Blood pressure to height ratio as a screening tool for prehypertension and hypertension in adolescents

Simple item page
dc.contributor.authorLadapo, T.A.
dc.contributor.authorFajolu, I.B.
dc.contributor.authorAdeniyi, O.F.
dc.contributor.authorEkure, E.N.
dc.contributor.authorMaduako, R.O.
dc.contributor.authorJaja, T.C.
dc.contributor.authorOduwole, A.O.
dc.date.accessioned2019-11-02T14:46:23Z
dc.date.available2019-11-02T14:46:23Z
dc.date.issued2016
dc.description.abstractBACKGROUND: Current methods of detection of childhood hypertension are cumbersome and contribute to under-diagnosis hence, the need to generate simpler diagnostic tools. The blood pressure to height ratio has recently been proposed as a novel screening tool for prehypertension and hypertension in some populations. We evaluated its applicability in our environment. MATERIALS AND METHODS: The weights, heights, and blood pressure measurements of 2364 apparently healthy adolescents were determined. Sex-specific systolic and diastolic blood pressure to height ratios (SBPHR) and (DBPHR) were calculated, and their ability to detect prehypertension and hypertension was determined using receiver operating curves. Discriminatory ability was measured by the area under the curve (AUC) and optimal cutoff points along the curve were determined. P < 0.05 was considered statistically significant. RESULTS: The SBPHR and DBPHR were similar across all age groups and sexes. The AUC of SBPHR and DBPHR for diagnosing prehypertension and hypertension by sex was >0.95 for both diastolic and systolic hypertension in both sexes. It ranged between 0.803 and 0.922 for prehypertension and 0.954-0.978 for hypertension indicating higher accuracy for hypertension. Sensitivity was higher for systolic and diastolic hypertension (90-98%) compared with prehypertension (87-98%). Specificity was lower than sensitivity across all categories of hypertension and prehypertension (0.64-0.88%) though higher for hypertension (0.75-0.88) compared with prehypertension (0.64-0.75). CONCLUSION: BPHR is a useful screening tool for prehypertension and hypertension in black adolescents. Accuracy increased with higher degrees of hypertension.en_US
dc.identifier.citationLadapo TA, Fajolu IB, Adeniyi OF, Ekure EN, Maduako RO, Jaja TC, Oduwole AO. Blood pressure to height ratio as a screening tool for prehypertension and hypertension in adolescents. Niger J Clin Pract. 2016 May-Jun;19(3):401-6.en_US
dc.identifier.otherdoi:10.4103/1119-3077.179289.
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6677
dc.language.isoenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.subjectBlood pressure height ratioen_US
dc.subjectScreening toolen_US
dc.subjectHypertensionen_US
dc.subjectPre-hypertensionen_US
dc.subjectAdolescentsen_US
dc.titleBlood pressure to height ratio as a screening tool for prehypertension and hypertension in adolescentsen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
BLOODP~1.PDF
Size:
1.55 MB
Format:
Adobe Portable Document Format
Description:
Main article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Paediatrics- Scholarly Publications