: 2.96-10.96), not having health insurance (AOR = 2.01, 95% CI: 1.11-3.66), staying in Thailand for more than 48 months (AOR = 2.4, 95% CI: 1.48-3.9), and having family history of hypertension (AOR = 2.07, 95% CI: 1.28-3.35). In conclusion, more than half of Myanmar migrant workers had HBP. Factors associated with HBP were limited health literacy, male gender, overnutrition, lack of health insurance, longer duration of stay in Thailand and having family history of hypertension. Therefore, there is a need for a multifaceted strategy to prevent hypertension and its consequences by promoting health literacy as well as by enhancing good behavioural practice among this community.

Oral contraceptives in adolescents: a retrospective population-based study on blood pressure and metabolic dysregulation.

This study aimed to explore the relationship between oral contraceptive use and blood pressure values and in a national cohort of women adolescents and to investigate the level of coexistence of the high blood pressure levels, dyslipidemia or insulin resistance. This is a retrospective cohort study that evaluated data form 14,299 adolescents aged 14 to 17years. Crude and race-and age-adjusted analyses were performed using Poisson regression to estimate the prevalence ratios. Data clustering analysis was performed using machine learning approaches supported by an unsupervised neural network of self-organizing maps. We found that 14.5% (n = 2076) of the women adolescents use oral contraceptives. Moreover, an increased prevalence of high blood pressure, dyslipidemia, and insulin resistance (all P < 0.001) was observed among adolescents who use oral contraceptives as compared to those who do not. Our analysis also showed that 2.3% of adolescents using oral contraceptives had both high blood pressure levels and dyslipidemia, whereas 3.2% had high blood pressure levels combined with insulin resistance (all P < 0.001). The algorithmic investigative approach demonstrated that total cholesterol, LDLc, HDLc, insulin, and HOMA-IR were the most predicted variables to assist classificatory association in the context of oral contraceptive use among women adolescents with high blood pressure. These findings suggest that oral contraceptives were associated with an increased prevalence of high blood pressure, dyslipidemia, and insulin resistance among women adolescents. Although the indication of this therapy is adequate to avoid unintended pregnancies, their use must be based on rigorous individual evaluation and under constant control of the cardiometabolic risk factors.

RELATIONSHIP OF NOISE INTENSITY WITH INCREASED BLOOD PRESSURE IN WORKERS IN THE TURBINE AND BOILER AREA MANUFACTURING COMPANY

Introduction: Manufacture company is a company focusing on the plantation located in Ogan Ilir Regency. In detail, this company is engaged in the agribusiness of sugar cane plantations and a sugar manufacturing factory. In the production/processing system in the manufacturing company, there is a large noise in the work area, namely the turbine and boiler. These workers are exposed to continuous daily noise in their work environment, which can cause health problems, including increased blood pressure. High blood pressure prevalence in workers exposed to noise levels greater than 75 dB(A) was 82,4%. Aims: To analyze the relation of noise intensity to blood pressure increase in workers in the Turbine and Boiler area of the manufacturing company. Method: The study uses a cross-sectional study. The number sample in this study is 80 workers. Data analysis was using univariate and bivariate analysis with Chi-square and Fisher’s exact test. Result: The study shows that the majority of workers' blood pressure is not increased by 46 workers (57.5%) greater than workers whose blood pressure is increased by 34 workers (42.5%). Factors influencing the increase in blood pressure were noise intensity, age, years of service, length of exposure, and ear protection usage, and there is no relationship between smoking habits and sports habits with increased blood pressure. Conclusion: There are five variables related to noise intensity and blood pressure increase, and the area with the highest noise threshold value is the combustion kitchen boiler area.

A Cross-Sectional Study on the Role of a Lab Test Screening Program in Defining Cardiovascular Disease Risk Prevalence.

