Comparison of blood pressure of senior high school students in the inner and outer city of Medan

  • Johannes H. Saing
  • Ridwan M. Daulay
  • Rafita Ramayati
  • Rusdidjas Rusdidjas
Keywords: blood pressure, senior high schools, inner city, outer city

Abstract

Background Blood pressure (BP) in children and adolescents
depends on multiple factors, both genetic and environmental such
as gender, age, body weight and height, obesity, life style,
socioeconomic status, etc. Surveillance of families in Medan
(2000) reported that the socioeconomic status in the outer city
was lower than in the inner city; other factors that influence BP
of adolescents may also be different.
Objective To compare the prevalence of hypertension between
senior high school students in the inner and outer city of Medan.
Methods A cross sectional study was conducted on 250 students
selected randomly from four senior high schools in Medan, each
2 schools from inner and outer city. This study was done between
June and August 2003. BP measurement was done in the morning
at 08.00 – 12.00 o’clock before the subjects got exercises. BP
measurements were done three times according to Task Force on
Blood Pressure 1996 recommendation. The average of systolic
and diastolic was considered as BP of the subjects.
Results Systolic and diastolic BPs of the female students in the
outer city (115.3/80.0 mmHg) were higher than those of the
female students in the inner city (111.2/71.8 mmHg) and the
difference was statistically significant (P=0.008 and P=0.014),
but not for the male students. The prevalence of hypertension in
the inner and outer city of Medan was 6.0% and 8.4%, respectively.
Conclusions The prevalence of hypertension in the outer city was
abit higher than that in the inner city. The averages of systolic
and diastolic BPs of female students in the outer city were higher
than those of the female students in the inner city of Medan.

Author Biographies

Johannes H. Saing
Department of Child Health, Medical School, North Sumatera
University, Medan Indonesia.
Ridwan M. Daulay
Department of Child Health, Medical School, North Sumatera
University, Medan Indonesia.
Rafita Ramayati
Department of Child Health, Medical School, North Sumatera
University, Medan Indonesia.
Rusdidjas Rusdidjas
Department of Child Health, Medical School, North Sumatera
University, Medan Indonesia.

References

1. Task Force on Blood Pressure Control in Children. Report
of the second task force on blood pressure control in children.
Pediatrics 1987;79:1-6.
2. Update on the 1987 Task Force Report on High Blood Pressure
in Children and Adolescents. Pediatrics 1996;98:649-58.
3. Gauthier B, Edelmann CM Jr, Barnet HL. Nephrology and
urology for the pediatrician. 1 st ed. Boston: Little Brown;1982.
p. 21-30.
4. Sinaiko AR. Hypertension in children. N Engl J Med
1996;26:1968-73.
5. Hasil Pendataan Keluarga Tahun 2002 Kota Medan.
BKKBN Kotamadya Medan. 2003. Source: Kantor BKKBN
Kotamadya Medan.
6. Pruitt AW. Systemic hypertension. In: Behrman RE,
Kliegman RM, Jenson HB, editors. Nelson textbook of
pediatric.16 th ed. Philadelphia: Saunders; 2000. p. 1450-5.
7. Kher KK. Hypertension. In: Kher KK, Makker SP, editors.
Clinical pediatric nephrology. Singapore: Mc Graw-Hill
International; 1992. p. 323-76.
8. Norwood VF. Hypertension. Pediatrics 2002;23:1-3.
9. Bartosh SM, Aronson AJ. Childhood hypertension: an update
on etiology, diagnosis and treatment. Pediatr Clin North Am
1999;46:1-17.
10. Rocchini AP. Adolescent obesity and hypertension: current
concepts in hypertension. American Society of Hypertension
2000;4:5-6.
11. Rocchini AP. Childhood hypertension: adolescent obesity and
hypertension. Pediatr Clin North Am 1993;40:81-92.
12. Mahan JD, Turman MA, Mentser MI. Evaluation of
hematuria, proteinuria, and hypertension of adolescents.
Pediatr Clin North Am 1997;34:1-17.
13. Tai CL, Bernard MYC, Stephen SMC. Genetics factors of
hypertension. Med Progress 2001;10:11-6.
14. Tyroler HA. Socioeconomic status in the epidemiology and
treatment of hypertension. Hypertens 1989;13:S194-7.
15. Moorman PG, Hames CG, Tyroler HA. Socioeconomic status
and morbidity in hypertensive blacks. Cardiovasc Clin
1991;21:179-94.
16. Gaudemaris R, Lang T, Chatellier G. Socioeconomic
inequalities in hypertension prevalence and care. Hypertens
2002;39:1119-25.
17. Kay JD, Sinaiko AR, Daniels SR. Pediatric hypertension. Am
Heart J 2001;142:442-32.
18. Lurbe E, Rodico JL. Hypertension in children and adolescents.
European Society of Hypertension Scientific Newsletter:
update on hypertension management. 2002;3:1-2.
Published
2016-09-24
How to Cite
1.
Saing J, Daulay R, Ramayati R, Rusdidjas R. Comparison of blood pressure of senior high school students in the inner and outer city of Medan. PI [Internet]. 24Sep.2016 [cited 13Nov.2024];47(6):247-1. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/424
Received 2016-09-01
Accepted 2016-09-01
Published 2016-09-24