Purpose: This study investigated the outcome of childhood hypertension among children urine screened positive for proteinuria, glucosuria and/or hematuria. Methods: Between 1992 and 2000, an islandwide mass urine screening program for proteinuria, glucosuria, and hematuria was conducted annually for all students aged 6-18 years in Taiwan Province. Among 732 students also found to be hypertensive in Taipei County, 164 were invited for a follow-up check in 2006 for their present health status. They were compared with 97 good-friend controls (invited by cases) for blood pressure, anthropometric and lipid measures, etc. Results: Compared with controls, cases were younger but had greater body mass index, waist circumference, waist-hip ratio, blood pressure, and lipidemia prevalence. The stepwise logistic regression analysis showed that cases were at greater risk than controls for chronic disease (odds ratio [OR]=3.27 (95% confidence interval [CI]=1.17-9.12), low high-density lipoprotein (OR=1.76, 95% CI=1.01-3.09), pre-hypertension (OR=2.97, 95% CI=1.43-6.15), and greater waist to hip ratio (OR=6.46, 95% CI=1.87-22.3). Conclusions: Our findings suggest that children screened with hypertension remain at elevated risk of having chronic disease and risk factors associated with hypertension.
ASJC Scopus subject areas