Recent epidemiologic studies carried out in Romania confirmed an ascending trend for cardiovascular disease (CVD) risk factor prevalence such as diabetes mellitus (DM), obesity and dyslipidemia. The aim of this study is to describe the CVD risk factor profile and preventative behavior in a representative sample of the general adult population of an Eastern Romanian urban area. More than 70% of the studied population had a body mass index (BMI) above the normal range for their age, with 36.7% of the subjects residing in obesity and severe obesity clusters. For overweight and obese subjects, the number of comorbidities (CVD, arterial hypertension and DM type 2) was higher than in the population with normal weight (44% vs. 31%, 22% vs. 14% and 18% vs. 10%, respectively). The prevalence of high blood pressure was almost double that reported in previous Romanian studies (69.3% vs. 36.6%) and higher than expected, based on self-reported known CVD diagnoses (37.5%). There was a visible difference between the results obtained for quantifiable CVD risk factors and self-reported lifestyle ones. Routine blood test monitoring may be an easy and inexpensive tool to guide educational and medical interventions to address modifiable CV risk factors in the adult population in order to prevent the fatal consequences of cardiovascular disease.

Exploring determinants of sex and family history-based disparity in type 2 diabetes mellitus prevalence among clinical patients

BackgroundType 2 diabetes mellitus represents a multifaceted disorder characterized by intricate pathophysiological mechanisms, encompassing diminished insulin secretion, augmented hepatic glucose production, and heightened insulin resistance. This study aims to assess the sex (Male and Female only) and family history-based differences in the prevalence of T2DM and explore the determinants contributing to this disparity among clinical patients.Subjects and methodsThe study encompassed a diverse pool of clinical patients, encompassing both individuals with diabetes and those without the condition, who had previously sought medical attention for clinical checkups at healthcare centers. The collected data included essential parameters such as blood pressure, weight, height, smoking habits, educational background, and physical activity levels. To ensure methodological rigor and data accuracy, blood pressure measurements adhered to the stringent guidelines set forth by the World Health Organization.ResultsParticipants of the present study reported diabetes, among which notable findings emerged regarding health indicators. It was observed that the prevalence of high blood pressure, obesity, and high blood cholesterol exhibited a statistically significant increase among the female participants, underscoring the sex-based disparities in these health parameters. The male population aged 60 or older, the presence of a family history of DM accentuated this risk, resulting in a striking 3.1 times higher prevalence compared to females, who exhibited a 2.4 times higher risk (OR = 2.4, p = 0.0008). This intriguing relationship between diabetes and cholesterol levels was not limited to sex. Both male (OR = 2.47) and female (OR = 2.1) diabetes patients displayed highly significant associations with cholesterol levels. The risk of T2DM was significantly associated with triglycerides in both sexes (1.58 times higher in males, and 1.71 times higher in females).ConclusionsThe significance of hypertension as a comorbidity in T2DM, highlighting sex-specific associations and the potential impact of a family history of diabetes on blood pressure. Our findings emphasize the importance of considering lipid profiles, obesity, and their sex-specific associations when assessing and managing diabetes risk. Comprehensive diabetes care should include strategies for lipid control, weight management, and cardiovascular risk reduction, tailored to the individual’s sex and specific risk profile.

Unveiling Urinary Incontinence: A Holistic Examination of Demographics, Risk Factors, and Pregnancy-Associated Dynamics

The pervasiveness of urinary incontinence (UI) is very high in pregnant females due to various physiological changes during pregnancy. So, its global burden has increased to 41%. Objective: To determine the demographics, physical activity, family history and mode of delivery as possible factors responsible for UI among females during pregnancy. Methods: A cross-sectional observational study was conducted for one year in Rural Health Centres Kangra and Kot Najibullah, District Haripur, Khyber Pakhtunkhwa, Pakistan, from Dec 1 2022 to Nov 30, 2023, involving 311 women aged 25-45 years, examining UI. It encompasses demographic profiles, prevalent risk factors, and nuanced dimensions during pregnancy. The findings delineate the participants' demographic characteristics, showcasing an average middle age with indications of overweight status. Results: It highlights the multifaceted nature of UI by associating it with various comorbidities, notably emphasizing the prevalence of high blood pressure and diabetes mellitus. The detailed exploration of UI during pregnancy reveals the predominance of stress-based types and varying severity levels. Moreover, this study offers insights into the impact of pregnancy on UI, illustrating a notable increase post-pregnancy. Conclusions: The information related to UI and its associated factors contributes valuable knowledge to healthcare professionals and physicians. They can provide tailored interventions and supportive therapeutic strategies to the individuals affected by UI and its etiological factors.  

