ADOLESCENTS HYPERTENSION RISK FACTOR FOR CARDIOVASCULAR DISEASE AT ADULTHOOD

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ADOLESCENTS HYPERTENSION-RISK FACTOR FOR
CARDIOVASCULAR DISEASE AT ADULTHOOD

• Elena Nastase, A. Sbarcea, A. Cordeanu, M.
  Christescu, V. Herdea, R. Nicolescu, C. Huidumac
  Petrescu.
• National Institute of Public Health, Bucharest,
  Romania
• Department of children and teenagers hygiene
• Prof. Dr. D. Gerota Hospital, Bucharest,
  Romania

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Introduction

• Although primary prevention efforts aimed at
  reduction disease have focused on adults there is
  evidence that risk factor for heart disease are
  likely to be present in children and adolescents.
• Objectives
• Estimate the prevalence of hypertension and
  obesity in school aged children
• Establishment of the susceptible groups and
  study the association between obesity and blood
  pressure

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BP MEASUREMENTS IN 12-th FORM TEENAGERS (18 - 19
YEARS)
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SEX-MATCHED DISTRIBUTION OF DIASTOLIC BP
MESUREMENTS OVER THE 95-th PERCENTILE
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Blood cholesterol assessment and its sex-matched
distribution in hypertensive teenagers with BMI
lt 20
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Blood cholesterol assessment and its sex-matched
distribution in hypertensive teenagers with BMI
gt 25
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HIGH BP INCIDENCE DEPENDING ON THE BLOOD
CHOLESTEROL PANNEL (lower than 160 mg/dl, 160 -
190 mg/dl, over 190 mg/dl)
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COMMENTS emotional stability vs. emotional
instability

• Correlation analyses showed an inverse
  relationship between positive life events and
  diastolic BP measurements adolescents who have
  experienced more positive events are more likely
  to have low diastolic BP values
• We have found a relationship between the
  behavioural pattern and BP recordings, and since
  we have used the impatience aggression subscale
  the above-mentioned relationship were further
  more strengthened
• The impact of interpersonal relationship and
  conflict situations was also studied using EYSENK
  test to estimate the degree of dissatisfaction,
  conflictual situations at school, family and
  household atmosphere.

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CONCLUSIONS

• Arterial hypertension (HTA) has its roots in
  childhood. In childhood, essential HTA prevention
  requires knowledge of all elements involved in BP
  increase in children e.g. obesity/overweight,
  high sodium intake, physical activity, or
  associated family history.
• Considering these determinants, two general
  preventive strategies could be launched
• First, a specific strategy aimed at lowering
  blood pressure (BP) in the high risk pediatric
  group. A special education program could be
  developed in order to make children active
  participants so that they change their behavior
  or life style pattern.
• An integrative preventive strategies for the
  underlying pediatric conditions (e.g. diabetes,
  overweight, dyslipidemia, type of personality)
  which may ultimately induce high BP in adulthood.

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CONCLUSIONS - RELATED ISSUES

• Further more, we have established that high
  risk preventive strategies in the pediatric
  population need more data in order to support
  their usefulness.
• The management of high BP in teenagers should
  be based on a comprehensive and integrative
  approach for maintenance of good state of the
  cardiovascular health.