Performance of blood pressure to height ratio as a screening tool for elevated blood pressure in rural children: Ellisras longitudinal study
SOURCE: Journal of Human Hypertension
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): M.D.Sekgala, K.D.Monyeki, M.A.Mogale, N.E.Ramoshaba
KEYWORDS: CHILDREN, HYPERTENSION, RURAL COMMUNITIES
Print: HSRC Library: shelf number 9818
HANDLE: 20.500.11910/10983
URI: http://hdl.handle.net/20.500.11910/10983
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): M.D.Sekgala, K.D.Monyeki, M.A.Mogale, N.E.Ramoshaba
KEYWORDS: CHILDREN, HYPERTENSION, RURAL COMMUNITIES
Print: HSRC Library: shelf number 9818
HANDLE: 20.500.11910/10983
URI: http://hdl.handle.net/20.500.11910/10983
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
There are complications in diagnosing hypertension in children and adolescents due to variation of blood pressure (BP) values to age, gender and height. This study was aimed at assessing whether the performance of BP-to-height ratio (BPHR) can be an effective tool for screening prehypertension and hypertension in Ellisras Longitudinal Study (ELS) children aged between 6 and 17 years. A number of the 9002 children aged 6???17 years who were part of the ELS underwent height and BP measurements using standard procedures. Receiver-operating characteristic curve was used to assess the accuracy of BPHR to screen children with prehypertension and hypertension. The optimal systolic BPHR (SBPHR) and diastolic BPHR (DBPHR) cut-off points for hypertension were determined. Sensitivity/specificity, positive predictive values and negative predictive values were calculated. The optimal thresholds for defining prehypertension was 0.77 in children aged 6???10 years and 0.73 in adolescents aged between 11 and 17 years for systolic BPHR and 0.55 in children and 0.53 in adolescents for diastolic BPHR, respectively. The corresponding values for hypertension stage 1 were 0.76 and 0.73 for SBPHR and 0.50 and 0.58 for DBPHR, respectively. BPHR can be used as an effective tool for screening both prehypertension and hypertension in ELS children aged 6???17 years.-
Related Research Outputs:
- Investment into eco-tourism projects: KwaZulu-Natal coastal belt: South Africa
- Health actions and health promotion among a sample of rural black South African children
- Perceived vulnerability to AIDS among rural black South African children: a pilot study
- NASFAM funding proposal for the National AIDS Commission
- Children learn lessons of suffering
- Trends and policy challenges in the rural economy: four provincial case studies
- Rural development in South Africa: tensions between democracy and traditional authority
- Living with rats
- The importance of indigenous knowledge in reducing poverty of rural Agrarian households
- Gender, development and transport in rural South Africa: methodological, policy and implementation challenges
- Young drawers of water: the burden on children in rural South Africa
- Rural municipality case studies: land reform, farm employment and livelihoods
- Rural development: strategies and challenges
- Nutrindo a pobreza rural - Relacoes agrarias inalteradas na Africa do Sul
- Don't underestimate cities' role in rural growth
- Outcome 7: vibrant, equitable and sustainable rural communities and food security for all
- Sustainable rural development: employment and household farming
- Urban and rural areas: allies not rivals
- Double trouble for couch potatoes: high blood pressure in a rural population in South Africa
- Whither agrarian reform in South Africa?