Changing pattern of high blood pressure in Rumuomasi: A semi-urban community in southern Nigeria

Background: Hypertension is the largest contributor to global burden of disease with uncontrolled hypertension rising from 600million to nearly 1billion. Nigeria, as the most populous country in Africa, is not immune to the trend of global health and is even more vulnerable considering her population growth rate and lifestyle challenges. This study therefore aims to identify the prevalence of high blood pressure in the semi-urban community in southern Nigeria. Methods: 199 subjects participated in this community-based cross-sectional descriptive study conducted among adults age ≥18 years in an outreach held by GoodHeart and life support initiative in November 2023 at Rumuomasi community in Obio/Akpor Local Government Area in Port Harcourt Rivers state, Nigeria. Biodata was collected and blood pressure was measured using a mercury sphygmomanometer. Results: Of the 199 subjects that participated in this study, 63 (31.66%) were males and 136 (68.34%) females with a mean age of 48.5 ± 14.33 years. The prevalence of high blood pressure in the study population stands at 71.86% (n = 143). Among the hypertensive, 100 were females and 43 males. Early detection and treatment are crucial and should be encouraged, especially in an environment where ignorance and poverty hinder proper health-seeking behavior.

The Effects of Noise Pollution on the Prevalence of High Blood Pressure and Abnormal Pulse Rate on Workers in select Industries in Nnewi

This study investigates the impact of noise pollution on the prevalence of high blood pressure and abnormal pulse rate among workers in selected industries in Nnewi, Nigeria. Utilizing a cross-sectional design, the research encompassed 250 workers exposed to varying levels of noise pollution. Data on blood pressure, pulse rate, and noise exposure were collected and analyzed using descriptive and inferential statistics. The findings reveal a significant correlation between prolonged exposure to high noise levels and increased instances of high blood pressure and abnormal pulse rates among the participants. These outcomes underscore the critical need for stringent noise control measures and regular health monitoring in industrial settings to mitigate the adverse health effects associated with noise pollution. This research contributes to the body of knowledge on occupational health, emphasizing the importance of creating a safer work environment to enhance workers' wellbeing.

Hubungan Gaya Hidup, Dukungan Keluarga dan Peran Petugas Kesehatan Serta Kepatuhan Mengkonsumsi Obat Anti Hipertensi pada Pasien Prolanis Hiperetensi dengan Tekanan Darah Terkontrol di Puskesmas Tembiahan Kota Tahun 2023

The prevalence of high blood pressure in the population aged 18 years and above increased from 25.8% to 34.1%. The significant increase in cases of non-communicable diseases is expected to increase the burden on society and government, because handling it requires large costs and requires high technology. The purpose of this study was to determine the relationship between lifestyle, family support and the role of health workers and compliance with taking medication with controlled blood pressure at the Tembilahan City Health Center in 2023. The research method uses quantitative methods with a Cross Sectionl design approach. The number of samples in this study amounted to 160 hypertension prolanis patients. The sample technique used was Proposional stratified Random Sampling. Data collection through primary data by distributing questionnaires with independent variables (diet, smoking habits, physical activity, stress conditions, family support, the role of health workers and compliance with drug consumption) and the dependent variable is controlled blood pressure. The results of this study indicate that there is a significant relationship between adherence to taking anti-hypertensive drugs (p value = 0.000 and OR 14.744), smoking habits (p value = 0.000 and OR 7.082), diet (p value = 0.000 and OR 4.899), family support (p value = 0.012 and OR 2.977), with controlled blood pressure in hypertension prolanis patients. The variable of adherence to taking anti-hypertensive drugs is the dominant factor that most influences controlled blood pressure in hypertension prolanis patients with an OR value of 14.744.

