AUTHORS: M. Filomena Teodoro, Carla Simao
Download as PDF
ABSTRACT: Pediatric arterial hypertension is a highly prevalent, silent, and perhaps because of this, under-diagnosed in most cases, with multiple repercussions on the health of children and adults. It is imperative that health professionals and family members be aware of HBP existence, the negative consequences associated with it, the risk factors and it prevention. Its expected the knowledge about this pathology increases with the level of education of the family members. A simple questionnaire was built with the aim of easy and quick answers. We can establish that, despite not rejecting the questionnaire in terms of internal consistency, it needs some improvement, for example, reformulation of some questions. The estimated models by GLM have reasonable explication of the data. Exploring the binary outcome issue, we extend this approach using GLMM, specifically, mixed logistics models. The process was unsuccessful, the algorithm did not converge. In [14] can be found a statistical data analysis using partial questionnaire’s information. The present article completes such statistical approach estimating a model by Generalized Linear Models (GLM) for relevant remaining questions of questionnaire. Exploring the binary outcome issue, we intend to extend this approach using Generalized Linear Mixed Models (GLMM), but the process is still ongoing.
KEYWORDS: Pediatric hypertension, Caregiver, Knowledge, Generalized linear model, Multivariate techniques
REFERENCES:
[1] D. Ahern and E. Dixon, Pediatric Hypertension. A Growing Problem, Prim. Care Clin. Of- fice Pract. 42(1), 143–150 (2015).
[2] T.W. Anderson, An Introduction to Multivariate Analysis (Jonh Wiley & Sons, New York,2003).
[3] H. Andrade et al., Hipertensao arterial ˜ sistemica em idade pedi ´ atrica, ´ Revista Portuguesa de Cardiologia 29(3), 413–432 (2010).
[4] P.P. Bassareo and G. Mercuro, G., Pediatric hypertension: An update on a burning problem World J. Cardiol. 6(5), 253–259 (2014).
[5] M.G. Costa et al., Conhecimento dos pais sobre alimentac¸ao: construc¸ ˜ ao e validac¸ ˜ ao de ˜ um questionario de alimentac¸ ´ ao infantil ˜ , Revista Enfermagem Referencia ˆ 3(6), 55–68 (2012).
[6] J. Flynn, Pediatric hypertension: recent trends and accomplishments, future challenges, Am. J. Hypertens 21, 605-612 (2008).
[7] M.L. Hansen and P. Gunn, Underdiagnosis of hypertension in children and adolescents, Journal of American Medical Association 298, 874– 879 (2007).
[8] E. Lurbe and R.F. Cifkovac, Management of high blood pressure in children and adolescents: recommendations of the European Society oh Hypertension, Journal of Hypertension 27, 1719-1742 (2009).
[9] P. Muntner and J. He, Trends in blood pressure among children and adolescents Journal of the American Medical Association 291, 2107–2113 (2004).
[10] National High Blood Pressure Education Program Working Group on High Blood Pressure in Children And Adolescents, The fourth report on the diagnosis, evaluation and treatment oh high blood pressure in children and adolescents, Pediatrics 114, 555-576 (2004).
[11] J.A. Nelder and R.W.M. Wedderburn, Linear Models, Journal of Royal Statistical Society 35, 370–384 (1972).
[12] S. Stabouli and V. Kotsis, Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness, Journal of Pediatrics 147, 651-656 (2005).
[13] A.C. Tamhane and D.D. Dunlop, Statistics and Data Analysis: from Elementary to Intermediate (Prentice Hall, New Jersey, 2000).
[14] M.F. Teodoro and C. Simao, ˜ Perception about Pediatric Hypertension, Journal of Computational and Applied Mathematics 312, 209-215 (2017).
[15] M.A. Turkman and G. Silva, Modelos Lineares Generalizados da teoria a pratica ´ (Sociedade Portuguesa de Estat´ıstica, Lisboa, 2000).
