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Environmental variation in the prevalence of hypertension in children and adolescents - is blood pressure higher in children and adolescents living in rural areas?

Abstract Despite considerable progress in diagnostic methods and treatment options, cardiovascular diseases constitute a serious health issue in Poland, and hypertension is considered one of the main risk factors in the incidence of the diseases.
PMID
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Who is at higher risk of hypertension? Socioeconomic status differences in blood pressure among Polish adolescents: a population-based ADOPOLNOR study.

Authors

Mayor MeshTerms

Rural Population

Urban Population

Keywords
Journal Title annals of agricultural and environmental medicine : aaem
Publication Year Start




PMID- 28378971
OWN - NLM
STAT- MEDLINE
DA  - 20170405
DCOM- 20170419
LR  - 20170419
IS  - 1898-2263 (Electronic)
IS  - 1232-1966 (Linking)
VI  - 24
IP  - 1
DP  - 2017 Mar 31
TI  - Environmental variation in the prevalence of hypertension in children and
      adolescents - is blood pressure higher in children and adolescents living in
      rural areas?
PG  - 129-133
LID - 10.5604/12321966.1230678 [doi]
AB  - INTRODUCTION: Despite considerable progress in diagnostic methods and treatment
      options, cardiovascular diseases constitute a serious health issue in Poland, and
      hypertension is considered one of the main risk factors in the incidence of the
      diseases. OBJECTIVES: The aim of this study is to assess the values of arterial
      blood pressure among adolescents in the context of urban and rural environments. 
      MATERIALS AND METHOD: The study was carried out on a representative, randomly
      selected group of youths aged 10-18 years, participating in the ADOPOLNOR
      project. Prior to blood pressure measurement, each pupil was assessed according
      to anthropomorphic principles. The BP measurements strictly followed the
      guidelines of the Fourth Protocol of the American Working Group of High Blood
      pressure in Children and Adolescents. RESULTS: Mean values of systolic blood
      pressure (SBP) in boys in rural areas were higher in every age group than in the 
      boys in urban areas. Higher values of systolic and diastolic blood pressure were 
      observed also in girls in rural areas. BP values sufficiently high for the
      diagnosis of hypertension were observed in 12.8% of the rural boy population but 
      only in 6.7% of the boys from the urban environment. The difference is
      statistically significant. The girls in rural areas (13.3%) had twice the
      incidence of elevated BP values in comparison with the girls in urban areas
      (7.2%) and, as in boys, the difference is statistically significant. CONCLUSIONS:
      The high proportion of pupils with elevated arterial blood pressure observed in
      the rural areas of Wielkopolska calls for regularly performed BP assessment and
      monitoring in this populatio.
FAU - Krzywinska-Wiewiorowska, Malgorzata
AU  - Krzywinska-Wiewiorowska M
AD  - Department of Epidemiology Chair of Social Medicine, Poznan University of Medical
      Sciences, Poland.
FAU - Stawinska-Witoszynska, Barbara
AU  - Stawinska-Witoszynska B
AD  - Department of Epidemiology Chair of Social Medicine, Poznan University of Medical
      Sciences, Poland.
FAU - Krzyzaniak, Alicja
AU  - Krzyzaniak A
AD  - Department of Epidemiology Chair of Social Medicine, Poznan University of Medical
      Sciences, Poland.
FAU - Kaczmarek, Maria
AU  - Kaczmarek M
AD  - Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University,
      Poznan, Poland.
FAU - Siwinska, Aldona
AU  - Siwinska A
AD  - Department of Pediatric Cardiology and Nephrology, Poznan University of Medical
      Sciences, Poland.
LA  - eng
PT  - Journal Article
PL  - Poland
TA  - Ann Agric Environ Med
JT  - Annals of agricultural and environmental medicine : AAEM
JID - 9500166
SB  - IM
MH  - Adolescent
MH  - Blood Pressure
MH  - Child
MH  - Cross-Sectional Studies
MH  - Environment
MH  - Female
MH  - Humans
MH  - Hypertension/*epidemiology/etiology
MH  - Male
MH  - Poland/epidemiology
MH  - Prevalence
MH  - *Rural Population/statistics & numerical data
MH  - *Urban Population/statistics & numerical data
EDAT- 2017/04/06 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/06 06:00
AID - 1230678 [pii]
AID - 10.5604/12321966.1230678 [doi]
PST - ppublish
SO  - Ann Agric Environ Med. 2017 Mar 31;24(1):129-133. doi: 10.5604/12321966.1230678.

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