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Clinical Pediatrics, Vol. 44, No. 8, 711-714 (2005)
DOI: 10.1177/000992280504400810

Screening for Hypertension in High School

Naomi Nussinovitch, MD

Hypertension Unit, Chaim Sheba Medical Center, Tel Hashomer, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv

Keren Elishkevitz, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petach Tivka and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Talma Rosenthal, MD

Hypertension Unit, Chaim Sheba Medical Center, Tel Hashomer, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv

Moshe Nussinovitch, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petach Tivka and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Arterial hypertension is a major risk factor for atherosclerotic ischemic heart disease and cerebrovascular stroke. Blood pressure measurements were taken in the supine position in 6,282 healthy adolescents (3073 boys, 3209 girls) aged 13-17 years of both sexes. Forty-eight subjects were found to have hypertension: 35 idopathic and 13 secondary to reflux nephropathy, chronic glomerulonephritis, coarctation of the aorta, and hemolytic uremic syndrome. Systolic blood pressure was significantly higher among males than females at ages 15-17 years (p<0.001); diastolic blood pressure was higher among males at age 17 years only (p<0.05). Males with BMI>17 exhibited higher systolic blood pressure than females. Prevalence of hypertension, mostly primary, in a large cohort of students was 0.76%. Early screening is important for early interventions and reducing cardiovascular morbidity and mortality in adulthood.


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