BibTex RIS Kaynak Göster

Evaluation of obesity and hypertension in students of a primary school in Sakarya

Yıl 2011, Cilt: 1 Sayı: 3, 86 - 92, 01.09.2011
https://doi.org/10.5505/sakaryamj.2011.69885

Öz

Objectives: The aim of the study was to evaluate obesity and hypertension in students of a primary school in Sakarya. Material and Methods: This descriptive study was performed with 402 students in a primary school in Alifuatpasa disctrict in Sakarya. Obese students was determined by WHO criteria and hypertension was determined by American Academy of Pediatrics criteria. The data were evaluated by descriptive statistics and logistic regression analysis. Results: %13.9 of the students were obese and %14.2 of them were overweight. %7.5 of the students had malign hypertension, %12.2 of them had hypertension, %21.9 of them had prehypertension. Eating before sleeping was found to be an associated factor with obesity and having obesity and hypertension in first degree parents and obesity were found as associated factors with hypertension by logistic regression analysis.Conclusion: Evaluation of obesity and hypertension is necessary in terms of school health. For this reason these two subjects must take place in inspections of school aged children and also educations about obesity and hypertension are given to both students and their families.

Kaynakça

  • Eastern Stroke and Coronary Heart Disease Collaborative Research Group. Blood pressure, cholesterol, and stroke in eastern Asia. Lancet 1998;352:1801-1807.
  • Vogt BA. Hypertension in children and adolescents: definition, pathophysiology, risk factors, and long term sequelae. Curr Ther Res Clin Exp 2001;62:283-297.
  • Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004;113:475-482.
  • Crawford D. Population strategies to prevent obesity. BMJ 2002;325:728-729.
  • Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA 2006;295:1549-1555.
  • Strauss R, Pollack H. Epidemic increase in childhood overweight. JAMA 2001;286:2845-2848.
  • Satman İ, Şengül AM, Uygur S, Salman F, Baştar İ, Sargın M, et al. Population-based study of diabetes and risk characteristics: Final results of the TURDEP. Diabetologia 2000;43(Suppl 1):A111-433.
  • Yumuk VD. Prevalence of obesity in Turkey. Obes Rev 2005;6:9-10.
  • Gidding SS, Dennison BA, Birch LL, Daniels SR, Gilman MW, Lichtenstein AH, et al. Dietary recommendations for children and adolescents. A guide for practitioners, Consensus statement from the American Heart Association. Circulation 2005;112:2061-2075.
  • National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004;114;555- 576.
  • WHO. Growth references data for 5-19 years, 2006.
  • Uskun E, Öztürk M, Kişioğlu AN, Kırbıyık S, Demirel R. İlköğretim öğrencilerinde obezite gelişimini etkileyen risk faktörleri. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2005;12:19-25.
  • Şimşek F, Ulukol B, Berberoğlu M, Gülnar SB, Adıyaman P, Öcal G. Ankara’da bir ilköğretim okulu ve lisede obezite sıklığı. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2005;58:163-166.
  • Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet 2010;375:1737-1748.
  • Galloway T. Obesity rates among rural Ontario schoolchildren. Can J Public Health 2006;97:353-356.
  • Salvadori M, Sontrop JM, Garg AX, Truong J, Suri RS, Mahmud FH, et al. Elevated Blood Pressure in Relation to Overweight and Obesity Among Children in a Rural Canadian Community. Pediatrics 2008;122:e821-827.
  • Lewis RD, Meyer MC, Lehman SC, Trowbridge FL, Bason JJ, Yurman KH, et al. Prevalence and degree of childhood and adolescent overweight in rural, urban, and suburban Georgia. J Sch Health 2006;76:126-132.
  • Nelson MC, Gordon-Larsen P, Song Y, Popkin BM. Built and social environments associations with adolescent overweight and activity. Am J Prev Med 2006;31:109-17.
  • Sur H, Kolotourou M, Dimitriou M, Kocaoglu B, Keskin Y, Hayran O, et al. Biochemical and behavioral indices related to BMI in schoolchildren in urban Turkey. Preventive Medicine 2005;41:614- 621.
