Environmental variation in the prevalence of hypertension in children and adolescents – is blood pressure higher in children and adolescents living in rural areas?

Małgorzata Krzywinska-Wiewiorowska 1, Barbara Stawińska-Witoszyńska 1, Alicja Krzyżaniak 1, Maria Kaczmarek 2, Aldona Siwinska 3
1 - Department of Epidemiology Chair of Social Medicine, Poznan University of Medical Sciences, Poland
2 - Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University, Poznan, Poland
3 - Department of Pediatric Cardiology and Nephrology, Poznan University of Medical Sciences, Poland
Ann Agric Environ Med
2017; 24 (1):
ICID: 1230678
Article type: Original article
Introduction. Despite considerable progress in diagnostic methods and treatment options, cardiovascular diseases constitute a serious health issue in Poland, and hypertension is considered one of the main risk factors in the incidence of the diseases.
Objectives. The aim of this study is to assess the values of arterial blood pressure among adolescents in the context of urban and rural environments.
Materials and method. The study was carried out on a representative, randomly selected group of youths aged 10–18 years, participating in the ADOPOLNOR project. Prior to blood pressure measurement, each pupil was assessed according to anthropomorphic principles. The BP measurements strictly followed the guidelines of the Fourth Protocol of the American
Working Group of High Blood pressure in Children and Adolescents.
Results. Mean values of systolic blood pressure (SBP) in boys in rural areas were higher in every age group than in the boys
in urban areas. Higher values of systolic and diastolic blood pressure were observed also in girls in rural areas. BP values
sufficiently high for the diagnosis of hypertension were observed in 12.8% of the rural boy population but only in 6.7% of
the boys from the urban environment. The difference is statistically significant. The girls in rural areas (13.3%) had twice the
incidence of elevated BP values in comparison with the girls in urban areas (7.2%) and, as in boys, the difference is statistically
Conclusions. The high proportion of pupils with elevated arterial blood pressure observed in the rural areas of Wielkopolska
calls for regularly performed BP assessment and monitoring in this populatio
DOI: 10.5604/12321966.1230678

Recommend this article to:


Related articles in IndexCopernicus™
     arterial blood pressure [12 related records]
     adolescents [514 related records]
     environmental differences [6 related records]


Related articles

, ,
Health profile of adolescents of tribal area of st...
People living in isolation in natural and unpolluted surroundings far away from civilization with their traditional values, customs, beliefs and myth intact arecommonly known as “tribal”. Their health status is poor. It is necessary to focus prim...
N Beheshtipoor, S Bagheri,
 The Effect of Yoga on the Quality of Life in...
 The problems caused by haemophilia lead to impairments of the quality of life in patients with haemophilia. This study aimed to investigate the effects of yoga on quality of life in the children and adolescents with haemophilia in Shiraz, Iran....
S Stoyanova, V Petrova,
Depression becomes more and more typical for adolescence. The study of dynamics of depression during the teenage years is important for differentiation of the most vulnerable periods for development of depression in this age and to be pointed out som...