The prevalence and etiology of childhood hypertension in Turkey
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Dosyalar
Tarih
2000
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Abstract: Bu çalışma, çocukluk çağındaki hipertansiyonun prevalans ve etyolojisini belirlemek ve normal veri olarak kabul edilen Amerika'daki "Second Task Force" değerlerinin Türk populasyonuna uygunluğunu ortaya koymaktadır. Şubat 1995-Eylül 1995 tarihleri arasında Türkiye Malatya ilindeki 15 ilköğretim okulunda öğrenci, yaşları 7-16 arası olan 8820 çocuk (4141 erkek |%47], 4679 kız [%53]) çalışmaya alındı. Yaş ve cins persantiline göre kan basıncı değerleri %95'in üstünde olan çocuklar hipertansiyon olarak kabul edildi. Anamnez, fizik muayne ve laboratuar çalışmaları yapıldı. 8820 çocuğun 53'ünde (%0,6) hipertansiyon tespit edildi. Bunların 32'si (%60,4) kız., 21'i (%39,6) erkek idi. 53 hipertansif çocuğun 44'ünde etyolojik araştırma yapıldı. Sekiz hastada (%18,2) etyolojik faktör saptandı. Altı hastada (%13,6) renal neden ve iki hastada (%4,6) endokrin neden saptandı. 36 hastada (%81,8) herhangi bir etyolojik faktör bulunamadı ancak 11 hastanın (%30,5) aile öykülerinde esansiyel hipertansiyon mevcuttu. Bu grupta 36 hastanın 22'si şişman idi. Sonuç olarak bizim bölgemizde 7-16 yaş arası hipertansiyon prevalansı %0,6 idi. Hipertansif hastaların %81,8'inde esansiyel hipertansiyon mevcuttu. Esansiyel hipertansiyona sıklıkla (%61) obesite eşlik etmekteydi.
Abstract: This study assesses the prevalence and etiology of childhood hypertension and whether normative data obtained by Second Task Force in USA is applicable to pediatric population in Turkey. 8,820 children (4,141 male 47 %, 4,679 female 53%) aged 7-16 years who are students of 15 primary schools of Malatya in Turkey, were studied between February 1995 and September 1995. The child accepted as hypertensive when the blood pressure is at least above 95 th percentile rank for age and sex. Medical history, physical examination and laboratory studies were performed. Hypertension was detected in 53 (0,6%) of 8,820 children. 32 (60,4%) were female and 21 (39.6%) male.In 44 children of 53 hypertension the etiological investigations carried out. In 8 (18,2%) patients the etiological factors could be detected. Hypertension causes were renal in 6 (13,6%) patients and in 2 (4.6%)cases endocrine. In 36 (81,8%) cases no etiological factor could be found, but family history of essential hypertension in 11 (30,5%>) detected. In this group 22 of 36 children had obesity. As a conclusion the prevalence of hypertension in 7-16 age group is 0,6% in our district. 81,8% of hypertensive children have essential hypertension. Essential hypertension is frequently 61% associated with obesity.
Abstract: This study assesses the prevalence and etiology of childhood hypertension and whether normative data obtained by Second Task Force in USA is applicable to pediatric population in Turkey. 8,820 children (4,141 male 47 %, 4,679 female 53%) aged 7-16 years who are students of 15 primary schools of Malatya in Turkey, were studied between February 1995 and September 1995. The child accepted as hypertensive when the blood pressure is at least above 95 th percentile rank for age and sex. Medical history, physical examination and laboratory studies were performed. Hypertension was detected in 53 (0,6%) of 8,820 children. 32 (60,4%) were female and 21 (39.6%) male.In 44 children of 53 hypertension the etiological investigations carried out. In 8 (18,2%) patients the etiological factors could be detected. Hypertension causes were renal in 6 (13,6%) patients and in 2 (4.6%)cases endocrine. In 36 (81,8%) cases no etiological factor could be found, but family history of essential hypertension in 11 (30,5%>) detected. In this group 22 of 36 children had obesity. As a conclusion the prevalence of hypertension in 7-16 age group is 0,6% in our district. 81,8% of hypertensive children have essential hypertension. Essential hypertension is frequently 61% associated with obesity.
Açıklama
Anahtar Kelimeler
Kaynak
İnönü Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
3
Künye
PAÇ F. A,GÜLCAN H,YAKINCI C,KARABİBER H,BALBAY D (2001). The prevalence and etiology of childhood hypertension in Turkey. İnönü Üniversitesi Tıp Fakültesi Dergisi, 8(3), 107 - 110.
