Prevalence of High Blood Pressure, Risks Factors, and Knowledge Deficit in Apparently Healthy College Students

Main Article Content

Theresa A. Kessler, PhD, RN, ACNS-BC, CNE, FAAN Lynette Rayman, DNPS, RN, CNE

Abstract

Background: College students are assumed to be generally healthy, thus, elevated blood pressure can be easily missed in this population. However, recent research on college students has demonstrated increasing rates of elevated blood pressure. Situations that increase risk of elevated BP include higher levels of stress related to college education as well as other common stress producing events in life. Additionally, college students may engage in behaviors that increase risk such as eating poor diets, drinking alcohol, and not exercising regularly. The purpose of this study was to assess the prevalence of elevated blood pressure and risk factors in undergraduate college students and develop a campus wide educational initiative.


Methods: Undergraduate students at a faith-based, Midwestern university (n = 138) participated in a cross-sectional study. Demographic data, standardized BP measurements, risk factors, and perceived stress levels were collected via a Google form and in-person assessments.


Results: Fifty-two percent of college students had an elevated systolic blood pressure, and 30% had elevated diastolic blood pressure. Male students had significantly higher systolic (X2 = 101.343, p = .005) and diastolic blood pressure readings (X2 = 144.44, p < .001) compared to female students. There was no association between year in school and stress levels (X2 = 315.83, p = .102). Stress and systolic blood pressure were not correlated (r = .121, p = .180) nor were stress and diastolic blood pressure (r = .075, p = .408). Following the educational initiative, 96% of students (n = 91) were able to accurately define elevated blood pressure, risk factors for hypertension, and strategies to lower blood pressure.


Conclusions: It is vital that blood pressure assessments become a priority for college students. These assessments must be followed by interventions aimed at reducing blood pressure levels, stress, and risk factors related to hypertension to prevent the long-term effects of cardiovascular disease. Healthcare providers on college campuses, including and perhaps most effectively students in health-related fields, should be involved in working with this population to increase awareness and screening efforts.

Keywords: blood pressure, college students, risk factors, hypertension, education, prevalence

Article Details

How to Cite
KESSLER, Theresa A.; RAYMAN, Lynette. Prevalence of High Blood Pressure, Risks Factors, and Knowledge Deficit in Apparently Healthy College Students. Medical Research Archives, [S.l.], v. 12, n. 6, june 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5357>. Date accessed: 02 july 2024. doi: https://doi.org/10.18103/mra.v12i6.5357.
Section
Research Articles