  • Kutlu R, Çivi S, Köroğlu DE. Fatih Sultan Mehmet İlköğretim Okulu öğrencilerinin antropometrik ölçümlerinin değerlendirilmesi. TAF Prev Med Bull 2008;7:205-212.
  • Arı Z, Süzek H. Muğla merkez köylerindeki bir ilköğretim okulu öğrencisinde serum lipid profili ve obezite taraması. ADÜ Tıp Fakültesi Dergisi 2008;9:11-16.
  • Erkan T, Yalvaç S, Erginöz E, Çokuğraş FÇ, Tufan K. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Yuvası’ndaki çocukların beslenme durumlarının antropometrik ölçümlerle değerlendirilmesi. Türk Ped Arş 2007;42:142-147.
  • Uguz MA, Bodur S. Konya il merkezindeki ergenlik öncesi ve ergen çocuklarda aşırı ağırlık ve şişmanlık durumunun demografik özelliklerle ilişkisi. Genel Tıp Dergisi 2007;17:1-7.
  • Fredriks AM, Van Buuren S, Sing RA, Wit JM, Verloove-Vanhorick SP. Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr 2005;94:496-498.
  • Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML. Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med 2004;158:27-33.
  • Jiang J, Rosenqvist U, Wang H, Greiner T, Ma Y, Toschke AM. Risk factors for overweight in 2-to 6 year-old children in Beijing, China. Int J Pediatr Obes 2006;1:103-108.
  • Kruger R, Kruger HS, Maclntyre UE. The determinants of overweight and obesity among 10- to 15- year-old schoolchildren in the North West Province, South Africa-the THUSA BANA (Transition and Health during Urbanisation of South Africans; BANA, children) study. Public Health Nutr 2006;9:351-358.
  • Collins AE, Pakiz B, Rock CL. Factors associated with obesity in Indonesian adolescents. Int J Pediatr Obes 2008;3:58-64.
  • Mahfouz AA, Abdelmoneim I, Khan MY, Daffalla AA, Diab MM, Al- Gelban KS, et al. Obesity and related behaviors among adolescent school boys in Abha city, southwestern Saudi Arabia. J Trop Pediatr 2008;54:120-124.
  • Hansen ML, Gunn PW, Kaebler DC. Underdiagnosis of hypertension in children and adolescents. JAMA 2007;298:874-879.
  • McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr 2007;150:640-644.
  • Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA 2004;291:2107-2113.
  • Dişçigil G, Aydoğdu A, Başak O, Gemalmaz A, Gürel FS. Aydın ilindeki ilkokul çocuklarında hipertansiyon prevalansı ve ilişkili faktörler. Türk Aile Hek Derg 2008;12:70-74.
  • Mir S, Keskinoğlu A, Özkayın N, Özdemir Ö. İlkokul 1. sınıf çocuklarında asemptomatik idrar yolu enfeksiyonu ve hipertansiyon prevalansı. Ege Tıp Dergisi 2005;44:29-33.
  • Nur N, Çetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, Sümer H. Prevalence of hypertension among high school students in a Middle Anatolian Province of Turkey. J Health Popul Nutr 2008;26:88-94.
  • Uçar B, Kılıç Z, Çolak O, Öner S, Kalyoncu C. Coroınary risk factors in Turkish schoolchildren: randomıized cross-sectional study. Pediatr Int 2000;42:259-267.
  • Irgil E, Erkenci Y, Aytekin N, Aytekin H. Prevalence of hypertension among schoolchildren aged 13-18 years in Gemlik, Turkey. Eur J Public Health 1998;8:170-178.
  • Urrutia-Rojas X, Egbuchunam CU, Bae S, Menchaca J, Bayona M, Rivers PA, et al. High blood pressure in school children: prevalence and risk factors. BMC Pediatrics 2006;6:32.
  • Stabouli S, Kotsis V, Papamichael C, Constantopoulos A, Zakopoulos N. Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness. J Pediatr 2005;147:651-656.
  • Paç FA, Gülcan H, Yakıncı C, Karabiber H, Balbay D. The pravalence and etiology of hypertension. İnönü Üniversitesi Tıp Fakültesi Dergisi 2001;8:107-110.
  • Robinson RF, Batisky DL, Hayes JR, Nahata MC, Mahan JD. Significance of heritability in primary and secondary pediatric hypertension. Am J Hypertens 2005;18:917-921.
  • Flynn JT, Alderman MH. Characteristics of children with primary hypertension seen at a referral center. Pediatr Nephrol 2005;20:961- 966.
  • Lurbe E, Torro I, Alvarez V, Nawrot T, Paya R, Redon J, et al. Prevalence, Persistence, and Clinical Significance of Masked Hypertension in Youth. Hypertension 2005;45;493-498.

