TY  - JOUR
T1  - HYPERTENSION PREVALENCE IN MEDICAL STUDENTS
TT  - Tıp Fakültesi Öğrencilerinde Hipertansiyon Prevalansı
AU  - Kandur, Yaşar
AU  - Başkurt, Ertan
AU  - Koyuncu, Ömer Lutfi
AU  - Tür, Ali
AU  - Kopmaz, Berkay
AU  - Bozdemir, Eren
AU  - Kaya, Hilal
AU  - Akad, Mohammed
AU  - Çolak, Onurhan
PY  - 2024
DA  - December
Y2  - 2024
DO  - 10.24938/kutfd.1563464
JF  - The Journal of Kırıkkale University Faculty of Medicine
JO  - Kırıkkale Uni Med J
PB  - Kırıkkale Üniversitesi
WT  - DergiPark
SN  - 2148-9645
SP  - 357
EP  - 362
VL  - 26
IS  - 3
LA  - en
AB  - Objecitve: This research aimed to determine the blood pressure characteristics of medical students, serving as a reflection of the young adult population.Material and Methods: This study, conducted at the Faculty of Medicine, included 20 students for each class, amounting to 120 medical students. Blood pressure (BP) was taken twice using a sphygmomanometer and averaged.Results: The mean age of the students was 21.7±2.1years. Nineteen (15.8%) patients had hypertension. Five (4.2%) students were obese; all of them were male. There was no significant difference between the classes regarding of mean weight, height, and BMI. The mean SBP was significantly higher in grade 4 than the grades 2, 3, and 5 (126.8±5.2 mmHg vs 115.7±9.7 mmHg, 115.7±6.7 mmHg, and 113.2±13.3 mmHg, respectively). There was no significant difference with regard to the rates of smoking, alcohol use, SPS, and family history of HT and diabetes. The prevalence of HT was significantly higher in grade 4 than grades 2, 3, and 6. There was a positive correlation between SBP and body weight, height, and BMI . High BMI was found to be an independent risk factor in the multiple regression analysis. Conclusion: We concluded that, chronic stress leads to the release of stress hormones such as steroids that play a role in the development of hypertension, especially in grade 4 students.
KW  - Medical students
KW  - hypertension
KW  - obesity
N2  - Amaç: Bu çalışmada, tıp fakültesi öğrencilerinin kan basıncı değerlerini ve ilgili demografik özelliklerini araştırmayı amaçladık.Gereç ve Yöntemler: Tıp Fakültesi'nde gerçekleştirilen bu çalışmaya her sınıftan 20’er olma üzere 120 tıp öğrencisi katılmıştır. Kan basınçları sfigmomanometre ile 2 kez ölçülüp ortalaması alınmıştır.Bulgular: Öğrencilerin ortalama yaşı 21.7±2.1 yıl idi. On dokuz (15.8%) hastada hipertansiyon mevcuttu. Beş (4.2%) öğrenci obezdi; bunların tamamı erkekti. Ortalama ağırlık, boy ve BMI açısından sınıflar arasında anlamlı bir fark yoktu. Ortalama sistolik kan basıncı (SBP) 4. sınıfta 2., 3. ve 5. sınıflara göre anlamlı şekilde daha yüksekti (sırasıyla 126.8±5.2 mmHg vs 115.7±9.7 mmHg, 115.7±6.7 mmHg ve 113.2±13.3 mmHg). Sigara içme, alkol kullanımı, uyku paterni, ailede hipertansiyon ve diyabet öyküsü oranları açısından sınıflar arasında anlamlı bir fark bulunmadı. Hipertansiyon prevalansı, 4. sınıfta 2., 3. ve 6. sınıflara göre anlamlı şekilde daha yüksekti. SBP ile vücut ağırlığı, boy ve BMI arasında pozitif bir korelasyon vardı. Yüksek BMI, çoklu regresyon analizinde bağımsız bir risk faktörü olarak bulundu.Sonuç: Özellikle de 4. sınıf tıp fakültesi öğrencilerinde kronik stresin, steroid gibi stres hormonlarının salınımına yol açarak hipertansiyona zemin hazırladığı sonucuna vardık.
CR  - De Giuseppe R, Di Napoli I, Granata F, et al. Caffeine and blood pressure: a critical review perspective. Nutr Res Rev. 2019;32(2):169-175.
CR  - A Global Brief on Hypertension: Silent killer, global public health crisis. World Health Organization. 2013. Accessed date: 8 October 2024: https://www.who.int/publications/i/item/a-global-brief-on-hypertension-silent-killer-global-public-health-crisis-world-health-day-2013
CR  - Zhang Y, Moran AE. Trend in the prevalence, awareness, treatment, and control of hypertension among young adults in the United States, 1999 to 2014. Hypertension. 2017;70(4):736-742.
