The influence of stressor on blood pressure in school children
Keywords:
vein puncture, blood pressure, school children
Abstract
Background Physical and psychological stress such as child anxi-ety, can increase blood pressure.
Objective To evaluate the role of vein puncture as a stressor caus-
ing alteration of blood pressure in school children.
Methods This study was a descriptive, pre and post test study as
a part of a screening study on primary school children at Cibubur
subdistrict in East Jakarta. Blood pressure was measured before
and after a vein puncture procedure in 449 children. Nine children
were excluded because of incomplete data.
Results The increase of systolic blood pressure was found in 121
(27.5%) subjects, decrease in 42 (9.5%), and no change in 227
(63%). Diastolic blood pressure increased in 123 (28.0%) subjects,
decreased in 38 (8.6%), and did not change in 279 (63.4%). The
increase of both systolic and diastolic blood pressure was found in
61 (13.8%), increased systolic with no change of diastolic in 58
(13.2%), and increased systolic with decreased diastolic in 2 (0.5%)
children. Decreased systolic with increased diastolic was found in
2 (0.5%) subjects, decreased systolic with no change of diastolic
in 26 (5.9%), and decrease of both systolic and diastolic in 14 (3.2%)
children. No changes in both systolic and diastolic blood pressure
were found in 195 (44.3%); no change in systolic with decreased
diastolic blood pressure was found in 22 (5.0%) children.
Conclusion In most of the school children, vein puncture proce-
dure did not cause alteration on blood pressure
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Clinical pediatric nephrology. 1 st ed. Toronto: McGraw-
Hill; 1994. p. 323-76.
2. Lauer RM, Clarke WR, Mahoney LT, Witt J. Child-
hood predictors for high adult blood pressure. Pediatr
Clin N Am 1993;40:23-40.
3. Treiber FA, Musante L. Riley W, Mabe PA, Carr T,
Levy M, et al. The relationship between hostility
and blood pressure in children. Behav Med
1989;15:173-5.
4. Bonilla-Felix MA, Yetman RJ, Portman RJ. Epidemiol-
ogy of hypertension. In: Barrat, Avner, Harmon, edi-
tors. Pediatric nephrology. 4 th ed. Baltimore: Lippincott
Williams & Wilkins; 1999. p. 959-85.
5. Task force on blood pressure control in children. Re-
port of the second task force on blood pressure control
in children. Pediatrics 1987;79:1-25.
6. Dillon MJ. Hypertension. In: Postlethwaite, editor.
Clinical paediatric nephrology. 2 nd ed. Oxford:
Butterworth Heinemann; 1994. p. 175-95.
7. Fixler DE, Laird WP, Fitzgerald V Reiter MA, Lauer
RM. Hypertension screening in schools. Results of the
Dallas study. Pediatrics 1979;63:32-6
8. Rames KL, Clark WL, Connor WR, Reiter MA, Lauer
RM. Normal blood pressure and the evaluation of sus-
tained blood pressure in elevation in childhood. The
Muscatine study. Pediatrics 1987;79:1-9
9. Goble MM. Hypertension in infancy. Pediatr Clin N
Am 1993;40:105-22.
10. Gillman MW, Ellison RC. Childhood prevention of
essential hypertension. Pediatr Clin N Am
1993;40:179-84.
11. Klesges RC, Haddock CK, Eck LH. A multimethod
approach to the measurement of childhood physical
activity and its relationship to blood pressure and body
weight. J Pediatr 1990:116-868.
12. Shaper AG, Wannamethee G, Whincup P. Alcohol and
blood pressure in middle age Britishmen. J Hum
Hypertens 1988;2:71
Published
2016-10-10
How to Cite
1.
Pardede S, Trihono P, Yuniar I, Tambunan T. The influence of stressor on blood pressure in school children. PI [Internet]. 10Oct.2016 [cited 16Apr.2024];43(2):35-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/657
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Received 2016-09-22
Accepted 2016-09-22
Published 2016-10-10
Accepted 2016-09-22
Published 2016-10-10