Sakarya'da bir ilköğretim okulu öğrencilerinde obezite ve hipertansiyonun değerlendirilmesi

Yıl 2011, Cilt: 1 Sayı: 3, 86 - 92, 01.09.2011
https://doi.org/10.5505/sakaryamj.2011.69885

Öz

Amaç: Sakarya'da bir ilköğretim okulundaki öğrencilerin obezite ve hipertansiyon durumlarının değerlendirilmesidir.Gereç ve Yöntem: Tanımlayıcı tipteki bu çalışma Sakarya ili Ali Fuatpaşa beldesinde bir ilköğretim okulunda 402 öğrenciyle yürütüldü. Öğrencilerin obezite durumları DSÖ'nün kriterleri kullanılarak, hipertansiyon ise Amerikan Pediatri Akademisi'nin yayınladığı standartlara göre tanımlandı. Çalışmanın verileri SPSS paket programında tanımlayıcı istatistikler ve lojistik regresyon analizi kullanılarak değerlendirildi.Bulgular: Öğrencilerin %13.9'u obez ve %14.2'si kilolu bulundu. Öğrencilerin %7.5'inde malign hipertansiyon, %12.2'sinde hipertansiyon, %21.9'unda prehipertansiyon belirlendi. Yapılan lojistik regresyon sonucunda gece yatmadan önce yemek yemek obeziteyle, birinci derece yakınlarında obezite olması, hipertansiyon olması ve obezite hipertansiyonla ilişkili faktörler olarak bulundu.Sonuç: Okul sağlığı açısından obezite ve hipertansiyon değerlendirmeleri gereklidir. Bu nedenle okul çağı çocuklarının muayenelerinde bu iki konu mutlaka yer almalı ve obezite ile hipertansiyon konusunda öğrencilere ve ailelerine eğitimler verilmelidir.

