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HYPERTENSION PREVALENCE IN MEDICAL STUDENTS

Yıl 2024, Cilt: 26 Sayı: 3, 357 - 362, 24.12.2024

Öz

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.

Kaynakça

  • 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.
  • 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
  • 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.
  • 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
  • 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.
  • 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.
  • 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.
  • 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.
  • Zhao W, Mo L, Pang Y. Hypertension in adolescents: the role of obesity and family history. J Clin Hypertens. 2021;23(12):2065–2070.
  • Manosroi W, Williams GH. Genetics of human primary hypertension: focus on hormonal mechanisms. Endocr Rev. 2019;40;(3):825–856.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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
  • 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
  • Connelly PJ, Currie G, Delles C. Sex Differences in the Prevalence, Outcomes and Management of Hypertension. Curr Hypertens Rep. 2022;24(6):185-192.
  • Koenen M, Hill MA, Cohen P, Sowers JR. Obesity, Adipose Tissue and Vascular Dysfunction. Circ Res. 2021;128(7):951-968.
  • 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.
  • Hudzinski LG, Frohlich ED, Holloway RD. Hypertension and stress. Clin Cardiol. 1988;11:622-626
  • 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
  • Kılıç H, Pempeci S, Sarıkulak E, et al. Attitudes of Medical Students on Smoking. Gazi Medical Journal. 2021;32:619-624..
  • 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.
  • 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.
  • 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.
  • Wall TL, Luczak SE, Hiller-Sturmhöfel S. Biology, genetics, and environment: underlying factors influencing alcohol metabolism. Alcohol Res. 2016;38(1):59-68.

Tıp Fakültesi Öğrencilerinde Hipertansiyon Prevalansı

Yıl 2024, Cilt: 26 Sayı: 3, 357 - 362, 24.12.2024

Öz

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.

Kaynakça

  • 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.
  • 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
  • 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.
  • 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
  • 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.
  • 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.
  • 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.
  • 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.
  • Zhao W, Mo L, Pang Y. Hypertension in adolescents: the role of obesity and family history. J Clin Hypertens. 2021;23(12):2065–2070.
  • Manosroi W, Williams GH. Genetics of human primary hypertension: focus on hormonal mechanisms. Endocr Rev. 2019;40;(3):825–856.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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
  • 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
  • Connelly PJ, Currie G, Delles C. Sex Differences in the Prevalence, Outcomes and Management of Hypertension. Curr Hypertens Rep. 2022;24(6):185-192.
  • Koenen M, Hill MA, Cohen P, Sowers JR. Obesity, Adipose Tissue and Vascular Dysfunction. Circ Res. 2021;128(7):951-968.
  • 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.
  • Hudzinski LG, Frohlich ED, Holloway RD. Hypertension and stress. Clin Cardiol. 1988;11:622-626
  • 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
  • Kılıç H, Pempeci S, Sarıkulak E, et al. Attitudes of Medical Students on Smoking. Gazi Medical Journal. 2021;32:619-624..
  • 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.
  • 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.
  • 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.
  • Wall TL, Luczak SE, Hiller-Sturmhöfel S. Biology, genetics, and environment: underlying factors influencing alcohol metabolism. Alcohol Res. 2016;38(1):59-68.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Özgün Araştırma
Yazarlar

Ertan Başkurt 0009-0007-3882-7096

Yaşar Kandur 0000-0002-8361-5558

Ömer Lutfi Koyuncu 0000-0003-2919-7145

Ali Tür 0009-0001-9807-9874

Berkay Kopmaz 0009-0003-4344-2271

Eren Bozdemir 0009-0003-2313-7624

Hilal Kaya 0009-0008-0187-4822

Mohammed Akad 0009-0003-4215-6265

Onurhan Çolak 0009-0006-8565-2228

Yayımlanma Tarihi 24 Aralık 2024
Gönderilme Tarihi 8 Ekim 2024
Kabul Tarihi 15 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 26 Sayı: 3

Kaynak Göster

APA Başkurt, E., Kandur, Y., Koyuncu, Ö. L., Tür, A., vd. (2024). HYPERTENSION PREVALENCE IN MEDICAL STUDENTS. The Journal of Kırıkkale University Faculty of Medicine, 26(3), 357-362.
AMA Başkurt E, Kandur Y, Koyuncu ÖL, Tür A, Kopmaz B, Bozdemir E, Kaya H, Akad M, Çolak O. HYPERTENSION PREVALENCE IN MEDICAL STUDENTS. Kırıkkale Üni Tıp Derg. Aralık 2024;26(3):357-362.
Chicago Başkurt, Ertan, Yaşar Kandur, Ömer Lutfi Koyuncu, Ali Tür, Berkay Kopmaz, Eren Bozdemir, Hilal Kaya, Mohammed Akad, ve Onurhan Çolak. “HYPERTENSION PREVALENCE IN MEDICAL STUDENTS”. The Journal of Kırıkkale University Faculty of Medicine 26, sy. 3 (Aralık 2024): 357-62.
EndNote Başkurt E, Kandur Y, Koyuncu ÖL, Tür A, Kopmaz B, Bozdemir E, Kaya H, Akad M, Çolak O (01 Aralık 2024) HYPERTENSION PREVALENCE IN MEDICAL STUDENTS. The Journal of Kırıkkale University Faculty of Medicine 26 3 357–362.
IEEE E. Başkurt, Y. Kandur, Ö. L. Koyuncu, A. Tür, B. Kopmaz, E. Bozdemir, H. Kaya, M. Akad, ve O. Çolak, “HYPERTENSION PREVALENCE IN MEDICAL STUDENTS”, Kırıkkale Üni Tıp Derg, c. 26, sy. 3, ss. 357–362, 2024.
ISNAD Başkurt, Ertan vd. “HYPERTENSION PREVALENCE IN MEDICAL STUDENTS”. The Journal of Kırıkkale University Faculty of Medicine 26/3 (Aralık 2024), 357-362.
JAMA Başkurt E, Kandur Y, Koyuncu ÖL, Tür A, Kopmaz B, Bozdemir E, Kaya H, Akad M, Çolak O. HYPERTENSION PREVALENCE IN MEDICAL STUDENTS. Kırıkkale Üni Tıp Derg. 2024;26:357–362.
MLA Başkurt, Ertan vd. “HYPERTENSION PREVALENCE IN MEDICAL STUDENTS”. The Journal of Kırıkkale University Faculty of Medicine, c. 26, sy. 3, 2024, ss. 357-62.
Vancouver Başkurt E, Kandur Y, Koyuncu ÖL, Tür A, Kopmaz B, Bozdemir E, Kaya H, Akad M, Çolak O. HYPERTENSION PREVALENCE IN MEDICAL STUDENTS. Kırıkkale Üni Tıp Derg. 2024;26(3):357-62.

Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.