References

1. Ferguson-Stegall L, Shanley BJ, Huch AD, et al. Hypertension in healthy college students: the hypertension in young adults (HiYA) study. TJACSM. 2022;7(2):1-6. https://journals.lww.com/acsm-tj/Fulltext/2022/04140/Hypertension_in_Healthy_College_Students__The.3.aspx
2. Whelto, PK, Carey RM, Aronow WS, et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American college of Cardiology/American Health Association Task force on Clinical Practice Guidelines. Hypertens. 2018;71(6):e13-115. https://doi.org/10.1161/HYP.0000000000000065
3. Kamara K, Wilson O, Papalia Z, et al. Comparison of college student hypertension prevalence between the JNC7 and ACC/AHA Diagnostic Criteria. Int J Exerc Sci. 2019;12(3):898–903. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719808/
4. Gooding HC, McGinty S, Richmond TK, et al. Hypertension awareness and control among young adults in the national longitudinal study of adolescent health. J Gen Intern Med. 2014; 9(8):1098-1104. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4099443/pdf/11606_2014_Article_2809.pdf
5. Hansaram, Jafar AK. A cross-sectional survey to assess the risk factors of cardiovascular disease among college students. Int. J. Nurs. Educ. 2024;16(1): 31-39. Doi: https://doi.org/10.37506/kr5xqx41
6. Honglv X, Wei W, Min W, et al. A decision tree model of hypertension among college students in Yunnan Province, China. Blood Press. 2023;32(1), 2243337. https://doi.org/10.1080/08037051.2023.2243337
7. Wanghi GI, Mutombo PB, Sumaili EK. Prevalence and determinants of hypertension among students of the University of Kinshasa, Democratic Republic of Congo: a cross-sectional study. Afr Health Sci. 2019;19(4):2854– 2862. Doi: 10.4314/ahs.v19i4.7.
8. Mansouri M, Pahlavani N, Sharifi F, et al. Dairy consumption in relation to hypertension among a large population of university students: the MEPHASOUS study. Diabetes Metab Syndr Obes. 2020;13:1633–1642. Doi: 10.2147/DMSO.S248592
9. Tran DT, Martinez I, Cross CL, Earley YF. MOBILE intervention pilot study in college students with elevated blood pressure. J Cardiovasc Nurs. 2023;38(3)256-261. https://pubmed.ncbi.nlm.nih.gov/35437295/
10. Istasy M, Elias R, Raheb M, Cernovsky Z. Measuring stress experienced by university students. Eur J Med Health Sci. 2021;3(2):133-137. Doi: http://dx.doi.org/10.24018/ejmed.2021.3.2.787
11. Mofatteh M. Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health. 2020;8(1):36-65. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870388/
12. Baldwin DR, Towler K, Oliver MD, Datta S. An examination of college student wellness: a research and liberal arts perspective. Health Psychol Open. 2017;4(2). https://journals.sagepub.com/doi/10.1177/2055102917719563
13. Campbell F, Blank L, Cantrell A, et al. Factors that influence mental health of university and college students in the UK: a systematic review. BMC Public Health. 2022;22(1778). https://doi.org/10.1186/s12889-022-13943-x
14. Tran DT, Silvestri-Elmore A. Healthcare-seeking behaviours in college students and young adults: A review. J Res Nurs. 2021;26(4):320-338. https://pubmed.ncbi.nlm.nih.gov/35251258/
15. Dodd LJ, Al-Nakeeb Y, Nevill A, Forshaw MJ. Lifestyle risk factors of students: a cluster analytical approach. Prev Med. 2010;51(1):73-74. https://www.sciencedirect.com/science/article/pii/S0091743510001180?via%3Dihub
16. Kurtz CP, Kessler TA. An undergraduate collaborative team model to engage nursing students in research. J Nurs Educ Prac. 2017;7(7):112-118. https://www.sciedupress.com/journal/index.php/jnep/article/view/11066
17. Park CL, Grant C. Determinants of positive and negative consequences of alcohol consumption in college students: Alcohol use, gender, and psychological characteristics. Addict Behav. 2005;30:755–765. https://pubmed.ncbi.nlm.nih.gov/15833579/
18. Cuffee YL, Wang M, Geyer NR, et al. Vitamin D and family history of hypertension in relation to hypertension status among college students. J Hum Hypertens. 2022;36(9):839–845. Doi: 10.1038/s41371- 021-00577-6.
19. Connelly PJ, Currie G, Delles C. Sex differences in the prevalence, outcomes and management of hypertension. Curr Hypertens Rep. 2022; 24(6):185–192. Doi: 10.1007/s11906-022-01183-8
20. Sarpong DF, Curry IY, Williams M. Assessment of knowledge of critical cardiovascular risk indicators among college students: does stage of education matter? Int J Environ Res Public Health. 2017;14(3):250. Doi: 10.3390/ijerph14030250.
21. Zhang Y, Vittinghoff E, Pletcher MJ, et al. Associations of blood pressure and cholesterol levels during young adulthood with later cardiovascular events. J Am Coll Cardiol. 2019;74(3):330-341. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764095/pdf/nihms-1051053.pdf
22. Pfammatter AF, Wang S, Hood SH, Mitsos A, Spring B. Cardiovascular health study of emerging adults entering college: implications for prevention research. Circulation. 2018; 138(Suppl_1). https://doi.org/10.1161/circ.138.suppl_1.16832
23. Baylor University. (n.d.) Student Stress Scale. https://www.baylor.edu/content/services/document.php/183433. Accessed November 7, 2022.
24. Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom Res. 1967;11:213-218.
25. American Health Association. (2023). Understanding blood pressure readings. https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings. Accessed January, 9, 2023.
26. Rayman L, Kessler TA. Undergraduate student-faculty collaborative research: a pilot study exploring care of a family member with dementia. J Nurs Educ Prac. 2021;1(3):17-23. https://www.sciedupress.com/journal/index.php/jnep/article/view/18887/11896
27. Laranjo L, Arguel AI, Neves AL, et al. The influence of social networking sites on health behavior change: a systematic review and meta-analysis. J Am Med Inform Assoc. 2015;22(1):243-256. https://pubmed.ncbi.nlm.nih.gov/25005606/
28. Kessler TA, Alverson EM. An undergraduate student-faculty collaborative EBP project supporting a campus-wide tobacco free campus. J Nurs Educ Prac. 2019;9(3):118-124. https://doi.org/10.5430/jnep.v9n3p118
29. Kessler TA, Kurtz CP. Influencing the binge drinking culture on a college campus. Nurs Educ. 2018;44(2):106-111. https://journals.lww.com/nurseeducatoronline/toc/2019/03000