1173/2012 - PRESSÃO ARTERIAL ELEVADA EM ADOLESCENTES: PREVALÊNCIA E FATORES ASSOCIADOS HIGH LEVELS OF BLOOD PRESSURE IN ADOLESCENTS: PREVALENCE AND ASSOCIATED FACTORS
• Rodolfo André Dellagrana - Dellagrana, R.A. - 2. Universidade Estadual de Ponta Grossa, Ponta Grossa, Paraná, Brasil. - <radellagrana@yahoo.com.br>
• Eliane Denise Araújo Bacil - Bacil, E.D.A. - Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Saúde Coletiva, Florianópolis, Santa Catarina, Brasil. - <elianebacil@hotmail.com> ORCID: https://orcid.org/0000-0002-8672-395X
• Luiz Rodrigo Augustemak de Lima - Lima, L.R.A. - Universidade Federal de Santa Catarina - <augustemak@yahoo.com.br>
Área Temática:
Saúde da Criança e do Adolescente
Resumo:
Objetivou-se verificar a prevalência e os fatores associados à pressão arterial (PA) elevada em adolescentes de um município Brasileiro. Estudo transversal, conduzido em 653 adolescentes (57,9% do sexo feminino) de 14 a 19 anos de idade, estudantes do ensino médio. A Pressão arterial sistólica (PAS) e a diastólica (PAD) foram mensuradas em todos os sujeitos. Variáveis sociodemográficas, do estilo de vida e índice de massa corporal foram obtidas. Regressão logística binária, bruta e ajustada, foi empregada com nível de significância de 5%. A média da PAS e PAD foi de 111,9 mmHg (IC95%: 110,9-112,9) e 69,9 mmHg (IC95%: 69,1-70,7), respectivamente. A prevalência de PA elevada foi de 12,4% (IC95%: 9,8-14,9). Na análise multivariável foi identificado que jovens do sexo masculino (OR: 2,37; IC95%: 1,45-3,90), com escolaridade materna de até oito anos (OR: 1,84; IC95%: 1,03-3,30) e com excesso de peso (OR: 3,79; IC95%: 2,23-6,43), apresentaram maiores chances de PA elevada. O termo de interação entre sexo masculino e excesso de peso representou o subgrupo com maiores chances de PA elevada (OR: 6,41; IC95%: 3,00-13,16). Níveis pressóricos elevados acometem adolescentes da cidade de Ponta Grossa, Paraná, e os grupos com maiores chances de PA elevada foram os do sexo masculino, com escolaridade materna baixa e com excesso de peso.
Palavras-chave:
Hipertensão
Conduta de Saúde
Adolescente
Saúde do Adolescente
Estudos Transversais
Abstract:
The aim of this study was to verify the prevalence and associated factors with high levels of Blood Pressure (BP) among adolescents from a Brazilian city. Cross-sectional study conducted in 653 adolescents (57.9% female) from 14 to 19 years old. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in all subjects. Sociodemographic and lifestyle factors and body mass index were obtained. Binary logistic regression, crude and adjusted, was employed with a significance level of 5%. The mean SBP and DBP were 111.9 mmHg (95% CI: 110.9, 112.9) and 69.9 mmHg (95% CI: 69.1, 70.7), respectively. The prevalence of high levels of BP was 12.4% (95% CI: 9.8, 14.9). The multivariable analysis showed that males (OR: 2.37, 95% CI: 1.45, 3.90), adolescents with maternal education ≤ 8 years (OR: 1.84, 95% CI: 1.03, 3.30) and overweight (OR: 3.79, 95% CI: 2.23, 6.43) had higher odds of high BP. The interaction term between males and overweight represented the subgroup with higher odds of high BP (OR: 6.41, 95% CI: 3.00, 13.16). High BP affect adolescents from Ponta Grossa, Parana, and the groups with higher odds of high BP were male, with low maternal educational level and overweight.
Keywords:
Hypertension
Health Behavior
Adolescent
Adolescent Health
Cross-Sectional Studies
HIGH LEVELS OF BLOOD PRESSURE IN ADOLESCENTS: PREVALENCE AND ASSOCIATED FACTORS
Resumo (abstract):
The aim of this study was to verify the prevalence and associated factors with high levels of Blood Pressure (BP) among adolescents from a Brazilian city. Cross-sectional study conducted in 653 adolescents (57.9% female) from 14 to 19 years old. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in all subjects. Sociodemographic and lifestyle factors and body mass index were obtained. Binary logistic regression, crude and adjusted, was employed with a significance level of 5%. The mean SBP and DBP were 111.9 mmHg (95% CI: 110.9, 112.9) and 69.9 mmHg (95% CI: 69.1, 70.7), respectively. The prevalence of high levels of BP was 12.4% (95% CI: 9.8, 14.9). The multivariable analysis showed that males (OR: 2.37, 95% CI: 1.45, 3.90), adolescents with maternal education ≤ 8 years (OR: 1.84, 95% CI: 1.03, 3.30) and overweight (OR: 3.79, 95% CI: 2.23, 6.43) had higher odds of high BP. The interaction term between males and overweight represented the subgroup with higher odds of high BP (OR: 6.41, 95% CI: 3.00, 13.16). High BP affect adolescents from Ponta Grossa, Parana, and the groups with higher odds of high BP were male, with low maternal educational level and overweight.
Palavras-chave (keywords):
Hypertension
Health Behavior
Adolescent
Adolescent Health
Cross-Sectional Studies
