Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Baiana de Saúde Pública (Online) |
DOI: | 10.22278/2318-2660.2023.v47.n1.a3804 |
Texto Completo: | https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3804 |
Resumo: | Cesarean delivery is considered a risk factor for several chronic diseases. This study aimed to investigate the association between cesarean section and blood pressure (BP) in 6-year-old children. This is a cross-sectional study carried out in Feira de Santana, (BA) with 635 mother-child pairs. The type of birth was categorized into cesarean and vaginal. The BP was measured by using sphygmomanometry and considered high when it reached levels equal or higher than the 90th percentile for age, gender, and height. Crude (PRcrude) and adjusted (PRadjusted) prevalence rate and respective 95% confidence intervals (95%CI) were estimated by multiple logistic regression. Cesarean section occurred in 46.5% of the cases, the prevalence of high systolic (SBP) and diastolic (DBP) blood pressure were 17.2% and 5.6%, respectively. Excess weight was verified in 28.6% of the children. The highest prevalence of high SBP was among children who were born by cesarean section (61%) compared with those who were born vaginally (PRcrude: 1.51; 95%CI: 1.07-2.14; PRadjusted: 1.61; 95%CI %: 1.05-2.46). Maternal age at the birth of the child was an interaction factor in the main association, thus, children born vaginally had a higher prevalence of elevated SBP, compared with those born via cesarean section. Cesarean section was associated with increased SBP at six years of age. |
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Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional studyAsociación entre los partos por cesárea y la presión arterial alta en preescolares: un estudio transversalAssociação entre parto cesáreo e pressão arterial elevada em pré-escolares: um estudo transversalPré-escolarPressão arterial altaCesáreaPreescolarHipertensiónCesáreaPreschoolHigh blood pressureCesarean sectionCesarean delivery is considered a risk factor for several chronic diseases. This study aimed to investigate the association between cesarean section and blood pressure (BP) in 6-year-old children. This is a cross-sectional study carried out in Feira de Santana, (BA) with 635 mother-child pairs. The type of birth was categorized into cesarean and vaginal. The BP was measured by using sphygmomanometry and considered high when it reached levels equal or higher than the 90th percentile for age, gender, and height. Crude (PRcrude) and adjusted (PRadjusted) prevalence rate and respective 95% confidence intervals (95%CI) were estimated by multiple logistic regression. Cesarean section occurred in 46.5% of the cases, the prevalence of high systolic (SBP) and diastolic (DBP) blood pressure were 17.2% and 5.6%, respectively. Excess weight was verified in 28.6% of the children. The highest prevalence of high SBP was among children who were born by cesarean section (61%) compared with those who were born vaginally (PRcrude: 1.51; 95%CI: 1.07-2.14; PRadjusted: 1.61; 95%CI %: 1.05-2.46). Maternal age at the birth of the child was an interaction factor in the main association, thus, children born vaginally had a higher prevalence of elevated SBP, compared with those born via cesarean section. Cesarean section was associated with increased SBP at six years of age.El parto por cesárea presenta un factor de riesgo para varias enfermedades crónicas. El objetivo de este estudio fue investigar la asociación entre el parto por cesárea y la presión arterial (PA) en niños de 6 años de edad. Se trata de un estudio transversal, realizado en Feira de Santana, en Bahía (Brasil), con 635 pares de madre e hijo. El tipo de parto se clasificó en cesárea y vaginal. La PA se midió mediante esfigmomanometría y se consideró alta cuando alcanzó niveles más altos o iguales al percentil 90 para edad, sexo y talla. Las razones de prevalencia crudas (RPcrudas) y ajustadas (RPajustadas) y los respectivos intervalos de confianza del 95% (IC del 95%) se estimaron mediante regresión logística múltiple. La cesárea ocurrió en el 46,5%, las prevalencias de presión arterial sistólica (PAS) y diastólica (PAD) altas fueron el 17,2% y el 5,6%, respectivamente. El exceso de peso se presentó en el 28,6% de los niños. La mayor prevalencia de PAS alta se observó entre los niños nacidos por cesárea (61%) en comparación con los nacidos por vía vaginal (RPcruda: 1,51; IC95%: 1,07-2,14; RPajustada: 1,61; IC95%: 1,05-2,46). La edad materna al nacimiento del niño fue un factor de interacción en la principal asociación, así, los niños nacidos por vía vaginal tuvieron una mayor prevalencia de PAS elevada en comparación con los nacidos por cesárea. El parto por cesárea se asoció con un aumento de la PAS a los 6 años de edad.O parto cesáreo é apontado como fator de risco para diversas doenças crônicas. Neste estudo, objetivou-se averiguar a associação entre parto cesáreo e pressão arterial (PA) de crianças de 6 anos. Trata-se de estudo transversal conduzido em Feira de Santana (BA), com 635 pares de mãe e filho. O tipo de parto foi categorizado em cesárea e vaginal. A PA foi aferida por meio de esfigmomanometria e considerada elevada quando atingiu níveis iguais ou maiores ao percentil 90 para idade, sexo e altura. Razões de prevalência brutas (RPbruta) e ajustadas (RPajustada) e respectivos intervalos de confiança de 95% (IC95%) foram estimados via regressão logística múltipla. A cesariana ocorreu em 46,5% dos casos, as prevalências de pressão arterial sistólica (PAS) e diastólica (PAD) elevadas foram de 17,2% e 5,6%, respectivamente. O excesso de peso foi verificado em 28,6% das crianças. A maior prevalência de PAS elevada foi observada entre as crianças que nasceram por cesariana (61%) em relação às que nasceram por parto vaginal (RPbruta: 1,51; IC95%: 1,07-2,14; RPajustada: 1,61; IC95%: 1,05-2,46). A idade materna ao nascimento da criança foi fator