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Oct 2025 DOI 10.14302/issn.2329-9487.jhc-25-5726
Okwunu Abah RoseCorresponding author
Background Hypertension in adolescents has been shown to tracks into adulthood, as well as causing premature cardiovascular and renal diseases. Objectives To determine the prevalence of elevated blood pressure and hypertension among adolescents of ages 10-19 years old attending secondary schools in Benue South, Nigeria; characterise their demographics and determine factors associated with the development of high blood pressure. Materials and Methods A cross-sectional descriptive study of secondary school adolescents selected through multistage sampling from across three Local Government Areas of Benue South, Nigeria. All the participants had their blood pressure measured using mercury sphygmomanometer and their height and weight taken for the calculation of their body mass index. A dipstick urinalysis with was carried out on their urine samples. Data analysis was with SPSS version 25. Results Atotal of 260 adolescents were studied, males were 132 (50.8%) and the mean age was 13.65 ±2.01 years. The prevalence of elevated blood pressure and hypertension was 5.4% and 2.3% respectively. Fifteen females (75.0%) had elevated blood pressure/hypertension as against five males (25%) and it was statistically significant. Adolescents in mid-adolescence age (60.0%) and lower social class (70.0%) had higher rate of high blood pressure. Significant proteinuria (+) was found among eleven (55.0%) of those with high blood pressure. Conclusion The prevalence of elevated blood pressure and hypertension among the adolescents was 5.4% and 2.3% respectively; being female, within mid-adolescence age and from lower social class are associated factors. Recommendation Regular blood pressure measurement should be part of school health programme.
Dec 2016 DOI 10.14302/issn.2329-9487.jhc-16-1338
Consortium TRUECorresponding author
American Heart Association
Although inaccurate, non-reproducible blood pressure values can result from non-standardized assessments, recommended approaches to standardize blood pressure measurement are often not followed in research studies. An expert consensus of national and international health and scientific organizations developed recommended minimum standards for assessing blood pressure in research subjects where: 1) blood pressure or hypertension is a major endpoint, or 2) blood pressure is likely a major mediator of the research outcome. Minimum research standards are presented for training of observers, technical aspects of assessing blood pressure, and equipment for both adults and children. The standards are based on prior recommendations some of which did not conform to current evidence based methods. All new research should require adherence to these minimum standards on the patient populations described above. Readers need to use caution in interpreting studies if the standards are not met in the defined populations.
Aug 2016 DOI 10.14302/issn.2474-7785.jarh-16-1104
M. DiMura MS PhilipCorresponding author
Lifestyle modification has been shown to improve cardiovascular health. This cross-sectional study investigated the association of number of healthy lifestyle behaviors with hypertension across racial/ethnic categories using the National Health and Nutrition Examination Survey 2007-2010. The study population consisted of 4,363 individuals aged 40 years or older. Low risk lifestyle behaviors were assessed to obtain a health behavior score ranging from 0 to 5. Hypertension was defined based on average blood pressure measurements or current use of antihypertensive medication. The overall hypertension prevalence was 41%, with the highest prevalence in blacks (54%) and lowest in Mexican Americans (35%). Based on multivariable-adjusted logistic regression the odds of hypertension were significantly lower for whites with 3 (OR=0.56, 95% CI: 0.40, 0.77) and 4-5 (OR=0.53, 95% CI: 0.35, 0.80) healthy lifestyle behaviors, and for blacks who had 4-5 (OR=0.35, 95% CI: 0.18, 0.72) vs. 0-1 healthy lifestyle behaviors. There was no statistically significant association between number of healthy lifestyle behaviors and odds of hypertension in Mexican Americans. These results suggest that healthy lifestyle behaviors are associated with lower prevalence of hypertension in whites and blacks, but additional research is needed to identify protective factors for Mexican Americans.
Jan 2015 DOI 10.14302/issn.2379-7835.ijn-14-536
Su XiaoCorresponding author
Centre for Chronic Disease Prevention and Management, College of Health and Biomedicine,Victoria University, Melbourne, Victoria 8001, Australia.
The risk levels of chronic diseases are increasing among Asian migrants in Western countries compared to their origin-country counterparts. This study evaluates the impact of an 8-week nutrition and lifestyle intervention on cardio-metabolic risk factors in Korean migrants living in Melbourne, Australia. Thirty participants aged 32-62 years completed the program. Self-reported food intake and physical activity, anthropometric and blood pressure measurements, and biomarkers of cardio-metabolic risk were assessed. An initial training session and four consequent nutrition advice sessions were provided for all participants. There was a significant reduction in the waist and hip circumferences. Positive changes were also observed in plasma lipid profiles, calcium intake and frequency of physical activities. These findings demonstrate that a culturally appropriate nutrition and lifestyle intervention can be successfully delivered to reduce the cardio-metabolic risk factors and improve the health and wellbeing of Korean adult migrants.