Body weight and blood pressure changes on dolutegravir-, efavirenz- or atazanavir-based antiretroviral therapy in Zimbabwe: a longitudinal study.

Dolutegravir (DTG) is widely used for antiretroviral therapy (ART). We compared weight and blood pressure trends and examined the association between high blood pressure and weight gain among people living with HIV (PLHIV) switching to or starting DTG-based, efavirenz (EFV)-based and ritonavir-boosted atazanavir (ATV/r)-based ART in Zimbabwe. PLHIV aged 18 years or older who started or switched to DTG, EFV or ATV/r-based ART between January 2004 and June 2022 at Newlands Clinic in Harare, Zimbabwe, were eligible. Weight was measured at all visits (Seca floor scales); blood pressure only at clinician-led visits (Omron M2 sphygmomanometer). We used Bayesian additive models to estimate trends in weight gain and the proportion with high blood pressure (systolic >140 mmHg or diastolic >90 mmHg) in the first 2 years after starting or switching the regimen. Finally, we examined whether trends in the proportion with high blood pressure were related to weight change. We analysed 99,969 weight and 35,449 blood pressure records from 9487 adults (DTG: 4593; EFV: 3599; ATV/r: 1295). At 24 months after starting or switching to DTG, estimated median weight gains were 4.54 kg (90% credibility interval 3.88-5.28 kg) in women and 3.71 kg (3.07-4.45 kg) in men, around twice that observed for ATV/r and over four-times the gain observed for EFV. Prevalence of high blood pressure among PLHIV receiving DTG-based ART increased from around 5% at baseline to over 20% at 24 months, with no change in PLHIV receiving EFV- or ATV/r-based ART. High blood pressure in PLHIV switching to DTG was associated with weight gain, with stronger increases in the proportion with high blood pressure for larger weight gains. Among PLHIV starting ART or switching to a new regimen, DTG-based ART was associated with larger weight gains and a substantial increase in the prevalence of high blood pressure. Routine weight and blood pressure measurement and interventions to lower blood pressure could benefit PLHIV on DTG-based ART. Further studies are needed to elucidate the mechanisms and reversibility of these changes after discontinuation of DTG.

Monitoring risk factors for dementia in middle-aged and older adults: a longitudinal study.

To compare the prevalence of risk factors for dementia in middle-aged and older adults over a two-year period and to identify what variables in baseline were predictive of cognitive decline in the follow-up. Longitudinal and quantitative study, with follow-up evaluation after two years, conducted with 200 participants aged 45 years or more, registered in Primary Care Units. In the baseline (2018/2019) and follow-up (2021) assessments, sociodemographic data were collected, and cognitive performance and risk factors for dementia were evaluated (education, hearing loss, head trauma, high blood pressure, alcohol use, obesity, smoking, depressive symptoms, social isolation, physical inactivity, and diabetes mellitus). Data were compared using the McNemar's test. Individual multinomial logistic regression models were performed to identify the factors associated with cognitive decline after two years. The percentages of low education, traumatic brain injury, and smoking remained the same in both assessments. There was a significant increase in the prevalence of high blood pressure (from 55.0 to 62.0%) and physical inactivity (from 58.5 to 74.5%) and a significant reduction in social isolation (from 25.0 to 18.0%). Participants with depressive symptoms in baseline had a higher risk of cognitive decline in follow-up. There was an increase in the prevalence of high blood pressure and physical inactivity and a reduction in social isolation after two years. Depressive symptoms predict cognitive decline.

