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CORRESPONDENCE
Year : 2016  |  Volume : 143  |  Issue : 3  |  Page : 377

Authors' response


1 Regional Medical Research Centre, NE Region (ICMR), Dibrugarh 786 001, Assam, India
2 Assam Medical College & Hospital, Dibrugarh 786 002, Assam, India
3 Indian Council of Medical Research, Ansari Nagar, New Delhi, India

Date of Web Publication19-May-2016

Correspondence Address:
Prasanta Kr Borah
Regional Medical Research Centre, NE Region (ICMR), Dibrugarh 786 001, Assam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5916.182634

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How to cite this article:
Borah PK, Devi U, Biswas D, Kalita HC, Sharma M, Mahanta J. Authors' response. Indian J Med Res 2016;143:377

How to cite this URL:
Borah PK, Devi U, Biswas D, Kalita HC, Sharma M, Mahanta J. Authors' response. Indian J Med Res [serial online] 2016 [cited 2020 Jul 11];143:377. Available from: http://www.ijmr.org.in/text.asp?2016/143/3/377/182634

Sir,

We appreciate the valuable comments on our article[1] on prevalence of hypertension in school going children. Prevalence of hypertension (7.6%) observed in our study may be attributed to age differences, study settings, and number of visits made for categorizing blood pressure. We made single visit which was a limitation of the study. Although US Preventive Services Task Force recommendations do not find any benefit or harm in screening children for hypertension2, it may be useful for adult cardiovascular risk reduction by identifying risk factors. Our study was a school based survey, hence the suggestions of measuring BP in all healthy children during hospital visit is left with the physician.

The prevalence of hypertension observed in the present study[1] was similar to the prevalence observed in urban school children from Shimla3. The present communication did not include children with prehypertension in calculation of the final prevalence of hypertension. We appreciate the concern about possible variation of hypertension prevalence in private vs. government schools[4],[5]. School-wise distribution was analyzed, but no significant difference was observed in prevalence of hypertension in government vs. private schools (7.7 vs. 6.6%, P=0.197).

we agree that prevalence of high blood pressure decreases on subsequent measurement[3],[6],[7]. We have reported hypertension prevalence based on single visit following adequate precautions. Suggestions for follow up evaluation of children with raised blood pressure are highly appreciated.

 
   References Top

1.
Borah PK, Devi U, Biswas D, Kalita HC, Sharma M, Mahanta J. Distribution of blood pressure and correlates of hypertension in school children aged 5-14 years from Northeast India. Indian J Med Res 2015; 142 : 293-300.   Back to cited text no. 1
    
2.
Moyer VA. U.S. Preventive Services Task Force. Screening for primary hypertension in children and adolescents: U.S. Preventive Services Task Force recommendation statement. Pediatrics 2013; 132 : 907-14.  Back to cited text no. 2
    
3.
Sharma A, Grover N, Kaushik S, Bhardwaj R, Sankhyan N. Prevalence of hypertension among schoolchildren in Shimla. Indian Pediatr 2010; 47 : 873-6.  Back to cited text no. 3
    
4.
Kaur J, Mehta P. Prevalence of hypertension and its association with body fat percentage among government and private schoolgirls in Ludhiana. Hum Biol Rev 2012; 1 : 235-47.  Back to cited text no. 4
    
5.
Buch N, Goyal JP, Kumar N, Parmar I, Shah VB, Charan J. Prevalence of hypertension in school going children of Surat city, Western India. J Cardiovasc Dis Res 2011; 2 : 228-32.  Back to cited text no. 5
    
6.
Rames LK, Clarke WR, Connor WE, Reiter MA, Lauer RM. Normal blood pressure and the evaluation of sustained blood pressure elevation in childhood: the Muscatine study. Pediatrics 1978; 61 : 245-51.  Back to cited text no. 6
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7.
Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 2004; 113 : 475-82.  Back to cited text no. 7
    




 

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