Background: Numerous studies have established standard blood pressure norms for children of different ages and races in their respective countries. Over the past four decades, there has been a two-fold increase in rural and a six-fold increase in urban areas. Various environmental and genetic factors, such as sex, body surface area (BSA), obesity, family history of hypertension, dietary habits, physical activity, stress, race, ethnicity, and socioeconomic status, play a role in influencing blood pressure among children and adolescents. Methods: This cross-sectional study was conducted in Mahbubnagar city, spanning school children aged 5 to 16 years from 11 randomly selected schools (Government and Private) based on a simple random sampling method from a provided list. Before commencing the study, clearance was obtained from the institutional ethical committee, and permission was granted by the school authorities. Results: There is a linear increase in mean blood pressure (BP) concerning age, sex, weight, height, social status, and locality. However, diastolic blood pressure (DBP) shows a strong negative correlation with sex, indicating that females have higher DBP, and children from lower socioeconomic classes and rural areas tend to have higher DBP levels. Furthermore, 27 children with a parental history of hypertension are found to be above the 85th and 95th percentiles. Both sexes demonstrated a positive correlation between BP and BMI. Conclusion: we observed similar results were observed for both sexes regarding systolic blood pressure (SBP) and diastolic blood pressure (DBP). We noted a linear increase in mean SBP and DBP with advancing age, weight, height, and BMI. Moreover, there was a direct correlation between a family history of hypertension and high socioeconomic status (SES) with SBP and DBP levels. Specifically, class I SES exhibited higher mean SBP than class III SES.

Background: Numerous studies have established standard blood pressure norms for children of different ages and races in their respective countries. Over the past four decades, there has been a two-fold increase in rural and a six-fold increase in urban areas. Various environmental and genetic factors, such as sex, body surface area (BSA), obesity, family history of hypertension, dietary habits, physical activity, stress, race, ethnicity, and socioeconomic status, play a role in influencing blood pressure among children and adolescents. Methods: This cross-sectional study was conducted in Mahbubnagar city, spanning school children aged 5 to 16 years from 11 randomly selected schools (Government and Private) based on a simple random sampling method from a provided list. Before commencing the study, clearance was obtained from the institutional ethical committee, and permission was granted by the school authorities. Results: There is a linear increase in mean blood pressure (BP) concerning age, sex, weight, height, social status, and locality. However, diastolic blood pressure (DBP) shows a strong negative correlation with sex, indicating that females have higher DBP, and children from lower socioeconomic classes and rural areas tend to have higher DBP levels. Furthermore, 27 children with a parental history of hypertension are found to be above the 85th and 95th percentiles. Both sexes demonstrated a positive correlation between BP and BMI. Conclusion: we observed similar results were observed for both sexes regarding systolic blood pressure (SBP) and diastolic blood pressure (DBP). We noted a linear increase in mean SBP and DBP with advancing age, weight, height, and BMI. Moreover, there was a direct correlation between a family history of hypertension and high socioeconomic status (SES) with SBP and DBP levels. Specifically, class I SES exhibited higher mean SBP than class III SES.