The results of an epidemiological screening of 1,228 parents and 614 children, pupils in the V-XII forms of 12 schools of different types, are presented. It is suggested that when parents present elevated blood pressure values their children, although normotensive, are at high risk, especially in case more risk factors are present. The relation hypertensive parents--hypertensive offsprings was strongly significant. In the hypertensive children with normotensive parents the high frequency of some life-style dependent risk factors is discussed. The relationship between risk factors and morbidity by essential hypertension both in parents and their offsprings and the need of primary and secondary prevention programs for pupils are underlined.

Adult↗

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Evaluation of risk factors for essential arterial hypertension in industrial and school environments.

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Adolescent↗

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[Epidemiology of essential arterial hypertension in collectives of schoolchildren. The prevalence of blood pressure changes].

7,917 pupils in schools, between 10-19 years old, of both sexes, were investigated within an epidemiologic screening, performed in the school milieu, for detecting the prevalence of some risk factors (RF) and of the AT modifications with a view to work out the programmes for the essential arterial hypertension (EAHT) primary prevention. 84.4% of all the pupils in the Vth--VIIIth forms and 93.9 pupils in the IXth--XIIth forms were included in the screening. 422 cases of labile arterial hypertension (LAHT) (5.1%) and 457 of benign arterial hypertension (BATH) (54%) were found. In the children with normal arterial hypertension (NAHT) the following were recorded: 46.5% increases only of the diastolic tension: 44.0% of the systolic-diastolic and 7.1% of the systolic tension respectively. Although present, the differences between the LAHT and BAHT prevalence in the gymnasiums (4.3% and 5.4%) and lyceums (5.5% and 6.4%) are not significant and might be functions of: age, sex, psychomotor development, structure of the respective collectivities, the momentary psychoemotional reactions, lability of the blood pressure, specific to the childhood, several screening difficulties etc. The observations made on the prevalence of the growth of the AT values were correlated with the occurrence at some significant levels of the RF, suggesting the measures to be taken for the steady improvement of the primary and secondary prophylaxis of EAHT in schools.

Adolescent↗

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[Intervention associated with risk factors for essential arterial hypertension. II. Epidemiologic observations of schoolchildren].

Based on an epidemiological screening of 6411 pupils from 7 schools of different types, the frequency and intensity of the association of 8 risk factors for essential hypertension in a series with increased blood pressure values and in a normotensive one was compared. The frequency of the various studied risk factors was significant especially in the pupils with increased blood pressure values. The average number of risk factors in the two series was unsignificant. The intensity of 2, 3 or 4 risk factors different associations was more marked in the pupils with increased blood pressure values than in the controls. Some risk factors proved to be more frequently involved in multifactorial associations. The importance of such studies for the elaboration of prevention programmes in underlined.

Adolescent↗

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[Essential arterial hypertension in patients with non-insulin-dependent diabetes mellitus during and after balneotherapy followed-up for 6 years].

The statistical correlations between body weight, glycemia, total lipids, cholesterol in 200 patients with essential hypertension, especially borderline essential hypertension, followed up for 6 years indicate that the complex environmental factors in Slănic-Moldova Health Resort associated with balneotherapy may induce a return to normal values of the above mentioned parameters. Good results were also obtained in the patients with essential hypertension and non-insulin dependent diabetes mellitus, their treatment including reduction diets (1200-1400 calories/day).

Balneology↗

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[Bronchial asthma in old people].

Bronchial asthma in old people is defined, according to a number of Anglo-Saxon authors, as a disease which occurs for the first time (de novo) at an advanced age (i.e. over 70 years). The present follow-up study had been carried out in the Diagnostic Division of the Outpatient Department--Polyclinic no. 1 of Iaşi--and has in view only the patients who had the first attack of disease at the time they were over 60. Clinical examination was complemented by the following tests: spirography, X-ray, allergological cutaneous tests, and test for the identification of eosinophils in sputum. A certain pattern was identified: the first asthmatic symptoms followed rhinobronchial episodes persistent spasmodic cough and continuous dyspnea induced by effort were frequent complaints; typical crises were uncommon. The allergic aetiology was supported by a positive anamnesis, while the cutaneous tests confirmed the presence of an allergen in only 20% of the cases; chronic and recurrent infections were present in 85% of the cases. At the same time, the presence of gastroesophageal reflux was searched as its frequency in the elderly as well as its role in inducing the bronchial asthma have often been reported. It is expected the identification of the characteristic pattern might lead to a correct diagnosis of bronchial asthma in old people and contribute to better therapy.

Aged↗

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[Interventions associated with some risk factors for essential arterial hypertension. I. Epidemiologic observations in adults].

The results of an epidemiological screening followed by the investigation of 9 risk factors for essential hypertension in 1218 individuals with increased values of blood pressure are presented. Stress, overweight and dietary preferences for fats and eggs had the incidence especially in, the age groups over 40 years. Both the individuals with borderline hypertension or arterial hypertension and the controls presented 2, 3 or more associated risk factors of variable intensity, the higher values being recorded in the greater than or equal to 40 years age group. When more than 3 risk factors were associated, the increases in systolic and diastolic pressures were significant. The investigation of 7 biochemical constants revealed that 50% of 190 cases with arterial hypertension presented cholesterol levels higher than 220 mg%. Increased total lipids, free fatty acids and triglycerides levels were also recorded. The results plead for multifactorial prevention programmes.

Adult↗

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