Home – Home – Jornals – The journal "Ateroskleroz" 2014 number 2

Arterial hypertension (AH) is one of the major risk factors for atherosclerosis and associated cardiovascular diseases. Shown that elevated levels of blood pressure (BP) in adolescence with a high degree of probability can be transformed into AH. The purpose of this study was to examine 20-year trends of blood pressure and prevalence of hypertension among adolescents 14-17 years - residents of a major Russian industrial city on the example of Novosibirsk. Methods. Study design - cross-sectional population surveys of representative samples of schoolchildren aged 14-17 of both sexes. In the period from 1989 to 2009 five screenings of pupils of secondary schools of Novosibirsk were performed. The survey program was unified for all screenings. Assessment of blood pressure levels in adolescents was conducted according to the criteria of the 4th report of the Working Group on the control of hypertension in children and adolescents (NHBPEP, USA, 2004), based on the percentile distribution of BP values according to sex, age and height. Results. Analysis of the mean values of SBP and DBP trends during 1989-2009 in adolescents revealed a significant changes in some periods of the monitoring. The prevalence of hypertension among adolescents was in averaged 14 % of boys and 10 % in girls 14-17 years old. The highest prevalence of hypertension in adolescents of both sexes noted in 1989, the lowest - in 1994. Significant relationship between the level of blood pressure and body mass index detected: among children with overweight percentage of persons with high blood pressure was recorded twice as likely as children with normal weight, both boys and girls ( p <0.001). Conclusion. Early detection of elevated BP levels in adolescents enables selection among them groups of risk for developing hypertension in adulthood for preventive interventions at the population and family levels.