ArticleBMC public health2014
Blood pressure in primary school children in Uganda: a cross-sectional survey.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Definition of pediatric hypertension: are blood pressure measurements on three separate occasions necessary?Hypertension research : official journal of the Japanese Society of Hypertension · 2017Pooled it
- High blood pressure and associated factors among HIV-infected young persons aged 13 to 25 years at selected health facilities in Rwenzori region, western Uganda, September-October 2021.Clinical hypertension · 2023Article
- Blood pressure levels among children in rural Uganda: results from 1913 children in a general population survey.Journal of human hypertension · 2022Article
- Blood pressure profile of primary school children in Eastern Cape province, South Africa: prevalence and risk factors.BMC pediatrics · 2022Article
- Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents.Scientific reports · 2021Article
- Prevalence and factors associated with hypertension in primary school children, in the centre region of Cameroon.Translational pediatrics · 2019Article
- Blood pressure risk factors in early adolescents: results from a Ugandan birth cohort.Journal of human hypertension · 2019Observational
- Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Performance of 4 definitions of childhood elevated blood pressure in predicting subclinical cardiovascular outcomes in adulthood.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Renal Outcomes in Children with Operated Spina Bifida in Uganda.International journal of nephrology · 2018Article
- Common childhood kidney diseases in Uganda and their prevention.African health sciences · 2017Article
- Côte d'Ivoire Dual Burden of Disease (CoDuBu): Study Protocol to Investigate the Co-occurrence of Chronic Infections and Noncommunicable Diseases in Rural Settings of Epidemiological Transition.JMIR research protocols · 2017Article
- Article
- Prevalence of hypertension and prehypertension among children and adolescents in a semi-urban area of Uyo Metropolis, Nigeria.The Pan African medical journal · 2017Article
- Predictors of Hypertension in a Population of Undergraduate Students in Sierra Leone.International journal of hypertension · 2017Article
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7 authors.
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Abstract
backgroundNon-communicable diseases are an emerging concern in sub-Saharan Africa, and risks for these conditions are often based on exposures in early life, with premonitory signs developing during childhood. The prevalence of hypertension has been reported to be high in African adults, but little is known about blood pressure in African children. We studied prevalence and risk factors for high blood pressure (HBP) among school children in central Uganda.
methodsTwo urban and five rural schools were randomly selected from government schools in Wakiso district, Uganda. Questionnaires were administered and anthropometric measures taken. Blood pressure (BP) was measured three times in one sitting (on day 1) and the average compared to internationally-used normograms. Children with BP >95th percentile were re-tested at two additional sittings (day 2 and day 3) within one week, and at two further follow up visits over a period of six months. Those with sustained HBP were referred for further investigation.
resultsOf 552 students included, 539 completed the initial assessments (days 1-3) of whom 92 (17.1%) had HBP at the initial sitting. Age (adjusted odds ratio (aOR) 1.29 (95% confidence interval 1.14, 1.47), p< 0.001), body mass index (1.70 (1.25-2.31) p = 0.001) and soil-transmitted helminths (2.52 (1.04-6.11), 0.04) were associated with increased prevalence of HBP at the initial sitting. After further investigation, sustained HBP was seen in 14 children, yielding an estimated prevalence of 3.8% allowing for losses to follow up. Four children required treatment.
conclusionIt is feasible to measure blood pressure accurately in the school setting. A high HBP prevalence on initial readings gave cause for concern, but follow up suggested a true HBP prevalence commensurate with international normograms. Extended follow up is important for accurate assessment of blood pressure among African children.
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