Prevalence of High Blood Pressure in Pregnant Women in Aljouf, Saudi Arabia

Raised blood pressure during pregnancy may result in the death of the mother and the fetus. In frontline healthcare settings, there aren't enough studies on its prevalence and associated factors. Our goal was to assess the prevalence of HBP and its risk factors among pregnant women in the Aljouf area. A cross-sectional study conducted in the obstetrics department of Maternity and Children Hospital (MCH) Sakaka, Aljouf, Saudi Arabia, included a pregnant woman with high blood pressure (HBP). A multivariable logistic regression analysis was used to determine the causes of HBP. A bout 451 pregnant women with high blood pressure were included among 3750 other pregnant women. In general, the prevalence of HBP was 12% (95% confidence interval [CI] 0.7-2.3); among women, it was 0.7% (95% CI 0.3-1.1), 1.6% (95% CI 0.8-2.1), and 3% (95% CI 1.2-8.6) in the first, second, and third trimesters, respectively. Trimester of pregnancy, age, income, occupation, and parity, were not linked to HBP during pregnancy in the multivariable analysis. HBP was present in 12% of pregnant women in the Aljouf region, which is considered to be of moderate-high prevalence. High blood pressure during pregnancy can harm both the mother and the fetus. As a result, the prevalence research has the benefit of encouraging medical professionals to conduct early screening, which helps with prevention, treatment, and also decreases the burden of negative pregnancy outcomes

Stakeholder-Informed Solutions To Address Barriers for Alcohol Screening and Brief Intervention in Thai Hypertension Care.

Premature deaths from NCDs disproportionately affect people in low- and middle-income countries. Since alcohol use is one of the most common causes of reversible hypertension, interventions targeting alcohol use may be a feasible and effective low-cost approach to synergistically reduce the prevalence of harmful drinking and high blood pressure. This study sought to identify key factors in successfully implementing alcohol use screening and brief intervention in hypertension care in Thailand. For this purpose, we surveyed participants (NRound 1 = 91, NRound 2 = 27) from three different groups of Thai stakeholders (policy- and decisionmakers, primary healthcare practitioners, and patients diagnosed with hypertension) in a two-round stakeholder elicitation. In round 1, we identified limited resources, lack of clear guidelines for lifestyle intervention, stigmatization, and inconsistent monitoring of patients' alcohol use as important barriers. In round 2, we sought to elicit solutions for the barriers identified in round 1. While stakeholders emphasized the need for adaptability to existing realities in Thai primary healthcare such as a high workload and limited digitization, they favorably evaluated a digital alcohol assessment tool with integrated, tailored advice for brief intervention as a potential scalable solution. Findings suggest that as one possible route to reduce the NCD burden caused by hypertension in Thailand, primary healthcare services may be enhanced by digital tools that support resource-effective, intuitive, and seamless delivery of alcohol screening and brief intervention.

Prevalence of undiagnosed hyperglycemia and hypertension among middle-aged adults in Vietnam: A community-based study

BackgroundThe information on prevalence of undiagnosed hyperglycemia, and hypertension among the adult in Vietnam is limited. The aim of this study was to identify the prevalence of undiagnosed intermediate hyperglycemia, hyperglycemia, and hypertension and some associated factors among adults aged ≥40 years living in Ba Vi district in Hanoi, Vietnam. MethodsA cross-sectional study was conducted among 1814 adults aged ≥40 years nine communes in Ba Vi district, a semi rural area, in Hanoi, Vietnam. Lists of the adults aged ≥40 years living in nine communes, who reported undiagnosed for hypertension, and diabetes, were made. From the lists, the participants were randomly selected based on the selection criteria. Participants were people who reported they are free of hypertension, diabetes, prediabetes at the day of data collection. Participants were collected information on sociodemographic characteristics, blood pressure measurement, and 3 ml fasting venous blood samples by certified phlebotomists. The main study outcomes variables were intermediate hyperglycemia, hyperglycemia, and hypertension. ResultsPrevalence of undiagnosed intermediate hyperglycemia, hyperglycemia, and hypertension among the participants were 47.8 %, 8.2 %, and 40.0 %, respectively. Higher prevalence of undiagnosed intermediate hyperglycemia (53.3 % vs 46.2 %), hyperglycemia (13.5 % vs 7.9 %), and high blood pressure (52.8 % vs 33.9 %) were found among males compared with females. ConclusionHigh prevalence of undiagnosed intermediate hyperglycemia, hyperglycemia, and hypertension were found in the middle-aged adults in Vietnam. Improving the individual's awareness and early screening for diabetes, and hypertension in adults for timely management are necessary.

