Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak

Hypertension is an emerging public health concern among children due to its rise in prevalence and association obesity epidemic. Blood pressure is determined in childhood and associated with cardiovascular disease in later life. Nevertheless, screening for hypertension is uncommon and data related t...

Full description

Saved in:

Bibliographic Details
Main Author:	Roslinda, Kangan
Format:	Thesis
Language:	English
Published:	2023
Subjects:	RJ101 Child Health Child health services
Online Access:	http://ir.unimas.my/id/eprint/41825/1/Roslinda%20Zakiah%20ft.pdf
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my-unimas-ir.41825
record_format	uketd_dc
spelling	my-unimas-ir.418252023-06-27T06:44:11Z Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak 2023 Roslinda, Kangan RJ101 Child Health. Child health services Hypertension is an emerging public health concern among children due to its rise in prevalence and association obesity epidemic. Blood pressure is determined in childhood and associated with cardiovascular disease in later life. Nevertheless, screening for hypertension is uncommon and data related to childhood hypertension is limited. This cross sectional study aimed to determine the prevalence of hypertension (defined as systolic or/and diastolic blood pressure of > 95th percentile for age, gender and height) and its associated factors among primary school children in Kuching, Sarawak. Standard procedures and validated equipment used to measure the respondents’ anthropometric indicators, percentage of body fat and blood pressure. Body mass index and waist to height ratio (WHtR) were calculated accordingly. Questionnaires was used to obtained data on family social demography and health history. A total of 1,314 children aged 6 - 12 years old (girls 51.5 percent) enrolled in this study. 107 hypertensive (8.1 percent) and 178 (13.5 percent) pre-hypertension children were identified. Chi square test indicate that hypertension is significantly associated with being male (p<0.05), parent work in clerical, service, sales & skilled group (p<0.05), overweight or obese parent (p<0.05), parent with cardiovascular disease (p<0.01), BMI-for-age >+1SD (p<0.001), overfat and obese (p<0.001), height percentile > 5th to < 95th (p<0.001), waist circumference > 90th percentile (p<0.001) and waist to height ratio > 90th percentile (p<0.001). Multivariate logistic regression analysis showed that percentage of body fat and waist circumference were significantly related to the risk of hypertension with odds ratios of 4.84 (95% CI:2.01, 11.66) and 2.33 (95% CI:1.15, 4.72), respectively, after adjusted for sex and age. The prevalence of hypertension in this study was high compared to global hypertensive children. Routine screening of blood pressure is crucial for early detection and enable early intervention to reduce future morbidity burden. Universiti Malaysia Sarawak 2023 Thesis http://ir.unimas.my/id/eprint/41825/ http://ir.unimas.my/id/eprint/41825/1/Roslinda%20Zakiah%20ft.pdf text en validuser https://doi.org/10.51866/oa.211 masters Universiti Malaysia Sarawak Faculty of Medicine and Health Sciences 1. Bell CS, Samuel JP & Samuels JA. Prevalence of hypertension in children: Applying the new American Academy of Pediatrics Clinical Practice Guideline. Am J Hypertens. 2019, 73:148-152. doi:10.1161/ HYPERTENSIONAHA.118.11673 2. Song P, Zhang Y, Yu J, et al. Global prevalence of hypertension in children: A systematic review and meta-analysis. JAMA Pediatrics. 2019, 173(12): 1154-1163. doi:10.1001/jamapediatrics.2019.3310 3. Flynn, J. The changing face of pediatric hypertension in the era of the childhood obesity epidemic. Pediatr Nephrol. 2013, 28(7):1059-1066. 4. Li Y, Zou Z, Luo J, et al. The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study. PloS One, 2020, 15(1), e0227954. 5. Munthali RJ, Kagura J, Lombard Z, et al. Childhood adiposity trajectories are associated with late adolescent blood pressure: Birth to twenty cohort. BMC Public Health. 2016, 16(1):1-10. doi: 10.1186/s12889-016-3337-x
institution	Universiti Malaysia Sarawak
collection	UNIMAS Institutional Repository
language	English
topic	RJ101 Child Health Child health services
spellingShingle	RJ101 Child Health Child health services Roslinda, Kangan Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
description	Hypertension is an emerging public health concern among children due to its rise in prevalence and association obesity epidemic. Blood pressure is determined in childhood and associated with cardiovascular disease in later life. Nevertheless, screening for hypertension is uncommon and data related to childhood hypertension is limited. This cross sectional study aimed to determine the prevalence of hypertension (defined as systolic or/and diastolic blood pressure of > 95th percentile for age, gender and height) and its associated factors among primary school children in Kuching, Sarawak. Standard procedures and validated equipment used to measure the respondents’ anthropometric indicators, percentage of body fat and blood pressure. Body mass index and waist to height ratio (WHtR) were calculated accordingly. Questionnaires was used to obtained data on family social demography and health history. A total of 1,314 children aged 6 - 12 years old (girls 51.5 percent) enrolled in this study. 107 hypertensive (8.1 percent) and 178 (13.5 percent) pre-hypertension children were identified. Chi square test indicate that hypertension is significantly associated with being male (p<0.05), parent work in clerical, service, sales & skilled group (p<0.05), overweight or obese parent (p<0.05), parent with cardiovascular disease (p<0.01), BMI-for-age >+1SD (p<0.001), overfat and obese (p<0.001), height percentile > 5th to < 95th (p<0.001), waist circumference > 90th percentile (p<0.001) and waist to height ratio > 90th percentile (p<0.001). Multivariate logistic regression analysis showed that percentage of body fat and waist circumference were significantly related to the risk of hypertension with odds ratios of 4.84 (95% CI:2.01, 11.66) and 2.33 (95% CI:1.15, 4.72), respectively, after adjusted for sex and age. The prevalence of hypertension in this study was high compared to global hypertensive children. Routine screening of blood pressure is crucial for early detection and enable early intervention to reduce future morbidity burden.
format	Thesis
qualification_level	Master's degree
author	Roslinda, Kangan
author_facet	Roslinda, Kangan
author_sort	Roslinda, Kangan
title	Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_short	Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_full	Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_fullStr	Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_full_unstemmed	Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_sort	prevalence of hypertension and its associated factors among primary school children in kuching, sarawak
granting_institution	Universiti Malaysia Sarawak
granting_department	Faculty of Medicine and Health Sciences
publishDate	2023
url	http://ir.unimas.my/id/eprint/41825/1/Roslinda%20Zakiah%20ft.pdf
_version_	1783728531170131968

Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak

Similar Items