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Valores medios de tensión arterial en escolares de 10 a 15 años de la ciudad de Corrientes, Argentina

Archivos argentinos de pediatría (Impact Factor: 0.32). 01/2006; 104:210-216.

ABSTRACT dis-ponible en nuestra región sobre valores de presión arterial en niños y adolescentes, nos hemos fijado los siguientes objetivos: ponderar los valores de presión arterial en escolares de 10 a 15 años de la ciudad de Corrientes; establecer su tendencia se-gún el sexo, la edad, índice de masa corporal, talla corporal y nivel socioeconómico. Población, material y métodos. Estudio transver-sal, efectuado entre septiembre de 2004 y octubre de 2005. Se estimó el tamaño de la muestra en 2.502 escolares. Población: escolares de 10-15 años de edad, de ambos sexos, de 7 escuelas del centro de la ciudad de Corrientes. Variables de estudio: sexo, edad, peso y talla corporal, índice de masa corpo-ral, nivel socioeconómico, presión arterial. La pre-sión arterial se midió con manómetro de mercurio y los resultados se compararon con estándares de la Task Force EE.UU. Resultados. Se estudiaron 2.507 escolares, 1.373 mujeres y 1.134 varones. Los valores medios de cada variable fueron edad: 12,9 ± 1,7 años. Peso: 47,7 ± 1,7 kg. Talla: 1,54 ± 0,9 m. Presión arterial sistólica: 110 mm ± 12,2 mm Hg. Presión arterial diastólica: 70,0 ± 9,4 mm Hg. Índice de masa corporal: 19,8 ± 3,7. Necesidades básicas insatisfechas: 14,1%. Conclusiones. No hubo diferencias significativas en los valores de PA entre los sexos. Cuando se consideró según la edad se encontró que entre 10 a 12 años hubo una diferencia significativa de pre-sión arterial sistólica a favor de las niñas. Y entre 13 a 14 años la diferencia fue a favor de los varones. La presión arterial se incrementó a medida que au-mentaron la edad, el índice de masa corporal, la talla corporal y el nivel socioeconómico. Palabras clave: presión arterial, variables sociodemo-gráficas, población escolar. SUMMARY Introduction. Due to the lack of information on blood pressure values in children and adolescents in our area, we established the following objectives: to measure the trends in blood pressure values according to gender, age, body mass index, height and socioeconomic status in schoolchildren from Corrientes. Population, material and methods. Between September 2004 and October 2005, a cross sectional study was performed in 2,507 schoolchildren of both genders, aged 10-15 years, in 7 urban schools of Corrientes, Argentina. Study variables were gender, age, weight, height socioeconomic status, and blood pressure. Results. 2,507 schoolchildren (1,373 girls and 1,134 boys) were studied. Mean values for each variable were: age: 12.9 ± 1.7 years; weight: 47.7 ± 1.7 kg, height: 1.54 ± 0.9 m; systolic blood pressure: 110 mm Hg ± 12.2 mm Hg, diastolic blood pressure: 70.0 ± 9.4 mm Hg, BMI: 19.8 ± 3.7. Conclusions. Though no overall differences were seen in blood pressure values between genders, when it was considered by age groups, a significant difference for systolic blood pressure was found for girls in the group of 10 to 12 years. On the contrary, in the group of 13 to 14 years, the difference was significant for males. Blood pressure increased concomitantly with age, body mass index, height and socioeconomic status. Key words: blood pressure, socio-demographic varia-bles, school aged population.

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    Archivos argentinos de pediatría 01/2007; 105(4). · 0.32 Impact Factor
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    ABSTRACT: Blood pressure measurement (BPM) is a recommended practice at least once a year for all of healthy children starting from 3 years old and before that age in population at risk. Pediatricians fulfilling of this recommendation is irregular. Objective. Identify the prevalence of records of BPM in a pediatric electronic health record (EHR) in patients from 3 to 20 years of age and the prevalence of records of hypertension (HBP) and prehypertension (preHBP) according to sex, age and percentile of height. A cross-sectional and analytical study was conducted. 8140 patients from 3 to 20 years of age seen by their primary care physician at least in one opportunity between January and June 2005 were evaluated. Hypertension, prehypertension and normal BP was defined based on the recommendation published in Pediatrics 2004 Aug; 114: 555-76. 2.723 of the 8.140 patients had BP registered in the EHR (33.4%), 76% of the records were of normal BP, 17% of preHBP and 7% of HBP. The percentage of preHBP was significantly higher in males (21.7% vs. 13.4%) OR: 1.6 (IC 95% 1.3-1.9), but not in HBP (7.4% vs. 6.8%). 50% of the pediatricians registered 9% or less of their patients BP. The prevalence of BPM was a third; there is a need of generating actions that stimulate this practice.
    Archivos argentinos de pediatría 07/2008; 106(3):226-30. · 0.32 Impact Factor

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