Kaynakça

  • Eastern Stroke and Coronary Heart Disease Collaborative Research Group. Blood pressure, cholesterol, and stroke in eastern Asia. Lancet 1998;352:1801-1807.
  • Vogt BA. Hypertension in children and adolescents: definition, pathophysiology, risk factors, and long term sequelae. Curr Ther Res Clin Exp 2001;62:283-297.
  • Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004;113:475-482.
  • Crawford D. Population strategies to prevent obesity. BMJ 2002;325:728-729.
  • Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA 2006;295:1549-1555.
  • Strauss R, Pollack H. Epidemic increase in childhood overweight. JAMA 2001;286:2845-2848.
  • Satman İ, Şengül AM, Uygur S, Salman F, Baştar İ, Sargın M, et al. Population-based study of diabetes and risk characteristics: Final results of the TURDEP. Diabetologia 2000;43(Suppl 1):A111-433.
  • Yumuk VD. Prevalence of obesity in Turkey. Obes Rev 2005;6:9-10.
  • Gidding SS, Dennison BA, Birch LL, Daniels SR, Gilman MW, Lichtenstein AH, et al. Dietary recommendations for children and adolescents. A guide for practitioners, Consensus statement from the American Heart Association. Circulation 2005;112:2061-2075.
  • National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004;114;555- 576.
  • WHO. Growth references data for 5-19 years, 2006.
  • Uskun E, Öztürk M, Kişioğlu AN, Kırbıyık S, Demirel R. İlköğretim öğrencilerinde obezite gelişimini etkileyen risk faktörleri. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2005;12:19-25.
  • Şimşek F, Ulukol B, Berberoğlu M, Gülnar SB, Adıyaman P, Öcal G. Ankara’da bir ilköğretim okulu ve lisede obezite sıklığı. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2005;58:163-166.
  • Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet 2010;375:1737-1748.
  • Galloway T. Obesity rates among rural Ontario schoolchildren. Can J Public Health 2006;97:353-356.
  • Salvadori M, Sontrop JM, Garg AX, Truong J, Suri RS, Mahmud FH, et al. Elevated Blood Pressure in Relation to Overweight and Obesity Among Children in a Rural Canadian Community. Pediatrics 2008;122:e821-827.
  • Lewis RD, Meyer MC, Lehman SC, Trowbridge FL, Bason JJ, Yurman KH, et al. Prevalence and degree of childhood and adolescent overweight in rural, urban, and suburban Georgia. J Sch Health 2006;76:126-132.
  • Nelson MC, Gordon-Larsen P, Song Y, Popkin BM. Built and social environments associations with adolescent overweight and activity. Am J Prev Med 2006;31:109-17.
  • Sur H, Kolotourou M, Dimitriou M, Kocaoglu B, Keskin Y, Hayran O, et al. Biochemical and behavioral indices related to BMI in schoolchildren in urban Turkey. Preventive Medicine 2005;41:614- 621.
  • Kutlu R, Çivi S, Köroğlu DE. Fatih Sultan Mehmet İlköğretim Okulu öğrencilerinin antropometrik ölçümlerinin değerlendirilmesi. TAF Prev Med Bull 2008;7:205-212.
  • Arı Z, Süzek H. Muğla merkez köylerindeki bir ilköğretim okulu öğrencisinde serum lipid profili ve obezite taraması. ADÜ Tıp Fakültesi Dergisi 2008;9:11-16.
  • Erkan T, Yalvaç S, Erginöz E, Çokuğraş FÇ, Tufan K. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Yuvası’ndaki çocukların beslenme durumlarının antropometrik ölçümlerle değerlendirilmesi. Türk Ped Arş 2007;42:142-147.
  • Uguz MA, Bodur S. Konya il merkezindeki ergenlik öncesi ve ergen çocuklarda aşırı ağırlık ve şişmanlık durumunun demografik özelliklerle ilişkisi. Genel Tıp Dergisi 2007;17:1-7.
  • Fredriks AM, Van Buuren S, Sing RA, Wit JM, Verloove-Vanhorick SP. Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr 2005;94:496-498.
  • Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML. Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med 2004;158:27-33.
