Izvorni znanstveni članak
Characteristics of ambulatory blood haracteristics of ambulatory blood pressure monitoring in children and ressure monitoring in children and adolescents with essential hypertension dolescents with essential hypertension depending on the body mass
Ivana Trutin
orcid.org/0000-0001-8419-0427
; Klinika za pedijatriju KBC Sestre milosrdnice, Zagreb, Hrvatska
Matea Crnković
; Klinika za pedijatriju KBC Sestre milosrdnice, Zagreb, Hrvatska
Tatjana Lesar
; Klinika za pedijatriju KBC Sestre milosrdnice, Zagreb, Hrvatska
Bernardica Valent Morić
; Klinika za pedijatriju KBC Sestre milosrdnice, Zagreb, Hrvatska
Sažetak
Abstract
Introduction: Arterial hypertension and obesity in children are constantly increasing and are interrelated.
There are studies that show differences in the characteristics of ambulatory blood pressure monitoring (ABPM)
in terms of adverse fi ndings in normotensive children
depending on body mass index (BMI), which increases
cardiovascular risk.
Aim: To analyze whether there are differences in the
features of ABPM depending on the BMI in children and
adolescents diagnosed with essential hypertension.
Materials and methods: We retrospectively analyzed
132 hypertensive patients aged 10 to 18; divided into three groups according to BMI; in those with normal
weight (BMI <85.c. for age and sex), overweight (BMI
85-95.c. for age and gender) and obese (ITM≥95.c . for
age and gender). Everyone has gone through ABPM and
the clinical characteristics of examinees has been analysed. For statistical analysis the F-test of the equality
of the variances and T-test of two samples of unequal
variances are used. For all the results statistical signifi -
cance was defi ned as p <0.05. All the data were analyzed using Excel 2010.
Results: It is not found statistically signifi cant difference
in the average values of systole and diastole, in the average values of diastole and systole during daytime and
night, in the pressure of the pulse, in the average value
of the pulse within 24 hours as well as in the percentage
of non-dipping(eng. Non dipper) pattern depending on
the BMI.
Conclusion: The results show no statistically signifi cant
differences in the parameters measured by ABPM in
children and adolescents with essential hypertension,
suggesting a possible combined effect of genetic, environmental factors and obesity on blood pressure in
children and adolescents with essential hypertension.
We recommend non-pharmacological treatments in the
prevention as well as in the treatment of hypertension
in children and adolescents, including eating habits and
lifestyle.
Ključne riječi
essential hypertension, obesity, ambulatory blood pressure monitoring
Hrčak ID:
183271
URI
Datum izdavanja:
25.5.2017.
Posjeta: 992 *