Prevalence of high blood pressure in periodontal patients: A pilot study.

Arterial hypertension and periodontal diseases are pathologies with a high prevalence worldwide. Recent evidence suggests a possible causal relationship between them. Patients with moderate or severe periodontitis tend to have higher blood pressure measurements and a 30% to 70% higher likelihood of developing hypertension. The aim of this cross-sectional pilot study was to ascertain the prevalence of high blood pressure in patients with periodontitis. The study included 40 patients diagnosed with periodontitis who required non-surgical periodontal treatment. Demographic, periodontal and clinical characteristics, including blood pressure measurements, were registered. Fifteen percent of the patients were classified as hypertensive (n = 6), 67.5% as high-normal (n = 27) and 17.5% as normotensive (n = 7). Recent studies have estimated that the prevalence of highnormal blood pressure in the general population ranges between 30% and 50%. These findings suggest that patients with periodontal disease are more likely to have elevated blood pressure than patients with healthy periodontal tissues. High-normal blood pressure is associated with a 3 times higher likelihood of developing hypertension, so early detection and prevention are crucial public health strategies. Despite the limitations of this pilot study, it highlights the role of dentists in the prevention, diagnosis and blood pressure control to improve health and cardiovascular risk of patients with periodontitis.

Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru

ABSTRACT Background Gaps exist along the high blood pressure (HBP) diagnosis-treatment-control pathway in high, low and middle-income countries. Objective To determine the prevalence of HBP and to describe the levels of awareness, control and treatment of HBP in the rural Peruvian Andes. Methods This cross-sectional study is embedded into a multigenerational cohort. We analysed data of all adult participants aged ≥ 30 years (n = 2752) who answered a baseline health and lifestyle questionnaire and underwent a physical examination, which included three blood pressure readings. HBP was defined as measured systolic or diastolic blood pressure (BP) ≥140 and/or 90 mm Hg and/or self-reported physician-diagnosed hypertension and/or self-reported antihypertensive intake. The determinants of the prevalence of HBP, unawareness of HBP and uncontrolled HBP were assessed using mixed-effect logistic regressions. Results HBP was present in 18.9% of the participants. Of those with measured HBP, 72.2% were unaware of their HBP. Among those with a diagnosed or medically treated hypertension, 58.4% had uncontrolled HBP. The prevalence of HBP was higher in women (OR: 1.12, CI: 1.02–1.24), increased with age (OR: 1.01, CI: 1.01–1.01) and the presence of family history of hypertension (OR: 1.15, CI: 1.08–1.24), and decreased with healthier lifestyle score (OR: 0.93, CI: 0.91–0.95). Unawareness of HBP was lower among women (OR: 0.56, CI: 0.38–0.83), higher among participants living over 3000 m Above Sea Level (OR: 1.15, CI: 1.03–1.27) and decreased with age (OR: 0.99, CI: 0.98–0.99). Conclusions Unawareness of HBP was high, few HTN patients received treatment and BP remained high in the presence of antihypertensive treatment.

Prevalence of and Factors Associated With High Blood Pressure at 15 Years of Age: A Birth Cohort Study.

