Screening Of Risk Factors For Cardiovascular Diseases Among School Going Adolescents: A Cross-Sectional Study
Screening Of Risk Factors For Cardiovascular Diseases Among School Going Adolescents: A Cross-Sectional Study
Keywords:
Screening, Risk factors for cardiovascular diseases, AdolescentsAbstract
Background: The main preventable risk factors for cardiovascular diseases such as poor dietary habits,
sedentary lifestyle, tobacco and alcohol consumption and stress have their beginning in the adolescent age group.
Present study was carried out to screen some risk factors for cardiovascular diseases among school going adolescents
in an urban area. Methodology: A cross sectional survey was done among 871 adolescents aged 10 to 18 years during
September 2014 to March 2015. Demographic information, dietary history and history of physical activity were
collected. Anthropometric parameters and blood pressure were measured using standard technique. Percentage and
95% CI were used to summarize the results. Results: Among 871 adolescents 462 (53.05%) were male. Mean age + SD
was 13.86 + 2.21 years. Majority of the adolescents 782 (89.78%) consumed inadequate amount of fruits and
vegetables. The proportion of adolescents who consumed junk food more than three times a week was 24.34% (212).
There were 413 (47.42%) study subjects who consumed added salt while having their meals. Thirty-seven (4.25%)
consumed carbonated drinks more than 3 times a week. More than half 478 (54.88%) were not physically active.
Most of them i.e. 734 (84.27%) spent three hours or more per day on sedentary activities. Proportion of overweight
and obesity was 5.97%(52) and 2.87% (25). Proportion of pre-hypertension was 10.10% (88) and hypertension was
8.27% (72). Conclusion: High proportion of risk factors for cardiovascular disease is found among the school going
adolescents in the urban area. [Deshpande S NJIRM 2016; 7(3):1-6]
References
prevention and control of noncommunicable
diseases: 2013-2020. [Internet]. Geneva: World
Health Organization;2008 [cited 2014 Oct 21];
Available from:
http://www.who.int/nmh/events/2013/revised_dr
aft_ncd_action_plan.pdf.
2. Noncommunicable Diseases Country Profiles.
[Internet]. Geneva: World Health
Organization;2011 [cited 2014 Oct 21]; Available
from:
http://www.who.int/nmh/publications/ncd_profil
es_report.pdf.
3. Strategy Handbook. Rashtriya Kishor Swasthya
Karyakram. [Internet]. New Delhi: Government of
India Ministry of Health and Family Welfare;2014
[cited 2014 July 15]; Available from:
https://www.dropbox.com/s/0oj4p422y7st4ku/RK
SK%20Strategy%20Handbook.pdf.
4. WHO Technical Report Series no. 916. Diet,
nutrition and the prevention of chronic diseases.
[Internet]. Geneva: World Health Organisation;
2002 [cited 2013 April 12]; Available from:
http://www.who.int/dietphysicalactivity/publicati
ons/trs916/en/.
5. Progress for Children. A report card on
adolescents. [Internet]. New York :UNICEF. Division
of Communication; 2012 [cited 2016 May 2];
Available from:http://www.unicef.org/media/files/PFC2012_A_re
port_card_on_adolescents.pdf.
6. Rao S, Kanade A, Kelkar R. Blood pressure among
overweight adolescents from urban school
children in Pune, India. European Journal of Clinical
Nutrition 2007;61:633–41.
7. Global School-based Student Health Survey
(CBSC).India Factsheet. [Internet]. Geneva: World
Health Organisation;2007 [cited 2014 August 12];
Available from:
http://www.who.int/chp/gshs/2007_India_CBSE_f
act_sheet.pdf.
8. BMI-for-age (5-19 years) Growth Charts [Internet].
Geneva: World Health Organisation;2007 [cited
2012 December 24]. Available from:
http://www.who.int/growthref/who2007_bmi_for
_age/en/.
9. National High Blood Pressure Education Program
Working Group on High Blood Pressure in Children
and Adolescents. The Fourth Report on the
diagnosis, evaluation and treatment of high blood
pressure in children and adolescents. Pediatrics
2004;114:555-75.
