title: Gender differences in cardiovascular risk factors among adolescents in Aseer Region, southwestern Saudi Arabia.
abstract: OBJECTIVE
  The objective of this study was to explore gender differences in the prevalence of silent and clinical apparent cardiovascular risk factors among adolescents in Aseer Region, southwestern Saudi Arabia.
  
  
  METHODS
  A cross-sectional study on a stratified sample of 1869 adolescents was carried out. They were interviewed and examined for weight and height, systolic and diastolic blood pressure using standardized techniques.
  
  
  RESULTS
  The study revealed high prevalence of some potential behavioral and biological cardiovascular diseases (CVD) risk factors among adolescent males and females in the study area. Behavioral risk factors included inadequate low consumption of fruits and vegetables, physical inactivity, and smoking. Physical inactivity was significantly more prevalent among females than males (42.9% and 25.7%, respectively). Smoking was significantly more among females than males (11.8% and 1.3%, respectively). Biological risk factors found were family history of CVD, obesity and high blood pressure. Obesity was significantly prevalent among females (29.4%) compared to males (20.6%). Males had significantly more high blood pressure than females. In logistic regression analysis, being male (aOR = 2.992, 95% CI = 1.933-4.742) and obesity (aOR = 2.995, 95% CI = 2.342-3.991) were found to be significant risk factors in developing high blood pressure among adolescents in the region.
  
  
  CONCLUSIONS
  Presence of cardiovascular risk factors among adolescents is a public health problem in the region. There is a need for a national program in the country to prevent and control cardiovascular risk factors among adolescents.
authors: Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha.
authors: Ahmed A
authors: AA
authors: Mahfouz
authors: Abdullah S
authors: AS
authors: Shatoor
authors: Mervat A
authors: MA
authors: Hassanein
authors: Amani
authors: A
authors: Mohamed
authors: Aesha
authors: A
authors: Farheen
keywords: Adolescents; Cardiovascular risk factors; Saudi Arabia
references: Pediatrics. 2007 Aug;120(2):340-5
references: 17671060
references: Pediatrics. 2006 Dec;118(6):e1789-97
references: 17142500
references: Rev Esp Cardiol. 2010 Mar;63(3):277-85
references: 20196988
references: N Engl J Med. 2007 Dec 6;357(23):2329-37
references: 18057335
references: Ann Saudi Med. 2010 May-Jun;30(3):203-8
references: 20427936
references: Pediatrics. 1989 Oct;84(4):633-41
references: 2780125
references: Ann Saudi Med. 2008 May-Jun;28(3):169-73
references: 18500181
references: Int J Cardiol. 2006 May 10;109(2):213-8
references: 16023231
references: Circulation. 2006 Dec 12;114(24):2663-70
references: 17145992
references: J Saudi Heart Assoc. 2009 Jul;21(3):169-76
references: 23960568
references: J Hypertens. 2000 May;18(5):531-8
references: 10826554
references: J Trop Pediatr. 2008 Apr;54(2):120-4
references: 18039676
references: J Hypertens. 2004 Jun;22(6):1127-31
references: 15167447
references: Ann Saudi Med. 2009 May-Jun;29(3):173-8
references: 19448364
references: Pediatrics. 2004 Mar;113(3 Pt 1):475-82
references: 14993537
references: JAMA. 2003 Nov 5;290(17):2271-6
references: 14600185
references: East Mediterr Health J. 2002 Jul-Sep;8(4-5):470-9
references: 15603027
references: Arq Bras Cardiol. 2008 Oct;91(4):207-12, 227-33
references: 19009171
references: Am J Med Sci. 2005 Aug;330(2):53-9
references: 16103784
references: Circulation. 2008 Mar 4;117(9):1216-27
references: 18316498
references: J Saudi Heart Assoc. 2010 Apr;22(2):47-53
references: 23960594
references: Pediatrics. 2007 Sep;120 Suppl 2:S78-86
references: 17767009
references: JAMA. 2003 Nov 5;290(17):2277-83
references: 14600186