title: Hypertension and its association with anthropometric indexes among pre-university students.
abstract: Hypertension has become increasingly common among adolescents. This study aimed to investigate the prevalence of hypertension and its association with anthropometric indexes among pre-university students. This was a cross-sectional study carried out among pre-university students of a public university. Anthropometric measurements were conducted using mobile stadiometers, digital body fat scales and measuring tapes. Body fat percentage was measured with a body composition analyzer, and blood pressure was determined using digital blood pressure monitors. Statistical analyses were done using Statistical Package for Social Sciences (SPSS) Statistics 20. A total of 218 respondents participated in the study. The prevalence of hypertension at risk was 7.3%, which was higher among males (16.7%). About 22% of the respondents were overweight and obese. The majority of males had a normal waist circumference (WC) (75.9%), but almost half of females had a WC value in the unhealthy category (47.0%). Females had higher conicity indexes and body fat compared to males. Respondents who were found to have hypertension at risk had a higher prevalence of being overweight and having unhealthy WC and waist-to-height ratio and had high conicity indexes and a high percentage of fat. Risk factors independently associated with hypertension at risk included male gender (odds ratio=4.213, 95% CI, 1.238-14.342) and body mass index (odds ratio=7.865, 95% CI, 1.165-53.099). Regular screening of hypertension at risk among adolescents and initiation of early treatment for those affected should be conducted to avoid further complication in later life.
authors.forename: Whye Lian
authors.initials: WL
authors.lastname: Cheah
authors.forename: Helmy
authors.initials: H
authors.lastname: Hazmi
authors.forename: Hui Qi
authors.initials: HQ
authors.lastname: Chia
authors.forename: Empiang
authors.initials: E
authors.lastname: Tindin
authors.forename: Nur Adilah
authors.initials: NA
authors.lastname: Ahmad Zafri
authors.forename: Syarul Haziq
authors.initials: SH
authors.lastname: Mohd Shah
mesh_terms: D000293:Adolescent; D000886:Anthropometry / Q000379:methods*; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D013334:Students