Prevalence of Elevated Blood Pressure and Its Predictors among Adolescents in Sarawak

Kho, Grace Woei Feng. (2018) Prevalence of Elevated Blood Pressure and Its Predictors among Adolescents in Sarawak. Masters thesis, Universiti Malaysia Sarawak (UNIMAS).

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Abstract

Hypertension is an established and important risk factor of cardiovascular and renal diseases. It is a major public health concem as substantial evidence points towards hypertension starting from childhood and persisting into adulthood. This cross-sectional study was conducted to determine the prevalence of adolescents with elevated blood pressure in Sarawak, Malaysia and its predictors. A total of 2,461 secondary school students aged 12­ 17 years from 19 schools in Sarawak participated. Questionnaire was used to obtain sociodemographic data, parental history of hypertension, and physical activity while a Seca 213 stadiometer, Omron HBF-375 body composition monitors, non-extensible measuring tapes, and Ol11ron HBP- I 300 blood pressure monitors were used to measure height, weight, body fat percentage, waist circumference, and blood pressure. Data were entered and analysed using SPSS version 23.0. Results showed that the prevalences of adolescents with elevated blood pressure, o\!erweight, central obesity, and overfat were 30.1 %, 24.3%, 13.5%, and 6.7% respectively. Multivariate logistic regression demonstrated the predictors significantly associated with elevated blood pressure among adolescents at 95% confidence interval were overweight (adjusted odds ratio=3.144), being male (adjusted odds ratio=3.073), being Chinese (adjusted odds ratio=2.321) or Iban (adjusted odds ratio= 1.578), central obesity (adjusted odds ratio=2.145), being overfat (adjusted odds ratio=1.885), and being an older adolescent (adjusted odds ratio= 1.1 09). Parental history of hypertension, locality, and physical activity showed no significant associations. The obesity epidemic must be tackled at community and school levels by health education and regulation of school canteen foods.

Item Type: Thesis (Masters)
Additional Information: Thesis (MSc.) - Universiti Malaysia Sarawak , 2018.
Uncontrolled Keywords: Adolescent, elevated blood pressure, prevalence, predictors, Sarawak, unimas, university, universiti, Borneo, Malaysia, Sarawak, Kuching, Samarahan, ipta, education , Postgraduate, research, Universiti Malaysia Sarawak.
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Depositing User: Gani
Date Deposited: 08 Jul 2020 07:28
Last Modified: 19 Nov 2021 05:11
URI: http://ir.unimas.my/id/eprint/30299

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