Skip to main content
×
Home
    • Aa
    • Aa

Arterial hypertension in school-aged children in western Romania

  • Adela Chirita-Emandi (a1) (a2), Maria Puiu (a2) (a3), Mihai Gafencu (a1) (a2) and Corina Pienar (a1) (a2)
Abstract
AbstractAim

To describe the current prevalence of paediatric hypertension and the relationships between body mass index, gender, place of residence, and blood pressure in a population of school-aged children from western Romania.

Material and method

A total of 3626 children from Timisoara and the surrounding regions were examined by medical students from February, 2010 to June, 2011. Children's body mass index was interpreted on the basis of reference guidelines from Centers for Disease Control and Prevention. Blood pressure measurements were taken by the auscultation method. For defining elevated blood pressure, we used the standards published in the Fourth Report.

Results

Overall, the prevalence of overweight was 14% and 11.8% for obesity. Boys had a higher prevalence of both overweight and obesity compared with girls. The prevalence of hypertension on our screening was 9.1% higher in boys and urban residence. The prevalence of pre-hypertension was 6.5%. With regard to body mass index, 21.1% of obese, 12.8% of overweight, and 7.1% of normal weight children presented hypertension. The strongest determinant of hypertension was body mass index percentile. Significant odds ratio was found for obesity (3.93; confidence interval: 3.11–4.95), urban residence (1.68; confidence interval: 1.35–2.1), and male gender (1.34; confidence interval: 1.12–1.6).

Conclusions

The results confirm a worrisome prevalence of overweight and obesity among children in Romania, accompanied by an alarming prevalence of hypertension. Overweight and obesity, male gender, and urban residence were the major contributing factors for the overall high prevalence of hypertension found. Our results point to the urgent need to adopt strategies aimed at preventing hypertension and obesity in children in Romania.

Copyright
Corresponding author
Correspondence to: Dr A. Chirita-Emandi, MD, PhD Student, Department of Endocrinology, Emergency Hospital for Children “Louis Turcanu”, Street Iosif Nemoianu number 2, 300011 Timisoara, Romania. Tel: +0040724369599; Fax: +0040256497818; E-mail: adela.chirita@yahoo.com
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

3. DS Freedman , PT Katzmarzyk , WH Dietz , SR Srinivasan , GS Berenson . Relation of body mass index and skinfold thickness to cardiovascular disease risk factors in children: the Bogalusa Heart Study. Am J Clin Nutr 2009; 90: 210216.

7. P Muntner , J He , JA Cutler , RP Wildman , PK Whelton . Trends in blood pressure among children and adolescents. J Am Med Assoc 2004; 291: 21072113.

19. VA Kovács , A Gábor , Z Fajcsák , E Martos . Sport habits and sedentary lifestyle among elementary school children in Obuda, Hungary. Orv Hetil 2010; 151: 652658.

20. D Kisić-Tepavcević , N Jovanović , V Kisić , et al. The prevalence of childhood obesity in a sample of schoolchildren in Belgrade. Srp Arh Celok Lek 2008; 136: 621624.

27. MD Sinha , CJ Reid . At what level of blood pressure should hypertension be defined in children? Cardiol Young 2009: 428430.

30. SJ Olshansky , DJ Passaro , RC Hershow , et al. A potential decline in life expectancy in the United States in the 21st century. N Engl J Med 2005; 352: 11381145.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 2
Total number of PDF views: 6 *
Loading metrics...

Abstract views

Total abstract views: 120 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 24th June 2017. This data will be updated every 24 hours.