medigraphic.com
ISSN 1561-3038 (Print)

2015, Number 1

<< Back Next >>

Rev Cubana Med Gen Integr 2015; 31 (1)

First stage of an educational strategy female adolescents at risk for hypertension

Pardo RM, Izquierdo R, Sánchez VG, Blanco AO, García MA, Alvarez CY

Language: Spanish
References: 18
Page: 85-97
PDF size: 157.53 Kb.


ABSTRACT

Introduction: history of low birth weight can affect the body mass index in adolescence, and also it can be related to the onset of hypertension in female adolescents.
Objectives: evaluate the influence of low birth weight and age at menarche on blood pressure. Confirm that the age at menarche and body mass index have mediating effect between birth weight and blood pressure levels. Develop a proposal for preventive education strategy in female adolescents in Marianao during 2011-2012.
Methods: 112 adolescents were studied in two junior high schools. The variables measured were weight, height, waist and hip cincunferencias, blood pressure, body mass index, occurrence of menarche as a binary variable, age at menarche, time since that event.
Results: none of the assumptions derived from the literature and from this recent record was confirmed in this work: no association of birth weight with age at menarche, or with blood pressure levels was found. The well-known association of blood pressure levels with waist circumference and body mass index was confirmed.
Conclusions: there are differences between pre and postmenarchal girls concerning systolic blood pressure, no clear relationship between age at menarche and blood pressure, and high positive correlation between age at menarche and birth weight.


REFERENCES

  1. Durán P. Nutrición temprana y enfermedades en la edad adulta: acerca de la Hipótesis de Barker. Arch Argent Pediatric. 2004;102(1):26-34.

  2. Barker DJP, Bagby SP, Hanson MA. Mechanisms of disease: in utero programming in the pathogenesis of hypertension. Nat Clin Prac Neph. 2006;2:700-7.

  3. Susser M, Levin B. Ordeals for the fetal programing hypotesis. colaboradores. BMJ. 1999;318:885-6.

  4. Izquierdo R. El bajo peso al nacer y el desarrollo puberal temprano como precursores de la hipertensión arterial en la adolescente [Tesis]. La Habana, Cuba: Facultad Julio Trigo; 2006.

  5. Kupper N, Ge D, Treiber FA, Snieder H. Emergence of novel genetic effects on blood pressure and hemodynamics in adolescence: the Georgia Cardiovascular Twin Study. Hypertension 2006;47(5):948-54.

  6. Peréz GA. Hipertensión arterial y peso al nacer. Un nuevo reto para la medicina general. Medicina general. 2001;36:612-8.

  7. Villar-Álvarez F, Maiques-Galán A, Brotons-Cuixart C, Torcal-Laguna J, Banegas- Banegas JR, Lorenzo-Piqueres A, et al. Recomendaciones preventivas cardiovasculares en atención primaria. Atención Primaria. 2005;36(Supl 2):11-26.

  8. Pajuelo J, Canchari E, Carrera J, Leguía D. La circunferencia de la cintura en niños con sobrepeso y obesidad. An Fac med. 2004;65(3):167-71.

  9. Hayes, Emily K. "The effect of lifelong maternal obesity on pregnancy outcomes and placental development" Theses McMaster University 2012. Open Access Dissertations and Theses. Ago 2013 [citado 23 Oct 2013]. Paper 6896. Disponible en: http://digitalcommons.mcmaster.ca/opendissertations/6896

  10. Pajuelo J, Bernui I, Rocca J, Torres L, Soto L. Marcadores bioquímicos de riesgo cardiovascular en una población adolescente femenina con sobrepeso y obesidad. An Fac med. 2009;70(1):7-10.

  11. Barker M, Robinson SM, Osmond C, Barker DJP. Birth weight and body fat distribution in adolescent girls. Arch Dis Child. 1997;77:381-3.

  12. Koziel S, Kolodziej H, Ulijaszek S. Body size, fat distribution, menarcheal age and blood pressure in 14-year old girls. Eur J Epidemiol. 2001;17:1111-5.

  13. Law CM, Shiell AW. Is blood pressure inversely related to birth weight? The strength of the evidence from a systematic review of the literature. J Hypertens. 1996;14:935-41.

  14. Pérez GA. Algunos factores de riesgo y su influencia sobre las cifras de tensión arterial en la adolescencia. Medicent Electrón [Internet]. 2001 [citado 23 May 2007];5(3):[aprox. 10 p]. Disponible en: http://www.vcl.sld.cu /medicentro/V5n301/algunas.htm.

  15. Silo A Dei Cas, Ignacio J Dei Cas, Pablo G Dei Cas, M Elena Szyrma, Laura Ciancia, J Pablo Comas, et al. Estudio de la presión arterial en adolescentes de 15 años. Su relación con características antropométricas y factores de riesgo de hipertensión arterial. Arch Argent Pediatr. 2000;98(3):161.

  16. CT Roberts, JA Owens, AN Sferruzzi-Perri. Distinct actions of insulin-like growth factors (IGFs) on placental development and fetal growth: lessons from mice and guinea pigs Placenta 2008;29(Suppl. A):S42-S47.

  17. Frias AE, Morgan TK, Evans AE, Rasanen J, Oh KY, Thornburg KL, et al. Maternal high-fat diet disturbs uteroplacental hemodynamics and increases the frequency of stillbirth in a nonhuman primate model of excess nutrition. Endocrinology 2011;152:2456-64.

  18. KL Thornburg, P O’Thierney, S Louey. The placenta is a programming agent for cardiovascular disease. Placenta 2010;31(Suppl. A):54-S59.




2020     |     www.medigraphic.com