Literaturnachweis - Detailanzeige
| Autor/inn/en | Silberstein, Juliet; Gwynn, Lisa; Mathew, M. Sunil; Arheart, Kristopher L.; Messiah, Sarah E. |
|---|---|
| Titel | Evidence to Support Universal Blood Pressure Screening in School-Based Clinical Settings |
| Quelle | In: Journal of School Health, 90 (2020) 6, S.474-481 (8 Seiten)Infoseite zur Zeitschrift
PDF als Volltext |
| Zusatzinformation | ORCID (Silberstein, Juliet) |
| Sprache | englisch |
| Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
| ISSN | 0022-4391 |
| DOI | 10.1111/josh.12893 |
| Schlagwörter | Screening Tests; School Health Services; Hypertension; Physical Health; Elementary School Students; Secondary School Students; Body Height; Body Weight; Body Composition; Physiology; Ethnicity; Racial Differences; Gender Differences; Obesity; At Risk Persons; Low Income Students; Minority Group Students; Access to Health Care; Florida |
| Abstract | Background: Most pediatric elevated blood pressure (BP) remains undiagnosed. The American Academy of Pediatrics states "there is limited evidence to support school-based measurement of children's BP." We explored the utility school-based BP screening. Methods: A cross-sectional sample of 4096 students ages 6 to 17 from Title 1 Miami-Dade Public Schools (50% female, 71% non-Hispanic black, 26% Hispanic) had their systolic/diastolic BP (SBP/DBP) and body mass index (BMI) collected over the 2016 to 2017 or 2017 to 2018 school years. Relative risks (RRs) ratios were calculated to estimate normal/elevated SBP/DBP by BMI percentile, ethnicity, and sex. Results: Overall, 26.4% had at least one elevated BP measurement, of which 59% were not obese. RR for obese status was significant for all categories of elevated BP (RRs > 1.88, p < 0.0001). Being either female (RR = 1.34, p = 0.009) or Hispanic (RR = 1.31, p = 0.014) was significantly associated with elevated DBP. BMI accounted for <10% of the variation in BP (SBP: F(1, 4095) = 367.6, adjusted R[superscript 2] = 0.08, p < 0.0001; DBP: F(1, 4095) = 93.3, adjusted R[superscript 2] = 0.02, p < 0.0001). Conclusion: These findings support providing BP screenings in school settings. Low-income and minority students often have limited access to health care, higher obesity rates, and unhealthy behaviors. Our findings support universal school-based BP screening regardless of weight status, particularly among ethnically diverse populations. (As Provided). |
| Anmerkungen | Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA |
| Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
| Update | 2024/1/01 |
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