burden of hypertension and abnormal glomerular permeability in hypertensive school children

نویسندگان

adebukola b ajite department of paediatrics, ekiti state university teaching hospital, ado-ekiti, ekiti state, nigeria

theophilus a aladekomo paediatric nephrology and hypertension unit, obafemi awolowo university teaching hospitals complex, ile-ife, nigeria

temilade aderounmu paediatric nephrology and hypertension unit, obafemi awolowo university teaching hospitals complex, ile-ife, nigeria

wasiu a olowu paediatric nephrology and hypertension unit, obafemi awolowo university teaching hospitals complex, ile-ife, nigeria; paediatric nephrology and hypertension unit, obafemi awolowo university teaching hospitals complex, pmb 5538, ile-ife, state of osun, nigeria. tel: +234-8037218742, fax: +234-36230141

چکیده

patients and methods blood pressure (bp) measurement was performed by the auscultation method, and abnormal glomerular permeability was assessed by dipstick testing of urine for persistent proteinuria and/or hematuria for ≥ three months in hypertensive children. results of 1,335 pupils aged 10.0 ± 2.4 (6.0 - 14.0) years, 33 (2.5%) were hypertensive. overall mean systolic/diastolic bp was 125.6 ± 6.5/81.7 ± 3.3 (range: 114.0 - 140.0/80.0 - 90.0) mmhg. nine (27.3%) had combined systolic and diastolic hypertension, 126.7 ± 5.7/80.0 - 80.0 ± 0.0 (120.0 - 130.0/80.0 - 80.0) mmhg. isolated systolic hypertension, 125.4 ± 6.7 (114.0 - 140.0) mmhg, was present in 14 (42.4%), whereas 10 (30.3%) had isolated diastolic hypertension, 82.0 ± 3.5 (80.0 - 90.0) mmhg. mean systolic and diastolic bp were 131.0 ± 3.3 (130.0 - 140.0) mmhg and 86.5 ± 4.43 (80.0 - 90.0) mmhg, respectively. according to the dipstick test, none of the hypertensive pupils showed urinalysis evidence of proteinuria and/or hematuria after three months of testing. background childhood hypertension has been associated with target-organ damage in young adults. it is often asymptomatic in both children and adolescents; when persistent, and long-standing, it could be a significant risk factor for kidney damage and increased glomerular permeability. conclusions although the burden of hypertension was 2.5%, the dipstick method did not detect any hypertension-related abnormal glomerular permeability in the school children. objectives burden of hypertension and its impact on glomerular permeability were prospectively determined in randomly recruited primary school children.

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عنوان ژورنال:
nephro-urology monthly

جلد ۸، شماره ۴، صفحات ۰-۰

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