Hypertension and prehypertension among adolescents in secondary schools in Enugu, South East Nigeria

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Hypertension and prehypertension among adolescents in secondary schools in Enugu, South East Nigeria Italian Journal of Pediatrics 2013, 39:70

doi:10.1186/1824-7288-39-70

Fortune A Ujunwa ([email protected]) Anthony N Ikefuna ([email protected]) Ada RC Nwokocha ([email protected]) Josephat M Chinawa ([email protected])

ISSN Article type

1824-7288 Research

Submission date

23 August 2013

Acceptance date

25 October 2013

Publication date

2 November 2013

Article URL

http://www.ijponline.net/content/39/1/70

This peer-reviewed article can be downloaded, printed and distributed freely for any purposes (see copyright notice below). Articles in Italian Journal of Pediatrics are listed in PubMed and archived at PubMed Central. For information about publishing your research in Italian Journal of Pediatrics or any BioMed Central journal, go to http://www.ijponline.net/authors/instructions/ For information about other BioMed Central publications go to http://www.biomedcentral.com/

© 2013 Ujunwa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Hypertension and prehypertension among adolescents in secondary schools in Enugu, South East Nigeria Fortune A Ujunwa1* * Corresponding author Email: [email protected] Anthony N Ikefuna1 Email: [email protected] Ada RC Nwokocha1 Email: [email protected] Josephat M Chinawa1* * Corresponding author Email: [email protected] 1

Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu 400001, Nigeria

Abstract Background Hypertension is a prevalent cardiovascular disease risk factor among blacks and adolescent hypertension can progress into adulthood.

Objective To determine the prevalence of hypertension and prehypertension among secondary school adolescents in Enugu South East Nigeria.

Methodology A study of 2694 adolescents aged 10-18 years in Enugu metropolis was carried out . Sociodemographic profile anthropometric and blood pressure readings were obtained. Derived measurements such as Prehypertension, hypertension and BMI were obtained.

Results The results showed that the mean systolic blood pressure and diastolic blood pressure for males were 106.66+ 11.80 mmHg and 70.25 + 7.34 mmHg respectively. The mean SBP and DBP for females were 109.83+ 11.66 mmHg and 72.23 + 8.26 mmHg respectively ( p < 0.01). Blood pressure was found to increase with age. Prevalence of hypertension and prehypertension was 5.4% and 17.3% respectively with a higher rate in females (6.9%) than

males (3.8%). Prevalence of prehypertension among males and females were 14.3% and 20.1% respectively. The prevalence of obesity was 1.9%.

Conclusion Modifiable risk factors exist among adolescents. Early lifestyle modification and a strengthened school health are recommended.

Keywords Adolescent, Hypertension, Prehypertension