Evidence map›Paper›PMID 29433455›Full record

ArticleBMC pediatrics2018

Elevated blood pressure among primary school children in Dar es salaam, Tanzania: prevalence and risk factors.

Alfa J Muhihi, Marina A Njelekela, Rose N M Mpembeni, Bikolimana G Muhihi, Amani Anaeli, Omary Chillo, Sulende Kubhoja, Benjamin Lujani, Mwanamkuu Maghembe, Davis Ngarashi

Abstract read
In one paragraph

Article in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alfa J MuhihiManagement and Development for Health, Mikocheni, Dar es Salaam, Tanzania. selukundo@gmail.com.
Marina A NjelekelaDepartment of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Rose N M MpembeniDepartment of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Bikolimana G MuhihiDepartment of Community and Rural Development, Moshi Cooperative University, Kilimanjaro, Tanzania.
Amani AnaeliDepartment of Development Studies, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Omary ChilloDepartment of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Sulende KubhojaDepartment of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Benjamin LujaniDepartment of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Mwanamkuu MaghembeDepartment of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Davis NgarashiDepartment of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhilst the burden of non-communicable diseases is increasing in developing countries, little data is available on blood pressure among Tanzanian children. This study aimed at determining the blood pressure profiles and risk factors associated with elevated blood pressure among primary school children in Dar es Salaam, Tanzania.

methodsWe conducted a cross sectional survey among 446 children aged 6-17 years from 9 randomly selected primary schools in Dar es Salaam. We measured blood pressure using a standardized digital blood pressure measuring machine (Omron Digital HEM-907, Tokyo, Japan). We used an average of the three blood pressure readings for analysis. Elevated blood pressure was defined as average systolic or diastolic blood pressure ≥ 90th percentile for age, gender and height.

resultsThe proportion of children with elevated blood pressure was 15.2% (pre-hypertension 4.4% and hypertension 10.8%). No significant gender differences were observed in the prevalence of elevated BP. Increasing age and overweight/obese children were significantly associated with elevated BP (p = 0.0029 and p < 0.0001) respectively. Similar associations were observed for age and overweight/obesity with hypertension. (p = 0.0506 and p < 0.0001) respectively. In multivariate analysis, age above 10 years (adjusted RR = 3.63, 95% CI = 1.03-7.82) was significantly and independently associated with elevated BP in this population of school age children.

conclusionsWe observed a higher proportion of elevated BP in this population of school age children. Older age and overweight/obesity were associated with elevated BP. Assessment of BP and BMI should be incorporated in school health program in Tanzania to identify those at risk so that appropriate interventions can be instituted before development of associated complications.

Indexed as

AdolescentBlood Pressure DeterminationChildCross-Sectional StudiesFemaleHealth SurveysHumansHypertensionMaleMultivariate AnalysisPrevalenceRisk FactorsTanzaniaAgeChildrenElevated blood pressureObesityOverweightPrevalenceTanzania

Identifiers

PMID29433455
PMCPMC5809963

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.