  • Jiang J, Rosenqvist U, Wang H, Greiner T, Ma Y, Toschke AM. Risk factors for overweight in 2-to 6 year-old children in Beijing, China. Int J Pediatr Obes 2006;1:103-108.
  • Kruger R, Kruger HS, Maclntyre UE. The determinants of overweight and obesity among 10- to 15- year-old schoolchildren in the North West Province, South Africa-the THUSA BANA (Transition and Health during Urbanisation of South Africans; BANA, children) study. Public Health Nutr 2006;9:351-358.
  • Collins AE, Pakiz B, Rock CL. Factors associated with obesity in Indonesian adolescents. Int J Pediatr Obes 2008;3:58-64.
  • Mahfouz AA, Abdelmoneim I, Khan MY, Daffalla AA, Diab MM, Al- Gelban KS, et al. Obesity and related behaviors among adolescent school boys in Abha city, southwestern Saudi Arabia. J Trop Pediatr 2008;54:120-124.
  • Hansen ML, Gunn PW, Kaebler DC. Underdiagnosis of hypertension in children and adolescents. JAMA 2007;298:874-879.
  • McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr 2007;150:640-644.
  • Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA 2004;291:2107-2113.
  • Dişçigil G, Aydoğdu A, Başak O, Gemalmaz A, Gürel FS. Aydın ilindeki ilkokul çocuklarında hipertansiyon prevalansı ve ilişkili faktörler. Türk Aile Hek Derg 2008;12:70-74.
  • Mir S, Keskinoğlu A, Özkayın N, Özdemir Ö. İlkokul 1. sınıf çocuklarında asemptomatik idrar yolu enfeksiyonu ve hipertansiyon prevalansı. Ege Tıp Dergisi 2005;44:29-33.
  • Nur N, Çetinkaya S, Yilmaz A, Ayvaz A, Bulut MO, Sümer H. Prevalence of hypertension among high school students in a Middle Anatolian Province of Turkey. J Health Popul Nutr 2008;26:88-94.
  • Uçar B, Kılıç Z, Çolak O, Öner S, Kalyoncu C. Coroınary risk factors in Turkish schoolchildren: randomıized cross-sectional study. Pediatr Int 2000;42:259-267.
  • Irgil E, Erkenci Y, Aytekin N, Aytekin H. Prevalence of hypertension among schoolchildren aged 13-18 years in Gemlik, Turkey. Eur J Public Health 1998;8:170-178.
  • Urrutia-Rojas X, Egbuchunam CU, Bae S, Menchaca J, Bayona M, Rivers PA, et al. High blood pressure in school children: prevalence and risk factors. BMC Pediatrics 2006;6:32.
  • Stabouli S, Kotsis V, Papamichael C, Constantopoulos A, Zakopoulos N. Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness. J Pediatr 2005;147:651-656.
  • Paç FA, Gülcan H, Yakıncı C, Karabiber H, Balbay D. The pravalence and etiology of hypertension. İnönü Üniversitesi Tıp Fakültesi Dergisi 2001;8:107-110.
  • Robinson RF, Batisky DL, Hayes JR, Nahata MC, Mahan JD. Significance of heritability in primary and secondary pediatric hypertension. Am J Hypertens 2005;18:917-921.
  • Flynn JT, Alderman MH. Characteristics of children with primary hypertension seen at a referral center. Pediatr Nephrol 2005;20:961- 966.
  • Lurbe E, Torro I, Alvarez V, Nawrot T, Paya R, Redon J, et al. Prevalence, Persistence, and Clinical Significance of Masked Hypertension in Youth. Hypertension 2005;45;493-498.
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Muhammed Fatih Önsüz Bu kişi benim

Zeynep Zengin Bu kişi benim

Müberra Özkan Bu kişi benim

Hümeyra Şahin Bu kişi benim

Sibel Gedikoğlu Bu kişi benim

Semra Erseven Bu kişi benim

Hızır Dişli Bu kişi benim

Hasan Bektaş Bu kişi benim

Yayımlanma Tarihi 1 Eylül 2011
Gönderilme Tarihi 7 Eylül 2015
Yayımlandığı Sayı Yıl 2011 Cilt: 1 Sayı: 3

Kaynak Göster

AMA Önsüz MF, Zengin Z, Özkan M, Şahin H, Gedikoğlu S, Erseven S, Dişli H, Bektaş H. Sakarya’da bir ilköğretim okulu öğrencilerinde obezite ve hipertansiyonun değerlendirilmesi. Sakarya Tıp Dergisi. Eylül 2011;1(3):86-92. doi:10.5505/sakaryamj.2011.69885

30703

SMJ'de yayınlanan makaleler, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı kapsamında lisanslanır