Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents

Abstract Estimates for prevalence of high blood pressure (BP) among adolescents in Africa vary widely and few studies, if any, have documented the results of the recommended stepwise BP screening. In this cross-sectional study in Tanzania, we aimed to estimate prevalence of sustained high BP in 3 pu...

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Autores principales:	Mussa K. Nsanya, Philip Ayieko, Ramadhan Hashim, Ezekiel Mgema, Daniel Fitzgerald, Saidi Kapiga, Robert N. Peck
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/18db7e14689241f0931ca97131c03efa
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spelling	oai:doaj.org-article:18db7e14689241f0931ca97131c03efa2021-12-02T14:30:46ZSustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents10.1038/s41598-021-87996-02045-2322https://doaj.org/article/18db7e14689241f0931ca97131c03efa2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87996-0https://doaj.org/toc/2045-2322Abstract Estimates for prevalence of high blood pressure (BP) among adolescents in Africa vary widely and few studies, if any, have documented the results of the recommended stepwise BP screening. In this cross-sectional study in Tanzania, we aimed to estimate prevalence of sustained high BP in 3 public secondary schools using the American Academy of Pediatrics BP screening strategy. On Day 1, one screening automated office BP (AOBP) measurement (Step 1) was followed by two more AOBP measurements (Step 2). Repeat AOBP measurements were obtained after about one month on adolescents with high AOBP measurements on Day 1 (Step 3). Participants with sustained high BP underwent 24-h ambulatory BP monitoring (step 4). Of all 500 enrolled participants, the prevalence of high blood pressure at each step in the process was 36.6% (183), 25.6% (128), 10.2% (51), and 2.6%(13) respectively for Steps 1–4. All except 6 students completed all 4 steps of the BP screening algorithm as indicated. We conclude that diagnosis of hypertension in African adolescents should use multiple AOBP measurements over multiple days followed by 24-h ABPM. Screening for high BP in school settings appears to be feasible and could provide a platform for cardiovascular disease education and health promotion.Mussa K. NsanyaPhilip AyiekoRamadhan HashimEzekiel MgemaDaniel FitzgeraldSaidi KapigaRobert N. PeckNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mussa K. Nsanya Philip Ayieko Ramadhan Hashim Ezekiel Mgema Daniel Fitzgerald Saidi Kapiga Robert N. Peck Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents
description	Abstract Estimates for prevalence of high blood pressure (BP) among adolescents in Africa vary widely and few studies, if any, have documented the results of the recommended stepwise BP screening. In this cross-sectional study in Tanzania, we aimed to estimate prevalence of sustained high BP in 3 public secondary schools using the American Academy of Pediatrics BP screening strategy. On Day 1, one screening automated office BP (AOBP) measurement (Step 1) was followed by two more AOBP measurements (Step 2). Repeat AOBP measurements were obtained after about one month on adolescents with high AOBP measurements on Day 1 (Step 3). Participants with sustained high BP underwent 24-h ambulatory BP monitoring (step 4). Of all 500 enrolled participants, the prevalence of high blood pressure at each step in the process was 36.6% (183), 25.6% (128), 10.2% (51), and 2.6%(13) respectively for Steps 1–4. All except 6 students completed all 4 steps of the BP screening algorithm as indicated. We conclude that diagnosis of hypertension in African adolescents should use multiple AOBP measurements over multiple days followed by 24-h ABPM. Screening for high BP in school settings appears to be feasible and could provide a platform for cardiovascular disease education and health promotion.
format	article
author	Mussa K. Nsanya Philip Ayieko Ramadhan Hashim Ezekiel Mgema Daniel Fitzgerald Saidi Kapiga Robert N. Peck
author_facet	Mussa K. Nsanya Philip Ayieko Ramadhan Hashim Ezekiel Mgema Daniel Fitzgerald Saidi Kapiga Robert N. Peck
author_sort	Mussa K. Nsanya
title	Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents
title_short	Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents
title_full	Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents
title_fullStr	Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents
title_full_unstemmed	Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents
title_sort	sustained high blood pressure and 24-h ambulatory blood pressure monitoring in tanzanian adolescents
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/18db7e14689241f0931ca97131c03efa
work_keys_str_mv	AT mussaknsanya sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents AT philipayieko sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents AT ramadhanhashim sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents AT ezekielmgema sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents AT danielfitzgerald sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents AT saidikapiga sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents AT robertnpeck sustainedhighbloodpressureand24hambulatorybloodpressuremonitoringintanzanianadolescents
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Sustained high blood pressure and 24-h ambulatory blood pressure monitoring in Tanzanian adolescents

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