CR  - Patnaik A, Choudhury KA. Assessment of risk factors associated with hypertension among undergraduate medical students in a medical college in Odisha. Adv Biomed Res. 2015;4:38
CR  - Wanghi GI, Mutombo PB, Sumaili EK. Prevalence and determinants of hypertension among students of the University of Kinshasa, Democratic Republic of Congo: a cross-sectional study. Afr Health Sci. 2019;19:2854–2862.
CR  - Chen L, Smith GD, Harbord RM, et al. Alcohol intake and blood pressure: a systematic review implementing a Mendelian randomization approach. PLoS Med. 2008;5(3):e52.
CR  - Wang X, Zhao F, Zhao Q, et al. Specific types of phys¬ical exercises, dietary preferences, and obesity patterns with the incidence of hypertension: a 26-years cohort study. Int J Public Health. 2021;66:1604441.
CR  - Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol 2018;71:e127-248.
CR  - Zhao W, Mo L, Pang Y. Hypertension in adolescents: the role of obesity and family history. J Clin Hypertens. 2021;23(12):2065–2070.
CR  - Manosroi W, Williams GH. Genetics of human primary hypertension: focus on hormonal mechanisms. Endocr Rev. 2019;40;(3):825–856.
CR  - Bawazier LA, Buntaran S, Sianipar W, Kekalih A. Blood Pressure Profile of Young Adults at the Faculty of Medicine Universitas Indonesia. Acta Med Indones. 2019;51(1):54-58.
CR  - Fonseca LR, da Silva FT, Natividade JE, Schmidt LO. Prevalence study of hypertension among students at the Medical Science Department of the University of Taubaté. Arq Bras Cardiol. 1995;64(6):553-555.
CR  - Nyombi KV, Kizito S, Mukunya D, et al. High prevalence of hypertension and cardiovascular disease risk factors among medical students at Makerere University College of Health Sciences, Kampala, Uganda. BMC Res Notes. 2016;9:110.
CR  - Rimárová K, Dorko E, Diabelková J, et al. Prevalence of lifestyle and cardiovascular risk factors in a group of medical students. Cent Eur J Public Health. 2018;26 Suppl:S12-S18.
CR  - Mehmood Y, Al-Swailmi FK, Al-Enazi SA. Frequency of obesity and comorbidities in medical students. Pak J Med Sci. 2016;32(6):1528-1532.
CR  - Zhang Z, Li M, Li J, et al. Meta-analysis and time trend prediction of the prevalence of hypertension in Chinese college students. Medicine (Baltimore). 2023;102(42):e35644
CR  - Lahole S, Rawekar R, Kumar S, et al. Anthropometric indices and its association with hypertension among young medical students: A 2 year cross-sectional study. J Family Med Prim Care. 2022;11:281-286
CR  - Connelly PJ, Currie G, Delles C. Sex Differences in the Prevalence, Outcomes and Management of Hypertension. Curr Hypertens Rep. 2022;24(6):185-192.
CR  - Koenen M, Hill MA, Cohen P, Sowers JR. Obesity, Adipose Tissue and Vascular Dysfunction. Circ Res. 2021;128(7):951-968.
CR  - Baig M, Gazzaz ZJ, Gari MA, et al. Prevalence of obesity and hypertension among university students and their knowledge and attitude towards risk factors of cardiovascular disease (CVD) in Jeddah, Saudi Arabia. Pak J Med Sci. 2015;31(4):816-820.
CR  - Hudzinski LG, Frohlich ED, Holloway RD. Hypertension and stress. Clin Cardiol. 1988;11:622-626
CR  - Altıntaş KH, Sevencan F, Aslan T, Cinel M, Çelik E, Onurdağ F. Hacettepe Üniversitesi Tıp Fakültesi dönem dört öğrencilerinin uyku bozukluklarının ve uykululuk hallerinin Epworth uykululuk ölçeği ile değerlendirilmesi. Sürekli Tıp Eğitimi Dergisi. 2006;15(7):114–120
CR  - Kılıç H, Pempeci S, Sarıkulak E, et al. Attitudes of Medical Students on Smoking. Gazi Medical Journal. 2021;32:619-624..
CR  - Verhoog S, Dopmeijer JM, de Jonge JM, et al. The Use of the Alcohol Use Disorders Identification Test—Consumption as an indicator of hazardous alcohol use among university students. Eur Addict Res 2020;26(1):1–9.
CR  - Ranasinghe P, Cooray DN, Jayawardena R, Katulanda P. The influence of family history of hypertension on disease prevalence and associated metabolic risk factors among Sri Lankan adults. BMC Public Health. 2015;15:576.
CR  - Surendran P, Feofanova EV, Lahrouchi N, et al. Discovery of rare variants associated with blood pressure regulation through meta-analysis of 1.3 million individuals. Nat Genet. 2021;53(5):762.
CR  - Wall TL, Luczak SE, Hiller-Sturmhöfel S. Biology, genetics, and environment: underlying factors influencing alcohol metabolism. Alcohol Res. 2016;38(1):59-68.
UR  - https://doi.org/10.24938/kutfd.1563464
L1  - https://dergipark.org.tr/tr/download/article-file/4272392
ER  -