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LETTER TO THE EDITOR
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The prevalence of hypertension and prehypertension among children in schools of rural health training area of a tertiary care hospital in Nagpur, Maharashtra


 Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Submission25-Mar-2020
Date of Decision29-Mar-2020
Date of Acceptance23-Jun-2020

Correspondence Address:
Mahmood Dhahir Al-Mendalawi,
P. O. Box: 55302, Baghdad Post Office, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mjdrdypu.mjdrdypu_108_20



How to cite this URL:
Al-Mendalawi MD. The prevalence of hypertension and prehypertension among children in schools of rural health training area of a tertiary care hospital in Nagpur, Maharashtra. Med J DY Patil Vidyapeeth [Epub ahead of print] [cited 2021 Nov 30]. Available from: https://www.mjdrdypv.org/preprintarticle.asp?id=319826



Dear Sir,

In March–April 2020 issue of the Medical Journal of Dr. D. Y. Patil Vidyapeet, Sheikh et al.[1] studied the prevalence of hypertension and prehypertension among Indian children and assessed the correlation between generalized obesity and central obesity with hypertension/prehypertension. They found a higher prevalence of hypertension (3.57%) and prehypertension (6.25%). They also found a significant correlation between hypertension/prehypertension and central obesity.[1] The authors mentioned a few study limitations. I assume that the following methodological limitation is relevant. It is obvious that the proper evaluation of blood pressure (BP) in children necessitates the employment of BP charts. Since BP in a given pediatric population is controlled by different genetic, nutritional, socioeconomic, and ethnic backgrounds,[2] various pediatric populations-specific BP reference values have been constructed to be utilized in the researches institutions and clinical settings.[3],[4] To my knowledge, India is among Asian countries that have already constructed their pediatric percentiles for systolic and diastolic BP for both genders.[5] Regrettably, Sheikh et al.[1] did not mention exactly in the study methodology, which BP curves they employed to categorize BP readings of the studied population into the stages of normotensive BP, prehypertension, and hypertension. Ultimately, this limitation might additionally influence the correctness of the study results.

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There are no conflicts of interest.



 
  References Top

1.
Sheikh AR, Patil CR, Thakre SS. The prevalence of hypertension and prehypertension among children in schools of rural health training area of a tertiary care hospital in Nagpur, Maharashtra. Med J DY Patil Vidyapeeth 2020;13:161-5.  Back to cited text no. 1
  [Full text]  
2.
Matossian D. Pediatric hypertension. Pediatr Ann 2018;47:e499-503.  Back to cited text no. 2
    
3.
Schwandt P, Scholze JE, Bertsch T, Liepold E, Haas GM. Blood pressure percentiles in 22,051 German children and adolescents: The PEP Family Heart Study. Am J Hypertens 2015;28:672-9.  Back to cited text no. 3
    
4.
Ataei N, Hosseini M, Fayaz M, Navidi I, Taghiloo A, Kalantari K, et al. Blood pressure percentiles by age and height for children and adolescents in Tehran, Iran. J Hum Hypertens 2016;30:268-77.  Back to cited text no. 4
    
5.
Sayeemuddin M, Sharma D, Pandita A, Sultana T, Shastri S. Blood pressure profile in school children (6-16 years) of Southern India: A prospective observational study. Front Pediatr 2015;3:24.  Back to cited text no. 5
    




 

 
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