The number of visits and blood pressure measurements influence the prevalence of high blood pressure in adolescents

Luciano Machado Ferreira Tenório de Oliveira; Alison Oliveira da Silva; Paula Rejane Beserra Diniz; Breno Quintella Farah; André Luiz Torres Pirauá; Antônio José de Lima Neto; Wallacy Milton do Nascimento Feitosa; Rafael Miranda Tassitano; Raphael M Ritti-Dias

doi:10.1016/j.jash.2017.04.002

The number of visits and blood pressure measurements influence the prevalence of high blood pressure in adolescents

J Am Soc Hypertens. 2017 Jun;11(6):343-349. doi: 10.1016/j.jash.2017.04.002. Epub 2017 Apr 13.

Authors

Luciano Machado Ferreira Tenório de Oliveira¹, Alison Oliveira da Silva², Paula Rejane Beserra Diniz³, Breno Quintella Farah², André Luiz Torres Pirauá², Antônio José de Lima Neto⁴, Wallacy Milton do Nascimento Feitosa⁵, Rafael Miranda Tassitano⁶, Raphael M Ritti-Dias⁷

Affiliations

¹ Department of Physical Education, Centro Universitário Tabosa de Almeida-Asces-Unita, Caruaru, PE, Brazil; Department of Physical Education, Research Group of Health and Sport-GPESE, Caruaru, PE, Brazil; Department of Physical Education, Telehealth Unit, Clinic's Hospital, Recife, PE, Brazil; Department of Physical Education, Federal University of Pernambuco, Recife, PE, Brazil. Electronic address: luciano2308@hotmail.com.
² Department of Physical Education, Centro Universitário Tabosa de Almeida-Asces-Unita, Caruaru, PE, Brazil; Department of Physical Education, Research Group of Health and Sport-GPESE, Caruaru, PE, Brazil; Department of Physical Education, University of Pernambuco, Recife, PE, Brazil.
³ Department of Physical Education, Telehealth Unit, Clinic's Hospital, Recife, PE, Brazil; Department of Physical Education, Federal University of Pernambuco, Recife, PE, Brazil; Department of Internal Medicine, Federal University of Pernambuco, Recife, PE, Brazil.
⁴ Department of Physical Education, Centro Universitário Tabosa de Almeida-Asces-Unita, Caruaru, PE, Brazil; Department of Physical Education, Research Group of Health and Sport-GPESE, Caruaru, PE, Brazil.
⁵ Department of Physical Education, University of Pernambuco, Recife, PE, Brazil.
⁶ Department of Physical Education, Federal Rural University of Pernambuco, Recife, PE, Brazil.
⁷ Department of Physical Education, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

PMID: 28457829
DOI: 10.1016/j.jash.2017.04.002

Abstract

The aim of this study was to analyze the influence of the number of visits and the number of blood pressure (BP) measurements on the prevalence of high blood pressure (HBP) in adolescents. A cross-sectional epidemiologic study with 481 adolescents (14-19 years old) selected using a random cluster sampling strategy. We measured the BP three times in a first visit. Adolescents with HBP performed subsequent visits. The final calculation of BP followed four strategies: the 1st measure, mean of 1st and 2nd measurements, mean of all three measurements, and averaging the 2nd and 3rd measurements. The prevalence of HBP in the first and second visits was 6.4% and 1.9%, and the prevalence of hypertension (after three visits) was 1.7%. The prevalence of HBP varied from 8.6%-18.6% for boys and 4.6%-9.2% for girls, using the average 2nd and 3rd measurements and the 1st measurement, respectively. In all strategies, HBP and hypertension were more prevalent in boys and students attending the nocturnal shift. The number of visits and number of measurements affect the prevalence of HBP and hypertension in adolescents. Thus, clinicians and researchers should consider these aspects when assessing BP in adolescents aged 14-19 years old.

Keywords: Assessenment; diagnosis; evaluation; hypertension; students.

MeSH terms

Adolescent
Adult
Ambulatory Care / methods*
Blood Pressure / physiology*
Blood Pressure Determination / methods*
Brazil / epidemiology
Circadian Rhythm / physiology
Cross-Sectional Studies
Female
Humans
Hypertension / diagnosis
Hypertension / epidemiology*
Male
Prevalence
Sex Factors
Shift Work Schedule / adverse effects
Young Adult