Edirne merkezinde 7-11 yaş grubu ilkokul çocuklarında hipertansiyon görülme sıklığı ve ilgili etmenler

Abstract

SUMMARY This study was carried out in the children between the ages 7-11 in Edirne' s central primary schools in Spring 1991 to find out the hy pertension prevalence and some related factors. For this purpose, 968 children (497 boys + 471 girls) -10 % of the entire group- were investigated and the dependent variables such as SBP and BBP were measured together with the independent variables such as the frequ ency of taking the children to doctors, the present height, weight, sex, the illnesses the children had in the past, family structure, the number of family members and the birth order of the child. The SBP and DBP values and the information gathered from the investiga tions were compared to the information taken from the families by making them fill in the forms. Analysis of Variance (ANOVA) and simple correlation and regression were applied among the parameters which could be related with each other. The information taken from the evaluation of the questionna ires which had been filled in by the parents and the data about the children's BP values were tried to be explained. Moreover,, the fa milies, having a child with hypertension were referred to health centers so that advanced examinations and treatment could be done. According to the data of our study, 3.7 % of the group have hyper tension (overall hypertension prevalence rate). Hypertension preva lence rate is 3.8 % for boys and 4.0 % for girls. Hypertension pre valence rates by age are like the followings : 7 age, 4.6 %; 8 age, 4.5 %; 9 age, 2.7 %; 10 age, 4.4 %; 11 age, 3.3 %. 80In fact, BP presents a natural physiological increase with the age. Isolated prevalence rates for high SBP and high DBP are 2.9 % and when obese children were excluded the rate of overall prevalence decreases into 2.8 %. Heavy hypertension prevalence is 6.2 %o when considered BP values exceeding 95th percentile. Meaningful relations couldn't be set between the rate of hyperten sion in children and the education, occupation of the parent and their being or not the natives of the region. Relatively high pre valence rates have been occured in the first and the 3rd and later children when compared to the interim children. However the low so cial living standarts of the family, frequent upper respiratory in fections in the personal history and a poor oral hygiene are risk factors for childhood hypertension. 88.9 % of the children with high SBP and 100.0 % of the children suffering from high DBP are among the ones those are taken to doctors when they get sick. In our study, no child had got a diagnosis of hypertension before hand whom we made the diagnosis first. This severe condition cle arly proves that, early diagnosis is very crucial for the entire society. All these results show that even in a city like Edirne, which is relatively more developed in comparison with the rest of the country, in addition to basic health care; social, cultural and economical improvements must be done and it must also be emphasized that community health can't be maintained by only biological and medical measurements. 81

SUMMARY This study was carried out in the children between the ages 7-11 in Edirne' s central primary schools in Spring 1991 to find out the hy pertension prevalence and some related factors. For this purpose, 968 children (497 boys + 471 girls) -10 % of the entire group- were investigated and the dependent variables such as SBP and BBP were measured together with the independent variables such as the frequ ency of taking the children to doctors, the present height, weight, sex, the illnesses the children had in the past, family structure, the number of family members and the birth order of the child. The SBP and DBP values and the information gathered from the investiga tions were compared to the information taken from the families by making them fill in the forms. Analysis of Variance (ANOVA) and simple correlation and regression were applied among the parameters which could be related with each other. The information taken from the evaluation of the questionna ires which had been filled in by the parents and the data about the children's BP values were tried to be explained. Moreover,, the fa milies, having a child with hypertension were referred to health centers so that advanced examinations and treatment could be done. According to the data of our study, 3.7 % of the group have hyper tension (overall hypertension prevalence rate). Hypertension preva lence rate is 3.8 % for boys and 4.0 % for girls. Hypertension pre valence rates by age are like the followings : 7 age, 4.6 %; 8 age, 4.5 %; 9 age, 2.7 %; 10 age, 4.4 %; 11 age, 3.3 %. 80In fact, BP presents a natural physiological increase with the age. Isolated prevalence rates for high SBP and high DBP are 2.9 % and when obese children were excluded the rate of overall prevalence decreases into 2.8 %. Heavy hypertension prevalence is 6.2 %o when considered BP values exceeding 95th percentile. Meaningful relations couldn't be set between the rate of hyperten sion in children and the education, occupation of the parent and their being or not the natives of the region. Relatively high pre valence rates have been occured in the first and the 3rd and later children when compared to the interim children. However the low so cial living standarts of the family, frequent upper respiratory in fections in the personal history and a poor oral hygiene are risk factors for childhood hypertension. 88.9 % of the children with high SBP and 100.0 % of the children suffering from high DBP are among the ones those are taken to doctors when they get sick. In our study, no child had got a diagnosis of hypertension before hand whom we made the diagnosis first. This severe condition cle arly proves that, early diagnosis is very crucial for the entire society. All these results show that even in a city like Edirne, which is relatively more developed in comparison with the rest of the country, in addition to basic health care; social, cultural and economical improvements must be done and it must also be emphasized that community health can't be maintained by only biological and medical measurements. 81