Determinants of Adolescent Hypertension: Dietary Pattern and Gender Diffrences in Urban

Authors

  • Siti Maisyaroh Fitri Siregar
  • Suci Eka Putri
  • Wardah Iskandar

Keywords:

Adolescents, hypertension, dietary patterns, BMI

Abstract

Hypertension in adolescents is a global concern because it has the potential to continue into adulthood and increase the risk of cardiovascular disease. Lifestyle changes and consumption patterns high in sugar, salt, fat, and ultra-processed foods (UPF) contribute to increased blood pressure at a young age. This study aims to analyze the relationship between gender, nutritional status, and dietary patterns with blood pressure status among secondary school adolescents in urban areas of Indonesia. An analytical observational study with a cross-sectional design was conducted on 167 students aged 15–18 years. Data were collected through a Food Frequency Questionnaire (FFQ), anthropometric measurements, and blood pressure measurements. Analysis was performed using the Chi-square test with a significance level of p < 0.05.

The Results of this research showed that

The prevalence of hypertension was 14.4% and overweight was 13.2%. Only gender was significantly associated with blood pressure (p = 0.021), with a higher proportion of hypertension in males (20.7%) than females (8.2%). No significant association was found between consumption patterns (sweet foods, salt, fat, UPF, sweetened beverages) and blood pressure (p > 0.05).

The Conclusion is that hypertension among adolescents is high and more prevalent in males. Although dietary patterns did not show a significant association, the high prevalence of UPF and sweetened beverage consumption indicates the need for nutritional interventions and early blood pressure screening in schools to prevent hypertension from an early age.

References

Barbosa, S. S., Sousa, L. C. M., de Oliveira Silva, D. F., Pimentel, J. B., Evangelista, K. C. M. de S., Lyra, C. de O., Lopes, M. M. G. D., & Lima, S. C. V. C. (2022). A Systematic Review on Processed/Ultra-Processed Foods and Arterial Hypertension in Adults and Older People. Nutrients, 14(6). https://doi.org/10.3390/nu14061215

Chhabria, S. M., LeBron, J., Ronis, S. D., & Batt, C. E. (2024). Diagnosis and Management of Hypertension in Adolescents with Obesity. Current Cardiovascular Risk Reports, 18(8–9), 115–124. https://doi.org/10.1007/s12170-024-00740-x

Drury, E. R., Wu, J., Gigliotti, J. C., & Le, T. H. (2024). Sex differences in blood pressure regulation and hypertension: renal, hemodynamic, and hormonal mechanisms. Physiological Reviews, 104(1), 199–251. https://doi.org/10.1152/physrev.00041.2022

Kim, J. Y., Cho, H., & Kim, J. H. (2022). Difference in the Prevalence of Elevated Blood Pressure and Hypertension by References in Korean Children and Adolescents. Frontiers in Medicine, 9(February), 1–8. https://doi.org/10.3389/fmed.2022.793771

Kurnianto, A., Kurniadi Sunjaya, D., Ruluwedrata Rinawan, F., & Hilmanto, D. (2020). Prevalence of Hypertension and Its Associated Factors among Indonesian Adolescents. International Journal of Hypertension, 2020, 4262034. https://doi.org/10.1155/2020/4262034

Lane, M. M., Gamage, E., Du, S., Ashtree, D. N., McGuinness, A. J., Gauci, S., Baker, P., Lawrence, M., Rebholz, C. M., Srour, B., Touvier, M., Jacka, F. N., O’Neil, A., Segasby, T., & Marx, W. (2024). Ultra-processed food exposure and adverse health outcomes: Umbrella review of epidemiological meta-analyses. Bmj. https://doi.org/10.1136/bmj-2023-077310

Leyvraz, M., Chatelan, A., da Costa, B. R., Taffé, P., Paradis, G., Bovet, P., Bochud, M., & Chiolero, A. (2018). Sodium intake and blood pressure in children and adolescents: A systematic review and meta-analysis of experimental and observational studies. International Journal of Epidemiology, 47(6), 1796–1810. https://doi.org/10.1093/ije/dyy121

Ruan, X., Zhu, A., Wang, T., Sun, M., Chen, K., Luo, M., Li, Z., Zou, Q., Chen, Y., Peng, Y., & Qin, J. (2025). Global Prevalence of Hypertension in Children and Adolescents Younger Than 19 Years: A Systematic Review and Meta-Analysis. JAMA Pediatrics, 179(9), 987–999. https://doi.org/10.1001/jamapediatrics.2025.2206

Song, P., Zhang, Y., Yu, J., Zha, M., Zhu, Y., Rahimi, K., & Rudan, I. (2019). Global Prevalence of Hypertension in Children: A Systematic Review and Meta-analysis. JAMA Pediatrics, 173(12), 1154–1163. https://doi.org/10.1001/jamapediatrics.2019.3310

Wójcik, M., & Kozioł-Kozakowska, A. (2021). Obesity, sodium homeostasis, and arterial hypertension in children and adolescents. Nutrients, 13(11), 1–10. https://doi.org/10.3390/nu13114032

Zhang, Z., Jackson, S. L., Steele, E. M., Gillespie, C., & Yang, Q. (2022). Relationship Between Ultraprocessed Food Intake and Cardiovascular Health Among U.S. Adolescents: Results From the National Health and Nutrition Examination Survey 2007-2018. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 70(2), 249–257. https://doi.org/10.1016/j.jadohealth.2021.09.031

Downloads

Published

2026-01-01