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ADOLESCENT’S 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

1. 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.

2. Objectives:1. Estimate the prevalence of hypertension and obesity

in school aged children2. 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 < 20

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Blood cholesterol assessment and its sex-matched distribution in hypertensive teenagers

with BMI > 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 eventspositive life events and diastolic BP diastolic BP measurementsmeasurements: adolescents who have experienced more positive events are more likely to have low diastolic BP values;

We have found a relationship between the behavioural behavioural patternpattern and BP recordingsBP recordings, and since we have used the impatience aggression subscaleimpatience aggression subscale the above-mentioned relationship were further more strengthened;

The impact of interpersonal relationship and conflict interpersonal relationship and conflict situationssituations was also studied using EYSENK test to estimate the degree of dissatisfaction, conflictual situations at school, family and household atmosphere.

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CONCLUSIONSArterial 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.