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Captura de pantalla de la Historia Clínica Electrónica donde se consignan los signos vitales  

Captura de pantalla de la Historia Clínica Electrónica donde se consignan los signos vitales  

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Blood pressure measurement (BPM) is a recommended practice at least once a year for all of healthy children starting from 3 years old and before that age in population at risk. Pediatricians fulfilling of this recommendation is irregular. Objective. Identify the prevalence of records of BPM in a pediatric electronic health record (EHR) in patients...

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... In another study of 2596 adolescents living in the city of Buenos Aires, 28.5% had their BP taken for the first time. [38] Consistent with previous studies in urban areas, we found that students with sedentary habits had an approximately This material is the copyright of the original publisher. Unauthorised copying and distribution is prohibited. ...
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Many studies have shown that high blood pressure and overweight begins in childhood. Consequently, it is useful to know blood pressure and body mass index (BMI) values from an early age. There are few data about blood pressure control in children and adolescents from rural populations in South America. The objective of this study was to determine the prevalence of high blood pressure and its association with sedentary habits and overweight/obesity in scholars from a rural population in Argentina. The study population for this cross-sectional study was composed of rural children and adolescent scholars from Maria Ignacia Vela. Pre-hypertension and hypertension were defined on the basis of percentiles from the average of three blood pressure measurements taken on a single occasion. In patients with three blood pressure measurements above the 90th percentile, ambulatory blood pressure monitoring was performed to confirm hypertension or pre-hypertension. BMI was categorized by using the 2000 Centers for Disease Control and Prevention growth charts. We studied 334 scholars (aged 5-18 years). Mean age was 11.4 years. In 70% of the subjects, blood pressure had never been measured. The prevalence of high blood pressure was 4.4%. Students with sedentary habits were 3.67-fold more likely to develop high blood pressure than their physically active counterparts (odds ratio [OR] 3.67; 95% CI 1.08, 12.46; p = 0.037). Obese students were more likely to develop hypertension than the students with normal weight (OR = 5.17; 95% CI 1.52, 17.60; p = 0.02). Male students had a 3.4-fold higher risk of developing high blood pressure than females. In our rural population, the evaluation of blood pressure in children and adolescents is not a routine measure. Our data indicate a low prevalence of high blood pressure. These data could argue differences between rural and urban scholars. Our data demonstrate a close relationship between increased overweight, obesity and sedentary lifestyle with the development of high blood pressure. We emphasize the importance of blood pressure controls and the need to implement programmes to modify sedentary lifestyle in rural populations.
... In another study of 2596 adolescents living in the city of Buenos Aires, 28.5% had their BP taken for the first time. [38] Consistent with previous studies in urban areas, we found that students with sedentary habits had an approximately This material is the copyright of the original publisher. Unauthorised copying and distribution is prohibited. ...
Article
Introduction: Blood hypertension in the child has increased, due to growing obesity and inadequate life habits in children and adolescents. It is necessary that the health staff including physicians have good knowledge about blood hypertension at pediatric ages. Objectives: to characterize the blood hypertension risk perception of the health professionals. Methods: an exploratory study was conducted in physicians and 6th year medical students from a health area of Centro Habana municipality, from October 1st, 2009 to March 31st, 2010. To this end, the qualitative research and participating observation techniques as well as the qualitative questionnaire and expert criteria (DELPHI technique) were used. Results: the blood hypertension risk perception in children was not adequate; half of the professionals considered that blood pressure should be measured at adolescence; neither all risk factors, blood pressure percentiles for the proper diagnosis of blood hypertension or pre-hypertension nor the adequate sphygmomanometer size for children were clearly identified by them. Conclusions: The blood hypertension risk perception as a possible disease beginning at childhood is poor, so the preparation of health professionals in management of infant blood hypertension must continue in order to make an early diagnosis.
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Hypertension can start at an early age, however there are few data about blood pressure control in rural students in Argentina. Proyecto Vela is a survey about cardiovascular risk factors in the rural population of Maria Ignacia Vela, Argentina. We evaluated blood pressure levels, prevalence of arterial hypertension, sedentary lifestyle, overweight, and obesity in 331 children and adolescent students. In 70% of the subjects the blood pressure was measured for the first time. Prevalence of arterial hypertension was 4.3% in adolescents. Pre-hypertension was detected in 1.9% and 1.7% of children and adolescents, respectively. The prevalence of smoking, sedentary lifestyle, overweight or obesity was 2.4%, 50% and 23.8% respectively. There was association (p <0.05) between hypertension and sedentary lifestyle. In our population the evaluation of blood pressure in adolescents is not a routine procedure. Prevalence of hypertension was low but these data show the importance of blood pressure controls and the need of official programs to modify sedentary lifestyle.
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This paper was designed to evaluate the role of waist circumference (WC) in identification of children with high blood pressure. Cross-sectional data on body mass index (BMI), WC and blood pressure (BP) were analyzed in 3 678 children (1 849 boys; 11.3 +/- 2.3 years) who participated in the LEARN study. Prevalence of abdominal obesity (WC >or=90th percentile) in normal weight (n = 2 982), overweight (n = 528) and obese (n = 168) children were 3.7%, 51.7% and 89.9%, respectively. Systolic BP (SBP) was higher in children with abdominal obesity compared with those with normal WC (p < 0.01) both in normal and in overweight BMI categories. Similar results were found for diastolic BP (DBP) in normal weight girls (p = 0.032) and overweight boys (p = 0.04). WC was significantly correlated with SBP and DPB in all BMI categories, even after adjustment for age and BMI. Despite these findings, no significant odds ratio (OR) of prehypertension or hypertension for abdominal obesity was found in the normal weight category. On the contrary, in overweight children, prevalence of prehypertension (OR 1.42 [1.1; 1.8]) and hypertension (OR 1.35 [1.1; 1.7]) was higher among abdominal obese children. Similarly, the prevalence of prehypertension was almost two-times higher among obese children with abdominal obesity (11.8% vs. 22.5%); however, no significant OR was found. The ability of WC to detect high-risk normal weight children is controversial. The additional measure of WC among overweight children seems to be relevant in identifying those at increased risk of high BP. Further research with a larger sample size is required in the obese group.