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Association between arterial hypertension and nutritional status in adolescents from Goiânia, Goiás, Brazil
Adolescents are a population with unique lifestyle challenges, including physical inactivity, inadequate nutrition, and obesity, all of which increase the risk of developing hypertension (HTN). The objective of this study has been to estimate the prevalence of factors associated with hypertension in...
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Published in: | PloS one 2017-12, Vol.12 (12), p.e0188782-e0188782 |
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description | Adolescents are a population with unique lifestyle challenges, including physical inactivity, inadequate nutrition, and obesity, all of which increase the risk of developing hypertension (HTN). The objective of this study has been to estimate the prevalence of factors associated with hypertension in adolescents in the city of Goiânia City, Central Brazil.
Between 2013and2014, a cross-sectional population study on cardiovascular risk in adolescents, was conducted with the participation of 1,586 adolescents in 108 classes at 36 schools (public and private) in Goiânia city. All of the adolescents were interviewed to establish their sociodemographic and behavioral characteristics related to hypertension and nutritional status. Anthropometric and blood pressure data were collected following a protocol. A Poisson regression, stratified by gender, was used to verify the factors associated with HTN.
In this mixed-gender group of 1,586 students, the prevalence of HTN was 6.2% (95% CI: 4.6-8.2%) in girls and 14.0% (95% CI: 10.2-18.8%) in boys-about twice as high in boys as in girls (p |
doi_str_mv | 10.1371/journal.pone.0188782 |
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Between 2013and2014, a cross-sectional population study on cardiovascular risk in adolescents, was conducted with the participation of 1,586 adolescents in 108 classes at 36 schools (public and private) in Goiânia city. All of the adolescents were interviewed to establish their sociodemographic and behavioral characteristics related to hypertension and nutritional status. Anthropometric and blood pressure data were collected following a protocol. A Poisson regression, stratified by gender, was used to verify the factors associated with HTN.
In this mixed-gender group of 1,586 students, the prevalence of HTN was 6.2% (95% CI: 4.6-8.2%) in girls and 14.0% (95% CI: 10.2-18.8%) in boys-about twice as high in boys as in girls (p <0.001). Obesity was independently associated with HTN in both genders. Being overweight was a risk factor for HTN. In addition, there was a positive correlation between the SBP/SBP percentile and the BMI Z-score/Nutritional status (NS)in both genders. A high prevalence of physical inactivity was also observed in the adolescents investigated, especially in the girls. On the other hand, more boys than girls were found to be obese.
The results of this investigation revealed the need for strategies to prevent and control HTN and its risk factors, especially in Brazil's schools. In addition to the constant surveillance of HTN prevalence and risk factors (in particular, being overweight or obese), information should be distributed to promote beneficial health behaviors among adolescents.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0188782</identifier><identifier>PMID: 29253900</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adolescents ; Alcohol use ; Anthropometry ; Arteries - physiopathology ; Biology and Life Sciences ; Blood pressure ; Blood Pressure - physiology ; Body mass ; Body weight ; Brazil - epidemiology ; Cardiovascular disease ; Cardiovascular diseases ; Children & youth ; Chronic illnesses ; Diabetes ; Diastole - physiology ; Exercise ; Female ; Girls ; Health risk assessment ; Health risks ; Humans ; Hypertension ; Hypertension - epidemiology ; Hypertension - physiopathology ; Male ; Medicine and Health Sciences ; Nursing ; Nutrition ; Nutritional Status ; Obesity ; Overweight ; People and Places ; Physical activity ; Poisson density functions ; Population studies ; Pressure data ; Prevalence ; Public participation ; Regression Analysis ; Risk analysis ; Risk Factors ; Risk management ; Schools ; Social Sciences ; Statistical analysis ; Studies ; Systematic review ; Systole - physiology ; Teenagers</subject><ispartof>PloS one, 2017-12, Vol.12 (12), p.e0188782-e0188782</ispartof><rights>2017 de Almeida et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 de Almeida et al 2017 de Almeida et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-3349cf1e43ffd70f8c84088fc4638bae52119b653711f593f1844fcf8c03c4823</citedby><cites>FETCH-LOGICAL-c526t-3349cf1e43ffd70f8c84088fc4638bae52119b653711f593f1844fcf8c03c4823</cites><orcidid>0000-0001-8870-0922</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1978297255/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1978297255?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29253900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Casarini, Dulce Elena</contributor><creatorcontrib>de Almeida, Mayara Maria Souza</creatorcontrib><creatorcontrib>Guimarães, Rafael Alves</creatorcontrib><creatorcontrib>Jardim, Paulo César Brandão Veiga</creatorcontrib><creatorcontrib>Sousa, Ana Luiza Lima</creatorcontrib><creatorcontrib>de Souza, Márcia Maria</creatorcontrib><title>Association between arterial hypertension and nutritional status in adolescents from Goiânia, Goiás, Brazil</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Adolescents are a population with unique lifestyle challenges, including physical inactivity, inadequate nutrition, and obesity, all of which increase the risk of developing hypertension (HTN). The objective of this study has been to estimate the prevalence of factors associated with hypertension in adolescents in the city of Goiânia City, Central Brazil.