Arterial hypertension is the greatest cause of morbidity and mortality worldwide. Our aim was to investigate the prevalence of and factors associated with high blood pressure (HBP) among adolescents. The Pelotas 2004 Birth Cohort included 4231 newborns from hospital births in Pelotas, Brazil. A digital automatic OMRON sphygmomanometer (model HEM 742) was used to measure blood pressure on 3 occasions (at 6, 11, and 15 years of age). Those with blood pressure ≥95th percentile for age, height, and sex on each of the 3 occasions were considered as presenting HBP. Independent variables included family (income and history of arterial hypertension), maternal (schooling, age, pregestational body mass index, and smoking during pregnancy), and adolescent characteristics at birth (sex, skin color, gestational age, intrauterine growth, and systolic and diastolic genetic factors), and at 15 years (sleep, physical activity, sodium intake, screen time, work, body mass index, fat mass index, fat-free mass index, growth pattern, and puberty status). The prevalence of HBP (95% CI) was calculated. Crude and adjusted odds ratios (ORs) stratified by sex were obtained by logistic regression. A total of 1417 adolescents with complete information on blood pressure on the 3 occasions were analyzed. The prevalence of HBP was 3.2% (95% CI, 1.9%-4.5%) in female adolescents and 4.3% (95% CI, 2.8%-5.8%) in male adolescents. Female adolescents with a family history of arterial hypertension had a 3 times higher chance of HBP than their counterparts (OR, 3.1 [95% CI, 1.26-7.54]). In male adolescents, excessive maternal pregestational weight was associated with a 2.3-fold increase in the chance of HBP. In both sexes, excessive adolescent weight was associated with HBP (ORs, 3.5 and 5.0, for female and male adolescents, respectively). A higher fat mass index and fat-free mass index in female (ORs, 1.4 and 1.2, respectively) and male adolescents (ORs, 2.5 and 3.0, respectively) increased the chance of HBP. Among male adolescents, the chance of HBP was higher among those with rapid weight gain between 48 months and 6 years and between 6 and 11 years and rapid height gain between 6 and 11 years. Higher fat mass in both sexes and rapid weight gain in male adolescents are risk factors for HBP in adolescents aged 15 years, potentially amenable to prevention.

High Blood Pressure amongst Adolescents in Lagos, South West Nigeria

Adolescent high blood pressure (HBP), now a growing significant health problem with lasting consequences on cardiovascular health, was considered rare at a time. Several end-organ complications could occur if this asymptomatic condition is uncontrolled, and tracks into adulthood. The 2004 Fourth Report was developed to address the cumbersome challenges in the detection of adolescent hypertension. &#x0D; Aims: This study sought to determine high blood pressure prevalence amongst adolescents in Mushin Local Government Area (LGA) using the 2004 Fourth report.&#x0D; Study Design: Cross-sectional study.&#x0D; Place and Duration of Study: Fourteen secondary schools, in Mushin Local Government Area (LGA) between August 2020 and December 2020.&#x0D; Methodology: A two-stage sampling method was utilized in selecting 14 secondary schools. Within selected schools; participants were recruited from each class by proportional allocation using the school’s register. Students were stratified as males and females using the class register. Subjects were selected from each stratum by simple random sampling method.  We included 1490, (744 male, 746 female), 10-19 years old students. A structured proforma was used to obtain socio-demographic information and relevant clinical data. The blood pressure measurements were taken according to standard protocol (elevated blood pressure is systolic and/or diastolic pressure ≥ 90th but ≤ 95th percentile for age, gender and height). Descriptive data was used to describe socio-demographic and anthropometric characteristics.  Frequency, percentages, mean and standard deviation were used to summarize categorical and numerical variables. P-values of 0.5 was termed significant&#x0D; Results: Among the 1490 subjects, 49.9% (744) were male and 50.1% (746) females (male: female ratio was 1: 1). Prevalence, of high blood pressure, elevated pressure and hypertension were 14.5% (number =216), 6.1% (number =92), and 8.4% (number =124). The prevalence of high blood pressure rose progressively with the age group in the early and mid adolescent age group, while the prevalence was lowest in the oldest age group.&#x0D; Conclusions: Adolescent hypertension, elevated blood pressure, high blood pressure, prevalence, was high. Development of cardiovascular complications could be obviated by early detection, life style modification and treatment.