ESPN 54th Annual Meeting

ESPN 2022


 
The Effects of COVID-19 Restrictions in Children with Primary Hypertension
EMRE LEVENTOĞLU 1 PELIN PEKÇETIN ŞIŞIK 2 İSMAIL ERAY ÇELIK 2 BAHAR BÜYÜKKARAGÖZ 1

1- GAZI UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF PEDIATRIC NEPHROLOGY
2- GAZI UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF PEDIATRICS
 
Introduction:

 Primary hypertension has been increasingly reported in parallel to the increase in the prevalence of obesity in children, both of which are important components of metabolic syndrome. The aim of this study is to investigate the effects of COVID-19 restrictions, which are believed to induce lifestyle changes and physical inactivity, on the parameters of metabolic syndrome in children with primary hypertension.

Material and methods:

 This is an observational, pre-post study conducted on pediatric patients with primary HT. The first phase of the study was the period prior to the state of alarm being put in place in Turkey, and the second phase was up to the date when the restrictions were cancelled. Anthropometric and blood pressure measurements, laboratory tests and hypertensive-mediated organ damage at the both phases of the study were compared.

Results:

 Severe restrictions due to COVID-19 pandemic were associated with an increase in body mass index (BMI) (26.4±7.3 vs. 27.2±7.1, p=0.002), antihypertensive drug use (n=53 (57.6%) vs. n=59 (64.1%), p=0.000), fasting blood glucose level (89.4±12.6 vs. 94.1±14.2, p=0.013) and a borderline elevation in total cholesterol (21 (22.8%) vs. 28 (30.4%), p=0.000). It negatively affected end organs; with increased frequency of interventricular septum hypertrophy (n=12 (13%) vs. n=17 (18.5%), p=0.031).

Conclusions:

COVID-19 restrictions were associated with an increased risk for parameters associated with metabolic syndrome in patients with primary hypertension. Physicians should carefully monitor the weight, blood pressure, fasting plasma glucose level and total cholesterol levels in patients during restricted periods such as COVID-19 pandemic.