Between 2013and2014, a cross-sectional population study on cardiovascular risk in adolescents, was conducted with the participation of 1,586 adolescents in 108 classes at 36 schools (public and private) in Goiânia city. All of the adolescents were interviewed to establish their sociodemographic and behavioral characteristics related to hypertension and nutritional status. Anthropometric and blood pressure data were collected following a protocol. A Poisson regression, stratified by gender, was used to verify the factors associated with HTN.
In this mixed-gender group of 1,586 students, the prevalence of HTN was 6.2% (95% CI: 4.6-8.2%) in girls and 14.0% (95% CI: 10.2-18.8%) in boys-about twice as high in boys as in girls (p <0.001). Obesity was independently associated with HTN in both genders. Being overweight was a risk factor for HTN. In addition, there was a positive correlation between the SBP/SBP percentile and the BMI Z-score/Nutritional status (NS)in both genders. A high prevalence of physical inactivity was also observed in the adolescents investigated, especially in the girls. On the other hand, more boys than girls were found to be obese.
The results of this investigation revealed the need for strategies to prevent and control HTN and its risk factors, especially in Brazil's schools. In addition to the constant surveillance of HTN prevalence and risk factors (in particular, being overweight or obese), information should be distributed to promote beneficial health behaviors among adolescents.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Alcohol use</subject><subject>Anthropometry</subject><subject>Arteries - physiopathology</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Body mass</subject><subject>Body weight</subject><subject>Brazil - epidemiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Children & youth</subject><subject>Chronic illnesses</subject><subject>Diabetes</subject><subject>Diastole - physiology</subject><subject>Exercise</subject><subject>Female</subject><subject>Girls</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Nursing</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Obesity</subject><subject>Overweight</subject><subject>People and Places</subject><subject>Physical activity</subject><subject>Poisson density functions</subject><subject>Population studies</subject><subject>Pressure data</subject><subject>Prevalence</subject><subject>Public participation</subject><subject>Regression Analysis</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Schools</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Systole - physiology</subject><subject>Teenagers</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUstuFDEQHCEQCYE_QDASFw7Zxc-xfYmURBAiReICZ8vjsROvPPZie0Dhb8Kv8GN4spMoQZzcclVXd5eqaV5DsIaYwQ-bOKWg_Hobg1kDyDnj6EmzDwVGqw4B_PRBvde8yHkDAMW86543e0ggigUA-814nHPUThUXQ9ub8tOY0KpUTHLKt1fXW1PrkGdUhaENU0lu5lYwF1Wm3LqKDNGbrE0oubUpju1ZdH9-B6cOb6ubfNieJPXL-ZfNM6t8Nq-W96D59unj19PPq4svZ-enxxcrTVFXVhgToS00BFs7MGC55gRwbjXpMO-VoQhC0Xe02gAtFdhCTojVlQewJhzhg-btTnfrY5aLU1lCUT0SDFFaGec7xhDVRm6TG1W6llE5efsR06WsLjjtjWRq6MlgSR2ISJ0jsBZAUciYHTjRrGodLdOmfjTD7ENS_pHoYyS4K3kZf0jKMGEdrwLvF4EUv08mFzm6aqf3Kpg47fZmkHUIV-q7f6j_v47sWDrFnJOx98tAIOf03HXJOT1ySU9te_PwkPumu7jgv33zxdY</recordid><startdate>20171218</startdate><enddate>20171218</enddate><creator>de Almeida, Mayara Maria Souza</creator><creator>Guimarães, Rafael Alves</creator><creator>Jardim, Paulo César Brandão Veiga</creator><creator>Sousa, Ana Luiza Lima</creator><creator>de Souza, Márcia Maria</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8870-0922</orcidid></search><sort><creationdate>20171218</creationdate><title>Association between arterial hypertension and nutritional status in adolescents from Goiânia, Goiás, Brazil</title><author>de Almeida, Mayara Maria Souza ; Guimarães, Rafael Alves ; Jardim, Paulo César Brandão Veiga ; Sousa, Ana Luiza Lima ; de