Prevalence of High Blood Pressure in 122,053 Adolescents: A Systematic Review and Meta-Regression

Author(s)

Ferreira de Moraes, Augusto Cesar ^{[1, 2, 3]} ; Lacerda, Maria Beatriz ^{[2, 3]} ; Moreno, Luis A. ^[1] ; Horta, Bernardo L. ^[4] ; Carvalho, Heraclito Barbosa ^{[2, 3]}

Affiliation

^[1] Univ Zaragoza, Fac Hlth, GENUD Growth Exercise Nutr & Dev, Zaragoza - Spain

^[2] Univ Sao Paulo, Sch Med, Dept Prevent Med, FMUSP, BR-09500900 Sao Paulo - Brazil

^[3] FMUSP, YCARE Youth Child & cARdiovasc Risk & Environm Re, Sao Paulo - Brazil

^[4] Univ Fed Pelotas, Sch Med, Pelotas - Brazil

• Document type: Review article
• Source: MEDICINE; v. 93, n. 27 DEC 2014.
• Web of Science Citations: 30

Abstract

Several studies have reported high prevalence of risk factors for cardiovascular disease in adolescents. To perform: i) systematically review the literature on the prevalence of high blood pressure (HBP) in adolescents; ii) analyze the possible methodological factors associated with HBP; and iii) compare the prevalence between developed and developing countries. We revised 10 electronic databases up to August 11, 2013. Only original articles using international diagnosis of HBP were considered. The pooled prevalence's of HBP were estimated by random effects. Meta-regression analysis was used to identify the sources of heterogeneity across studies. Fifty-five studies met the inclusion criteria and total of 122,053 adolescents included. The pooled-prevalence of HBP was 11.2%, 13% for boys, and 9.6% for girls (P < 0.01). Method of measurement of BP and year in which the survey was conducted were associated with heterogeneity in the estimates of HBP among boys. The data indicate that HBP is higher among boys than girls, and that the method of measurement plays an important role in the overall heterogeneity of HBP value distributions, particularly in boys. (AU)

• FAPESP's process: 11/11137-1 - High blood pressure and aggregation of risk factors in adolescents: a multicenter study
• Grantee: Augusto César Ferreira de Moraes
• Support type: Scholarships in Brazil - Doctorate
• FAPESP's process: 11/20662-2 - High blood pressure and aggregation of risk factors in adolescents: a multicenter study
• Grantee: Augusto César Ferreira de Moraes
• Support type: Scholarships abroad - Research Internship - Doctorate
• FAPESP's process: 11/17211-9 - Prevalence of high blood pressure in adolescents: a systematic review
• Grantee: Maria Beatriz Lacerda Coelho de Paula
• Support type: Scholarships in Brazil - Scientific Initiation