3B.05: COMPARISON OF INCIDENT HYPERTENSION, OVERWEIGHT AND OBESITY IN A REPRESENTATIVE POLISH JUNIOR HIGH-SCHOOL POPULATION IN 2005 VS. 2014. (June 2015)

• Record Type: Journal Article
• Authors: Derezinski, T.; Wolf, J.; Szyndler, A.; Wasikowska, B.; Chrostowska, M.; Hoffmann, M.; Narkiewicz, K.
• Is Part Of: Journal of hypertension. Volume 33(2015)Supplement 1
• Publication Date: 2015-06
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000467442.45988.4b
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: Body fat excess and incident hypertension are well recognized risk factors for cardiovascular morbidity and mortality in adults. At the same time, there is growing recognition of the increasing prevalence of these risk factors in younger populations regardless the implementation of several nation-wide preventive measures. The aim of our study was to compare incident hypertension and body mass status in a representative Polish junior high school population in the year of 2005 and 2014. Design and method: We recruited consecutive junior high-school students aged between 14 and 16 years old in urban-rural Gniewkowo County in central part of Poland. In the year of 2005 a total of 655 students and 438 students in 2014 would meet age-based inclusion criterion. Measurements included anthropometric assessment eg. height, weight, and body mass index (BMI) and office blood pressure measurements (three measurements, which allowed for averaging of the second and the third). Both hypertension and obesity was diagnosed if the result was equal or greater to 95 percentile. Analogically, the prehypertension state and overweight were determined with 85 percentile. The percentiles distribution in Polish adolescent population was adopted from OLAF study (www.olaf.czd.pl ). Results: In 2005 a total of 631 students and corresponding 418 students in 2014 completed the study which accounted for 93% and 95% response-rates, respectively. There was a comparable occurrence of hypertension in two time-points of the study (17.6% vs.17.5% in 2005 and 2014, respectively), however, a significant increase in prehypertension state was noted in 2014 (14.1%) vs. 2005 (8.6%); P < 0.01. Accordingly, the percentage of junior high-school population with abnormal BMI (>25 kg/m2) was significantly higher in 2014 (11% vs. 22% in 2005 and 2014, respectively; P < 0.01). Conclusions: There is an alarming trend in the incidence of prehypertension state and an increased body weight in junior high-school population in the last decade in Poland.