The influence of socioeconomic status and birth weight on blood pressure of Indonesian pre-pubertal children

Main Article Content

Madarina Julia
M M van Weissenburch
HA Delemarrevan de Waal
Achmad Surjono


Background It has been shown that elevated blood pressure (BP)
in childhood contributes to the development of coronary artery
disease, cerebrovascular accidents, heart failure, and renal failure
in adults. There is also evidence of some correlations between
childhood BP and BP in adulthood. Obesity as well as low birth
weight are a risk factors for elevated BP, both in children and in
adults. Most epidemiological studies have also shown a
relationship between high BP and socioeconomic status (SES).
Objective To assess the influence of socioeconomic status and
birth weight on blood pressure of school-aged prepubertal children
living in Indonesia.
Methods A cross-sectional survey on 2922 school-aged
prepubertal children from the rural, poorurban and nonpoor urban
communities was performed. Data on age, sex, stature, BMI, birth
weight, systolic and diastolic BP were collected from all children.
Results Overall and within every socioeconomic status group,
blood pressures were positively associated with stature and body
mass index (BMI). Children from poor-socioeconomic families,
i.e. rural and poor urban, had significantly lower height and BMI,
and hence, in the unadjusted analyses, poor socioeconomic status
was associated with lower systolic and diastolic BP. However, after
adjustment for age, sex, stature and BMI, rural children were found
to have significantly higher systolic BP compared to nonpoor urban
children, with regression coefficient (95% CI) of 1.19(0.42 to
1.96). Birth weight was not associated with blood pressure in
Conclusion This study indicated that for a given stature and BMI,
poor children had a higher systolic BP

Article Details

How to Cite
Julia M, van Weissenburch M, de Waal H, Surjono A. The influence of socioeconomic status and birth weight on blood pressure of Indonesian pre-pubertal children. PI [Internet]. 24Sep.2016 [cited 19Nov.2019];47(6):270-. Available from:
Author Biographies

Madarina Julia

Department of Child Health, Medical School, Gadjah Mada
University, Sardjito Hospital, Yogyakarta, Indonesia

M M van Weissenburch

Department of Pediatrics and Research Institute for Clinical and
Experimental Neurosciences, VU University Medical Center, Amsterdam, The Netherlands

HA Delemarrevan de Waal

Department of Pediatrics and Research Institute for Clinical and
Experimental Neurosciences, VU University Medical Center, Amsterdam, The Netherlands

Achmad Surjono

Department of Child Health, Medical School, Gadjah Mada
University, Sardjito Hospital, Yogyakarta, Indonesia
Received 2016-09-02
Accepted 2016-09-02
Published 2016-09-24


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