Blood pressure measurement in children and adolescents: Guidelines of high blood pressure recommendations and current clinical practice

Objective: To determine, in a school-based sample of children and adolescents, aged from 7 to 17 years, of both gender, in public and private schools, the frequency of students already submitted to blood pressure measure.Methods: A cross-sectional study was carried out, sampling from a population po...

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Detalles Bibliográficos
Autores: Silva, Maria Alayde Mendonca da, Rivera, Ivan Romero, Souza, Maria Goretti Barbosa de [UNIFESP], Carvalho, Antonio Carlos de Camargo [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2007
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/42698
Acceso en línea:http://dx.doi.org/10.1590/S0066-782X2007000400021
http://repositorio.unifesp.br/handle/11600/42698
Access Level:acceso abierto
Palabra clave:blood pressure
child/epidemiology
adolescents/epidemiology
Descripción
Sumario:Objective: To determine, in a school-based sample of children and adolescents, aged from 7 to 17 years, of both gender, in public and private schools, the frequency of students already submitted to blood pressure measure.Methods: A cross-sectional study was carried out, sampling from a population pool of elementary and middle schools, randomly selected. The sample was calculated based on the expected prevalence of hypertension for the age group. Data were collected through a questionnaire. Blood pressure was measured twice and hypertension was defined as mean systolic and/or diastolic blood pressure over the 95th percentile. Independent variables studied: sex; age groups; economic status; public/private school.Results: The final sample included 1253 students. The response rate was 97%: 1215 students; 531 males; mean age 12,4 3 years (236 from 7 to 9 years; 638 from 10 to 14 years; 341 from 15 to 17 years). Prevalence of hypertension was 7.7%; 348 students (29%) were already submitted to blood pressure measures (54% once; 35% 2 to 4 times; 11% 5 or more times). High economic status, private school and adolescent group were significantly associated to previous blood pressure measure.Conclusion: Despite of pediatric consensus statements and guidelines recommendations about importance of blood pressure measure at every examination after age 3 years, there is a very low frequency of this practice (29%) in children and adolescents.