Souza, Márcia Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-3349cf1e43ffd70f8c84088fc4638bae52119b653711f593f1844fcf8c03c4823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Alcohol use</topic><topic>Anthropometry</topic><topic>Arteries - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Almeida, Mayara Maria Souza</au><au>Guimarães, Rafael Alves</au><au>Jardim, Paulo César Brandão Veiga</au><au>Sousa, Ana Luiza Lima</au><au>de Souza, Márcia Maria</au><au>Casarini, Dulce Elena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between arterial hypertension and nutritional status in adolescents from Goiânia, Goiás, Brazil</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-12-18</date><risdate>2017</risdate><volume>12</volume><issue>12</issue><spage>e0188782</spage><epage>e0188782</epage><pages>e0188782-e0188782</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Adolescents are a population with unique lifestyle challenges, including physical inactivity, inadequate nutrition, and obesity, all of which increase the risk of developing hypertension (HTN). The objective of this study has been to estimate the prevalence of factors associated with hypertension in adolescents in the city of Goiânia City, Central Brazil.
Between 2013and2014, a cross-sectional population study on cardiovascular risk in adolescents, was conducted with the participation of 1,586 adolescents in 108 classes at 36 schools (public and private) in Goiânia city. All of the adolescents were interviewed to establish their sociodemographic and behavioral characteristics related to hypertension and nutritional status. Anthropometric and blood pressure data were collected following a protocol. A Poisson regression, stratified by gender, was used to verify the factors associated with HTN.
In this mixed-gender group of 1,586 students, the prevalence of HTN was 6.2% (95% CI: 4.6-8.2%) in girls and 14.0% (95% CI: 10.2-18.8%) in boys-about twice as high in boys as in girls (p <0.001). Obesity was independently associated with HTN in both genders. Being overweight was a risk factor for HTN. In addition, there was a positive correlation between the SBP/SBP percentile and the BMI Z-score/Nutritional status (NS)in both genders. A high prevalence of physical inactivity was also observed in the adolescents investigated, especially in the girls. On the other hand, more boys than girls were found to be obese.
The results of this investigation revealed the need for strategies to prevent and control HTN and its risk factors, especially in Brazil's schools. In addition to the constant surveillance of HTN prevalence and risk factors (in particular, being overweight or obese), information should be distributed to promote beneficial health behaviors among adolescents.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29253900</pmid><doi>10.1371/journal.pone.0188782</doi><orcidid>https://orcid.org/0000-0001-8870-0922</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adolescents Alcohol use Anthropometry Arteries - physiopathology Biology and Life Sciences Blood pressure Blood Pressure - physiology Body mass Body weight Brazil - epidemiology Cardiovascular disease Cardiovascular diseases Children & youth Chronic illnesses Diabetes Diastole - physiology Exercise Female Girls Health risk assessment Health risks Humans Hypertension Hypertension - epidemiology Hypertension - physiopathology Male Medicine and Health Sciences Nursing Nutrition Nutritional Status Obesity Overweight People and Places Physical activity Poisson density functions Population studies Pressure data Prevalence Public participation Regression Analysis Risk analysis Risk Factors Risk management Schools Social Sciences Statistical analysis Studies Systematic review Systole - physiology Teenagers |
title | Association between arterial hypertension and nutritional status in adolescents from Goiânia, Goiás, Brazil |
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