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Türkiye'de Çocukluk Çağı Hipertansiyonun Prevalans ve Etiyolojisi

The Prevalence and Etiology of Childhood Hypertension In Turkey

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2001

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
This study assesses the prevalence and etiology of childhood hypertension and whether normative data obtained by Second Task Force in USA1 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 95th 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 ch ildren. 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.
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Abstract (Original Language): 
Bu çalışma, çocukluk çağındaki hipertansiyonun prevalans ve etyolojisini belirlemek ve normal veri olarak kabul edilen Amerika'daki "Second Task Force" değerlerinin1 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 h ipertansiyon 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 yapıl dı. 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) herhangibir etyolojik faktör bulunamadı ancak 11 hastanın (%30,5) aile öykülerinde esansiyel hipertansiyon mevcuttu. Bu grupta 36 hastanın 22'si şiman 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 et mekteydi.
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  • 3
107-110
  • Turkish

REFERENCES

References: 

1. Report of the Second Task Force on Blood Pressure Control in Children. Pediatrics 1987; 79: 1.
2. Rocchini AP, Childhood Hypertension; etiology, diagnosis and treatment. Pediat Clin North Am 1984; 31: 1259
3. Gill DC, Da Costa, B.M, Camenon JS. et al. Analysis of 100 children with severe and persistant hypertension. Arch Dis Child 1976; 51: 951 -6.
4. Nom MI. Report of the Hypertension Task Force: Part A Pediatrics. U.S. Department of Education and Welfare Public Health Service, NIH Publication
No: 76-1628.
5. Rames IK, Clarke WR, Conner WE, et al. Normal blood pressure and the evaluation of sustained blood pressure elevation in childhood The Muscatine
Study. Pediatrics 1978; 6: 245-51.
6. Rance CP, Alrbus GS, Balfe JW, et al. Persistant systemic hypertension in infants
and children. Pediatr Clin North Am 1974; 21: 801-24.
7. Falkner B. The Hypertensive Adolescent Ann 1989; 18: 570.
8. Havlik RD, Hubert HB, Fabzitz RR, et al. Weight and Hypertension. Ann Intern Med 1983; 98: 855-9.
9. Dustan HP. Mechanisms of hypertension associated with obesity. Ann Intern Med 1983; 98: 860-4.
10. Stanley AM. Hypertension in Infants and Children. Nephron 1990; 54: 289-95
11. Kaplan MN. Systemic hypertension In:Braunwald E.ed. Heart Disease. Philadelphia P.A: W.B. Saunders Co 1988. 819-61
12. Rowland W, Roberts J. (Blood pressure levels and hypertension in persons ages 6¬74 years: United States. 1976-80) Advance Data Form Vital and Health Statistics.
No: 84.
13. Lvine RS, Hennekens CH, Duncan RC, et al. Blood pressure in infant twins: Birth to 6 months of age. Hypertension, 1980; Suppl 1:1-29.
14. Fujita T, Henry W, Barttemr FC, et al. Factors influencing blood pressure in salt sensitive patients with hypertension. Am J Med 1980;69:334 -44.
15. Elias AN,Vaziri ND,Pandian MR,et al. Atrial Natriuretic Peptide and Arginine Vasopressin in Pregnancy and Hypertension. Nephron 1988;49:140-3.
16. Silman A, Locke C, Mitchell P, et al: Evaluation of the effectiveness of a low sodium diet in the treatment of mild to moderate hypertension. Lancet 1983;
1:1179-82.
17. McCarron D, Morris C, Henry H, et al: Blood pressure and nutrient intake in the
U.States Science 1984:224:1392-8.
18. Falkner B, Hypertension in Childhood and Adolescence Clin and Exper
Hypertension 1993;15:1315-26.
19. Becque MD, Katch VL, Rocchini AP, et al. Coronary risk incidence of obese adolescents: Reductions of exercise plus diet intervention. Pediatrics 1988; 81:
605-12.

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