10. Draft comprehensive global monitoring framework
and targets for the prevention and control of
noncommunicable diseases. Sixty-sixth world
health assembly a66/8. Provisional agenda item
13.1. [Internet]. Geneva: World Health
Organization;2013 [cited 2014 January 14];
Available from:
http://apps.who.int/gb/ebwha/pdf_files/WHA66/
A66_8-en.pdf.
11. Nutritional status categories as per BMI: NHANES
III. [Internet]. Atlanta: CDC;2007 [updated 2015
May 15; cited 2016 May 29] Available from:
http://www.cdc.gov/healthyweight/assessing/bmi
/childrens_bmi/about_childrens_bmi.html
12. Prajapati J, Oza J, Prajapati P, Bhagyalaxmi A,
Rawal V. Prevalence of Behavioural Risk Factors Of
Cardiovascular Diseases Among School Going
Adolescents Of Ahmedabad, Gujarat. HPPI
2009;32(4):198-203.
13. Lampe JW. Health effects of vegetables and fruit:
assessing mechanisms of action in human
experimental studies. Am J Clin Nutr
1999;70(suppl):475S–90S.
14. Singh AK, Maheshwari A, Sharma N, Anand K.
Lifestyle Associated Risk Factors in Adolescents.
Indian J Pediatr 2006;73(10):901-6.
15. Zahid N. Increasing trend of Junk food use in Saudi
Arabia and health implications (Editorial).
International Journal of Health Sciences, Qassim
University 2012;6(1):1433H.
16. Raj M, Kumar RK. Obesity in children &
adolescents. Indian J Med Res 2010; 132:598-607.
17. Sharma A, Grover N, Kaushik S, Bhardwaj R,
Sankhyan N. Prevalence of Hypertension Among
School children in Shimla. Indian Pediatrics
2010;47:873-6.
18. Moura AA, Silva MAM, Ferraz MT, Rivera IR.
Prevalence of high blood pressure in children and
adolescents from the city of Maceió, Brazil. J
Pediatr (Rio J) 2004;80(1):35-40.
19. Abolfotouh MA, Sallam SA, Mohammed MS, Loutfy
AA, Hasab AA. Prevalence of Elevated Blood
Pressure and Association with Obesity in Egyptian
School Adolescents. International Journal of
Hypertension
2011;952537.doi:10.4061/2011/952537
20. Dyson PA, Anthony D, Fenton B, Matthews DR,
Stevens DE. High rates of child hypertension
associated with obesity: a community survey in
China, India and Mexico. Paediatrics and
International Child Health 2013. doi:
10.1179/2046905513Y.0000000079
21. Oduwole AA, Ladapo TA, Fajolu IB, Ekure EN,
Adeniyi OF. Obesity and elevated blood pressure
among adolescents in Lagos, Nigeria: a crosssectional
study. BMC Public Health 2012;12:616.
Available from:
http://www.biomedcentral.com/1471-
2458/12/616.
22. Verma V, Singh SK. Prevalence of hypertension in
Gujarati school going children and adolescents in
Anand district. National Journal of Community
Medicine 2012;3(3):452-7.
23. Baradol RV, Ranagol A, Patil SV. Hypertension as an
emerging health problem amongst school children
and adolescents. International Journal of Medical
Research & Health Sciences 2013;2(4):941-8.
24. Deshpande AV. Study of prevalence of
Hypertension in adolescent in Central India.
International Journal of Basic Medicine and Clinical
Research 2014;1(3): 66-71.
25. Ostrowska-Nawarycz L, Nawarycz T. Prevalence of
excessive body weight and high blood pressure in
children and adolescents in the city of Åódź.
Kardiologia Polska 2007;65(9):1079-87.
26. Ujunwa FA, Ikefuna AN, Nwokocha ARC, Chinawa
JM. Hypertension and prehypertension among
adolescents in secondary schools in Enugu, SouthEast Nigeria. Italian Journal of Pediatrics
2013;39:70. doi:10.1186/1824-7288-39-7.
27. Prasad DS, Kabir Z, Dash AK, Das BC. Childhood
cardiovascular risk factors in South Asians: A cause
of concern for adult cardiovascular disease
epidemic. Ann Pediatr Cardiol 2011;4(2):166-71.
