Prevalence Of Hypertension in Gujarati School Going Children and Adolescents in Anand District


  • Vivek Verma Pramukhswami Medical College, Karamsad, Anand
  • S K Singh Pramukhswami Medical College, Karamsad, Anand


Prehypertension, Hypertension, Gujarati Children and adolescents, BMI, BSA


Background: Childhood hypertension is now days becoming big problem worldwide. Gujarati school age children are not much studied regarding cardiovascular risk factors like hypertension; especially in the central Gujarat, no such study has been reported so far. Therefore, we conducted this study to assess prevalence of hypertension and relationship of blood pressure with body mass index and body surface area in Gujarati school going children and adolescents in Anand district of Gujarat.

Methodology: A cross-sectional study of 1087 Gujarati school going children and adolescents of 5-18 years was conducted between 2008 and 2010 in Anand district of Gujarat to get a distribution profile of blood pressure, BMI and BSA (body surface area).

Results: The overall prevalence of prehypertension was 10.8% (6.16% for SBP and 5.61% for DBP) and that for hypertension was 9.2% (5.06% for SBP and 5.09% for DBP). In boys, overall prevalence of prehypertension and hypertension were 9.63% (4.82% for SBP and 6.15% for DBP) and 9.8% (6.31% for SBP and 5.65% for DBP) respectively and, that was 9.07% (4.54% for SBP and 4.95% for DBP) and 10.31% (5.77% for SBP and 6.19% for DBP) in girls. The blood pressure was positively correlated with age, height, BMI and BSA.

Conclusion: The high prevalences of prehypertension and hypertension in Gujarati children and adolescents obtained in this study indicate the need for regular evaluation of cardiovascular status in Indian school children.


Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in Blood Pressure among Children and Adolescents. JAMA 2004;291(17):2107-13.

The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; National Institutes of Health; National Heart, Lung, and Blood Institute. Pediatrics. 2004 Aug;114(2 Suppl 4th Report):555-76.

World Health Organization. The World Health Report 2002. Geneva, Switzerland: WHO, 2002.

Soudarssanane MB, Karthigeyan M., Stephen S., Sahai A. Key Predictors of High Blood Pressure and Hypertension among Adolescents: A Simple Prescription for Prevention. Indian Journal of Community Medicine Vol. 31, No. 3, July - September, 2006.

Anand NK and Tandon L. Prevalence of hypertension in school going children. Indian Pediatr. May 1996;33(5):377-81.

Anjana, Prabhjot, Kaur N, Kumari K and Sidhu S. Variation in blood pressure among school children of Amritsar (Punjab). Anthropologist 2005;7(3): 201-204.

Eagle K. Coronary artery disease in India: challenges and opportunities. Lancet 2008; 371: 1394-1395.

Joshi P, Islam S, Pais P, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA 2007;297:286–94.

Chadha SL, Tandon R, Shekhawat S, Gopinath N. An Epidemiological Study of Blood Pressure in School Children (5-14 Years) In Delhi. Indian Heart J. 1999; Mar-Apr;51(2):178-82.

Sharma BK, Saga S, Wahi PL, Talwar KK, Singh S and Kumar L. Blood Pressure in Schoolchildren in Northwest India. Am J Epidemiol 1991;134:1417–26.

Thakor HG, Kumar P, Desai VK. An Epidemiological Study of Hypertension amongst Children from Various Primary Schools of Surat City. IJCM, 1998; 23(3): 110-115.

Daniel WW. Biostatistics: A Foundation for Analysis in the Health Sciences. 8th edition. New York: John Wiley & Sons; 2005. Page 189.

Briars GL, Bailey BJR. Surface area estimation: pocket calculator v nomogram. Arch Dis Child 1994;70: 246-247.

O'Brien E, Waeber B, P Gianfranco, S Jan, Myers MG on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring. Blood pressure measuring devices: recommendations of the European Society of Hypertension. BMJ 2001;322:531–6.

Kliegman: Nelson Textbook of Pediatrics, 18th edition. Chapter 422;Table 422-4.

Moura Adriana A., Silva Maria A. M., Ferraz Maria R. M. T., Rivera Ivan R. Prevalence of high blood pressure in children and adolescents from the city of Maceió, Brazil. 2004; J Pediatr (Rio J);80(1):35-40.

Sharma BK, Saga S, Wahi PL, Talwar KK, Singh S and Kumar L. Blood Pressure in Schoolchildren in Northwest India. Am J Epidemiol 1991;134:1417–26.

Falkner B, Lurbe E, Schaefer F. High blood pressure in children: clinical and health policy implications. Journal of Clinical Hypertension April 2010;12(4):261-276.




How to Cite

Verma V, Singh SK. Prevalence Of Hypertension in Gujarati School Going Children and Adolescents in Anand District. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2023 Mar. 25];3(03):452-7. Available from:



Original Research Articles