Lifestyle Factors and Hypertension among Adolescents: a Cross-Sectional Study
Keywords:
Adolescent health, hypertension, lifestyleAbstract
Background: Hypertension is an increasing health issue among adolescents and may lead to early cardiovascular morbidity if not detected early. Lifestyle behaviors such as diet, physical activity, and body mass index (BMI) are strongly associated with adolescent blood pressure levels.
Methods: A cross-sectional study was conducted in March–April 2025 among 120 adolescents aged 15–18 years in senior high schools in Temanggung Regency, Central Java, Indonesia. Data were collected using structured questionnaires on lifestyle (diet, physical activity, smoking) and blood pressure measurement using a digital sphygmomanometer. Chi-square test was used to analyze associations between lifestyle factors and hypertension.
Results: The prevalence of hypertension among participants was 14.2%. Hypertension was significantly associated with overweight/obesity (p=0.001), low physical activity (p=0.012), and high-salt diet (p=0.021). No significant association was found with smoking (p=0.165).
Conclusion: Lifestyle factors such as BMI, physical activity, and diet are strongly associated with hypertension among adolescents. Preventive interventions through school-based education and routine screening are essential to reduce long-term cardiovascular risks
References
American Academy of Pediatrics. 2017. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics, 140(3), e20171904.
Dong, Y., Song, Y., Zou, Z., Ma, J. & Ma, Y. 2022. Prevalence of elevated blood pressure and hypertension among children and adolescents: a systematic review and meta-analysis. Journal of Hypertension, 40(2), pp. 234–245.
Kemenkes RI. 2018. Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Lo, J.C., Sinaiko, A.R., Chandra, M. & Daley, M.F. 2020. Prehypertension and hypertension in community-based pediatric practice. Pediatrics, 145(6), e20200211.
Miller, M.A., Kruisbrink, M., Wallace, J., Ji, C. & Cappuccio, F.P. 2021. Sleep duration and incidence of obesity in infants, children, and adolescents: a systematic review and meta-analysis. Sleep, 44(5), zsab013.
Patel, N. & Walker, R. 2022. Pediatric hypertension: underdiagnosis and undertreatment. Current Hypertension Reports, 24(6), pp. 275–283.
Sanyaolu, A., Okorie, C., Qi, X. & Patidar, R. 2019. Childhood and adolescent obesity in the United States: a public health concern. Global Pediatric Health, 6, 1–11.
Spruill, T.M. 2020. Chronic psychosocial stress and hypertension. Current Hypertension Reports, 22(3), pp. 1–10.
World Health Organization. 2020. Guideline on physical activity and sedentary behaviour. Geneva: WHO.
Yang, L., Magnussen, C.G., Yang, L. & Bovet, P. 2021. Elevated blood pressure in childhood or adolescence and cardiovascular outcomes in adulthood: a systematic review. Hypertension, 77(6), pp. 1936–1944
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