de interação na associação principal, assim, as crianças nascidas via parto vaginal exibiram maior prevalência de PAS elevada, comparadas às nascidas via cesárea. O parto cesáreo se associou à PAS elevada aos 6 anos de idade.SESAB2023-06-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/380410.22278/2318-2660.2023.v47.n1.a3804Revista Baiana de Saúde Pública; v. 47 n. 1 (2023); 64-772318-26600100-023310.22278/2318-2660.2023.v47.N1reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3804/3201Copyright (c) 2023 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessCosta, Jessica Santos Passos Vieira, Tatiana de Oliveira Jesus, Gilmar Mercês deVieira, Graciete Oliveira Oliveira, Ana Mayra Andrade de Adán, Luís Fernando Fernandes 2023-06-19T17:29:09Zoai:ojs.pkp.sfu.ca:article/3804Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:30.044089Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false |
dc.title.none.fl_str_mv |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study Asociación entre los partos por cesárea y la presión arterial alta en preescolares: un estudio transversal Associação entre parto cesáreo e pressão arterial elevada em pré-escolares: um estudo transversal |
title |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study |
spellingShingle |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study Costa, Jessica Santos Passos Pré-escolar Pressão arterial alta Cesárea Preescolar Hipertensión Cesárea Preschool High blood pressure Cesarean section Costa, Jessica Santos Passos Pré-escolar Pressão arterial alta Cesárea Preescolar Hipertensión Cesárea Preschool High blood pressure Cesarean section |
title_short |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study |
title_full |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study |
title_fullStr |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study |
title_full_unstemmed |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study |
title_sort |
Association between cesarean section and high blood pressure among early elementary schoolchildren: a cross-sectional study |
author |
Costa, Jessica Santos Passos |
author_facet |
Costa, Jessica Santos Passos Costa, Jessica Santos Passos Vieira, Tatiana de Oliveira Jesus, Gilmar Mercês de Vieira, Graciete Oliveira Oliveira, Ana Mayra Andrade de Adán, Luís Fernando Fernandes Vieira, Tatiana de Oliveira Jesus, Gilmar Mercês de Vieira, Graciete Oliveira Oliveira, Ana Mayra Andrade de Adán, Luís Fernando Fernandes |
author_role |
author |
author2 |
Vieira, Tatiana de Oliveira Jesus, Gilmar Mercês de Vieira, Graciete Oliveira Oliveira, Ana Mayra Andrade de Adán, Luís Fernando Fernandes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Costa, Jessica Santos Passos Vieira, Tatiana de Oliveira Jesus, Gilmar Mercês de Vieira, Graciete Oliveira Oliveira, Ana Mayra Andrade de Adán, Luís Fernando Fernandes |
dc.subject.por.fl_str_mv |
Pré-escolar Pressão arterial alta Cesárea Preescolar Hipertensión Cesárea Preschool High blood pressure Cesarean section |
topic |
Pré-escolar Pressão arterial alta Cesárea Preescolar Hipertensión Cesárea Preschool High blood pressure Cesarean section |
description |
Cesarean delivery is considered a risk factor for several chronic diseases. This study aimed to investigate the association between cesarean section and blood pressure (BP) in 6-year-old children. This is a cross-sectional study carried out in Feira de Santana, (BA) with 635 mother-child pairs. The type of birth was categorized into cesarean and vaginal. The BP was measured by using sphygmomanometry and considered high when it reached levels equal or higher than the 90th percentile for age, gender, and height. Crude (PRcrude) and adjusted (PRadjusted) prevalence rate and respective 95% confidence intervals (95%CI) were estimated by multiple logistic regression. Cesarean section occurred in 46.5% of the cases, the prevalence of high systolic (SBP) and diastolic (DBP) blood pressure were 17.2% and 5.6%, respectively. Excess weight was verified in 28.6% of the children. The highest prevalence of high SBP was among children who were born by cesarean section (61%) compared with those who were born vaginally (PRcrude: 1.51; 95%CI: 1.07-2.14; PRadjusted: 1.61; 95%CI %: 1.05-2.46). Maternal age at the birth of the child was an interaction factor in the main association, thus, children born vaginally had a higher prevalence of elevated SBP, compared with those born via cesarean section. Cesarean section was associated with increased SBP at six years of age. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3804 10.22278/2318-2660.2023.v47.n1.a3804 |
url |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3804 |
identifier_str_mv |
10.22278/2318-2660.2023.v47.n1.a3804 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3804/3201 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Baiana de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Baiana de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SESAB |
publisher.none.fl_str_mv |
SESAB |
dc.source.none.fl_str_mv |
Revista Baiana de Saúde Pública; v. 47 n. 1 (2023); 64-77 2318-2660 0100-0233 10.22278/2318-2660.2023.v47.N1 reponame:Revista Baiana de Saúde Pública (Online) instname:Secretaria da Saúde do Estado da Bahia (Sesab) instacron:IBICT |
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Secretaria da Saúde do Estado da Bahia (Sesab) |
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IBICT |
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IBICT |
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Revista Baiana de Saúde Pública (Online) |
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Revista Baiana de Saúde Pública (Online) |
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Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab) |
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1822181252135911424 |
dc.identifier.doi.none.fl_str_mv |
10.22278/2318-2660.2023.v47.n1.a3804 |