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Contribution of behavioral risk factors in the implementation of arterial hypertension in children

Modern pediatrics. Ukraine. 2019.5(101):49-56; doi 10.15574/SP.2019.101.49
Nelea Matraguna, Lilia Bichir-Thoreac, Svetlana Cojocari
Cardiological Institute, Chisinau, Republic of Moldova

For citation: Matraguna N, Bichir-Thoreac LN, Cojocari S. (2019). Contribution of behavioral risk factors in the implementation of arterial hypertensionin children. Modern Pediatrics.Ukraine. 5(101): 49-56. doi 10.15574/SP.2019.101.49
Article received: Apr 16, 2019. Accepted for publication: Sep 18, 2019.

Unhealthy diet, hypodynamia and obesity have contributed to increasing the prevalence of essential HT in children. Chronic stress, alcohol and long-term smoking have been attributed only to the adult's pathologies, but lately there is a growing concern regarding the increasing exposure of the pediatric population to these factors.
Purpose: Estimation of behavioral risk factors impact in reaching high blood pressure in children.
Materials and Methods. The study included 115 hypertensive children between 10 and 18 years. Depending on their BMI, three research groups were created: group I — 35 normal weight hypertensive children (HT, NW), group II — 36 overweight hypertensive children (HT, OW) and group III — 44 obese hypertensive children (HT, OB). A list of specific aspects were analyzed: family and child adverses, family nutrition culture, sedentarism level, and the influence of chronic family and social stress, according to a survey specially elaborated.
Results. Most hypertensive children from the research, from the overweight and obese category, have a sedentary lifestyle and unbalanced diet. In these families the fatty foods are mainly consumed, as well as carbohydrates easily digestible with a high glycemic index and they also use salt in excess.
Conclusion. Behavioral risk factors can be influenced (removed or at least diminished) by a responsible attitude, which should be directed to the pediatric population that faces an increasing risk, and also is the most receptive to prevention measures that address a healthy lifestyle, with proper nutrition and sport.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee (LEC) of an institution.
No conflict of interest was declared by the authors.
Keywords: behavioral risk factors, arterial hypertension, children.


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