Blood pressure among Australian Aboriginal children

Nicholas Larkins, Armando Teixeira-Pinto, Emily Banks, Hasantha Gunasekera, Alan Cass, Jane Kearnes, Jonathan C Craig, SEARCH investigators

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVES: To determine the prevalence of elevated blood pressure (BP) and potential predictors of SBP and DBP in urban Australian aboriginal children.

METHODS: The Study of Environment on Aboriginal Resilience and Child Health is a prospective cohort study of urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Clinical measures included a manual BP measured by research officers using standardized protocols. BP z-scores adjusted for sex, age, and height were used in regression analyses. Hypertension was defined as a BP at least 95th centile and prehypertension at least 90th centile. Factors considered in relation to BP included child (BMI, dietary history, socioeconomic status, sedentary behavior) and caregiver measures (BP and caregiver stress).

RESULTS: Overall, data from 657 children, aged 2-17 years and their caregivers, collected from 2008 to 2011, were included. Median child age was 6.3 years (interquartile range: 4.0, 9.9); 15.6% (95% confidence interval 12.2-19.1%) had hypertension and 12.3% (9.2-5.5%) prehypertension. Following adjustment, the strongest predictor of BP was caregiver BP (0.15 increase in systolic z-score per 10 mmHg of caregiver BP, 95% confidence interval 0.07-0.24, P 

CONCLUSION: BP is frequently elevated in urban aboriginal children. The strongest predictors of BP were caregiver BP and child BMI. Based on these data, and given the strong community linkages of aboriginal people, we recommend family-based interventions to reduce BP in this high-risk group.

Original languageEnglish
Pages (from-to)1801-1807
Number of pages7
JournalJournal of Hypertension
Volume35
Issue number9
DOIs
Publication statusPublished - Sep 2017
Externally publishedYes

Fingerprint

Blood Pressure
Caregivers
Prehypertension
Hypertension
Confidence Intervals
Social Adjustment
Community Health Services
South Australia
New South Wales
Social Class
Cohort Studies
Regression Analysis
Prospective Studies
Research

Cite this

Larkins, N., Teixeira-Pinto, A., Banks, E., Gunasekera, H., Cass, A., Kearnes, J., ... SEARCH investigators (2017). Blood pressure among Australian Aboriginal children. Journal of Hypertension, 35(9), 1801-1807. https://doi.org/10.1097/HJH.0000000000001401
Larkins, Nicholas ; Teixeira-Pinto, Armando ; Banks, Emily ; Gunasekera, Hasantha ; Cass, Alan ; Kearnes, Jane ; Craig, Jonathan C ; SEARCH investigators. / Blood pressure among Australian Aboriginal children. In: Journal of Hypertension. 2017 ; Vol. 35, No. 9. pp. 1801-1807.
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Larkins, N, Teixeira-Pinto, A, Banks, E, Gunasekera, H, Cass, A, Kearnes, J, Craig, JC & SEARCH investigators 2017, 'Blood pressure among Australian Aboriginal children' Journal of Hypertension, vol. 35, no. 9, pp. 1801-1807. https://doi.org/10.1097/HJH.0000000000001401

Blood pressure among Australian Aboriginal children. / Larkins, Nicholas; Teixeira-Pinto, Armando; Banks, Emily; Gunasekera, Hasantha; Cass, Alan; Kearnes, Jane; Craig, Jonathan C; SEARCH investigators.

In: Journal of Hypertension, Vol. 35, No. 9, 09.2017, p. 1801-1807.

Research output: Contribution to journalArticle

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AU - Teixeira-Pinto, Armando

AU - Banks, Emily

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AU - Craig, Jonathan C

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N2 - OBJECTIVES: To determine the prevalence of elevated blood pressure (BP) and potential predictors of SBP and DBP in urban Australian aboriginal children.METHODS: The Study of Environment on Aboriginal Resilience and Child Health is a prospective cohort study of urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Clinical measures included a manual BP measured by research officers using standardized protocols. BP z-scores adjusted for sex, age, and height were used in regression analyses. Hypertension was defined as a BP at least 95th centile and prehypertension at least 90th centile. Factors considered in relation to BP included child (BMI, dietary history, socioeconomic status, sedentary behavior) and caregiver measures (BP and caregiver stress).RESULTS: Overall, data from 657 children, aged 2-17 years and their caregivers, collected from 2008 to 2011, were included. Median child age was 6.3 years (interquartile range: 4.0, 9.9); 15.6% (95% confidence interval 12.2-19.1%) had hypertension and 12.3% (9.2-5.5%) prehypertension. Following adjustment, the strongest predictor of BP was caregiver BP (0.15 increase in systolic z-score per 10 mmHg of caregiver BP, 95% confidence interval 0.07-0.24, P CONCLUSION: BP is frequently elevated in urban aboriginal children. The strongest predictors of BP were caregiver BP and child BMI. Based on these data, and given the strong community linkages of aboriginal people, we recommend family-based interventions to reduce BP in this high-risk group.

AB - OBJECTIVES: To determine the prevalence of elevated blood pressure (BP) and potential predictors of SBP and DBP in urban Australian aboriginal children.METHODS: The Study of Environment on Aboriginal Resilience and Child Health is a prospective cohort study of urban Aboriginal children attending four Aboriginal Community Controlled Health Services in New South Wales, Australia. Clinical measures included a manual BP measured by research officers using standardized protocols. BP z-scores adjusted for sex, age, and height were used in regression analyses. Hypertension was defined as a BP at least 95th centile and prehypertension at least 90th centile. Factors considered in relation to BP included child (BMI, dietary history, socioeconomic status, sedentary behavior) and caregiver measures (BP and caregiver stress).RESULTS: Overall, data from 657 children, aged 2-17 years and their caregivers, collected from 2008 to 2011, were included. Median child age was 6.3 years (interquartile range: 4.0, 9.9); 15.6% (95% confidence interval 12.2-19.1%) had hypertension and 12.3% (9.2-5.5%) prehypertension. Following adjustment, the strongest predictor of BP was caregiver BP (0.15 increase in systolic z-score per 10 mmHg of caregiver BP, 95% confidence interval 0.07-0.24, P CONCLUSION: BP is frequently elevated in urban aboriginal children. The strongest predictors of BP were caregiver BP and child BMI. Based on these data, and given the strong community linkages of aboriginal people, we recommend family-based interventions to reduce BP in this high-risk group.

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JF - Journal of Hypertension.

SN - 0263-6352

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Larkins N, Teixeira-Pinto A, Banks E, Gunasekera H, Cass A, Kearnes J et al. Blood pressure among Australian Aboriginal children. Journal of Hypertension. 2017 Sep;35(9):1801-1807. https://doi.org/10.1097/HJH.0000000000001401