Blood pressure tables for Chinese adolescents: justification for incorporation of important influencing factors of height, age and sex in the tables.
TL;DR: Sex, age and height are all independent determinants for BP levels in Chinese adolescents, and it is essential to incorporate these three factors for the establishment of the BP reference tables.
read more
Abstract: Elevated blood pressure (BP) in childhood was a predictor of hypertension in adulthood and contributes to the current epidemic of cardiovascular disease. It is necessary to identify abnormal BP in children and adolescents with accurate BP tables based on several crucial factors. The purpose of this study was to identify the important influencing factors of BP of Chinese adolescents. BP, height, and body weight were assessed in 32221 normal-weight Chinese adolescents aged 12–17 years. An equal number of 6815 subjects from boys and girls were individually matched by height and age to assess the independent effect of sex on BP; and an equal number of 1422 subjects from each of the age groups (12, 13, 14, 15, 16 and 17 years) were individually matched by sex and height to estimate the independent effect of age on BP. Height of each sex and age was divided into eight height groups - ~5th, ~10th, ~25th, ~50th, ~75th, ~90th, ~95th, and 95th ~ percentiles- and the Spearman’s correlation between height percentiles and BP was used to examine the independent effect of height on BP. Boys had higher systolic BP (SBP) and diastolic BP (DBP) than girls after controlling for age and height. BP increased with age after controlling for sex and height. In each age group, both SBP and DBP increased alongside increasing height in boys and girls. Sex, age and height are all independent determinants for BP levels in Chinese adolescents. It is essential to incorporate these three factors for the establishment of the BP reference tables.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
The Relationship Between Weight Status and Emotional and Behavioral Problems in Spanish Preschool Children
TL;DR: This is the first study using a diagnostic-based instrument that shows a relationship between weight status and ADHD symptoms in preschoolers and overweight children might benefit from screening for behavioral disorders and peer relationship problems.
Below the surface: Parents' views on the factors that influence treatment adherence in paediatric burn scar management - A qualitative study.
Nicole Andrews,Laura Jones,Naiem Moiemen,Melanie Calvert,Philip Kinghorn,Ian Litchfield,Jonathan R B Bishop,Jonathan J Deeks,Jonathan Mathers +8 more
TL;DR: This qualitative research study has investigated parents' experiences of scar management and their attempts to adhere to treatment at home, and outlined parents' views on the factors that influence adherence.
22
Longitudinal associations of away-from-home eating, snacking, screen time, and physical activity behaviors with cardiometabolic risk factors among Chinese children and their parents.
Fei Dong,Annie Green Howard,Amy H. Herring,Amanda L. Thompson,Linda S. Adair,Barry M. Popkin,Allison E. Aiello,Bing Zhang,Penny Gordon-Larsen +8 more
TL;DR: Parent-offspring differences in associations between lifestyle behaviors and cardiometabolic risk factors provide insight into intergenerational differences in cardiometric risk with urbanization in rapidly urbanizing China.
14
Longitudinal associations between early-life fluoride exposures and cardiometabolic outcomes in school-aged children.
Sandra India Aldana,Elena Colicino,Alejandra Cantoral Preciado,Maricruz Tolentino,Andrea Baccarelli,Robert O. Wright,Martha María Téllez Rojo,Damaskini Valvi +7 more
TL;DR: Dietary fluoride exposures in early- and mid-childhood were associated with adverse cardiometabolic outcomes in school-aged children, and stronger associations were observed in boys at year 8 and in girls prior to year 8 (p-sex interaction < 0.05).
9
Concordance of haemoglobin A1c, blood pressure and C-reactive protein between children and their parents in Chinese households.
Fei Dong,Annie-Green Howard,Amy H. Herring,Linda S. Adair,Amanda L. Thompson,Barry M. Popkin,Allison E. Aiello,Bing Zhang,Penny Gordon-Larsen +8 more
TL;DR: China has the world's highest diabetes prevalence, which along with hypertension and inflammation continues to grow particularly among children and little is known about the strength of the association of these cardiometabolic risk factors between parents and their children.
7
References
The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents
Bonita Falkner,Stephen R. Daniels,Joseph T. Flynn,Samuel S. Gidding,Lee A. Green,Julie R. Ingelfinger,Ronald M. Lauer,Bruce Z. Morgenstern,Ronald J. Portman,Ronald J. Prineas,Albert P. Rocchini,Bernard Rosner,Alan R. Sinaiko,Nicolas Stettler,Elaine M. Urbina,Edward J. Roccella,Tracey R. Hoke,Carl E. Hunt,Gail D. Pearson,Joanne Karimbakas,Ann Horton +20 more
6K
Underdiagnosis of hypertension in children and adolescents
TL;DR: Hypertension and prehypertension were frequently undiagnosed in this pediatric population and patient age, height, obesity-related diagnoses, and magnitude and frequency of abnormal blood pressure readings all increased the odds of diagnosis.
845
Essential Hypertension Predicted by Tracking of Elevated Blood Pressure From Childhood to Adulthood: The Bogalusa Heart Study
TL;DR: Investigation of tracking of elevated BP from childhood to adulthood and its progression to essential hypertension in a community study of early natural history of arteriosclerosis and essential hypertension finds baseline BP level was most predictive of the follow-up level, followed by change in BMI.
791
Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension
Empar Lurbe,Renata Cifkova,J. Kennedy Cruickshank,M J Dillon,Isabel Ferreira,Cecilia Invitti,Tatiana Kuznetsova,Stéphane Laurent,Giuseppe Mancia,Francisco J. Morales-Olivas,Wolfgang Rascher,Josep Redon,Franz Schaefer,Tomáš Seeman,George S. Stergiou,Elke Wühl,Alberto Zanchetti +16 more
TL;DR: These guidelines represent a consensus among specialists involved in the detection and control of high blood pressure in children and adolescents and represent best clinical wisdom upon which physicians, nurses and families should base their decisions.
Prevalence of Hypertension and Pre-Hypertension among Adolescents
Karen L. McNiece,Timothy Poffenbarger,Jennifer Turner,Kathy Franco,Jonathan M. Sorof,Ronald J. Portman +5 more
TL;DR: Application of new classification guidelines for adolescents with elevated BP reveals approximately 20% are at risk for hypertension, according to the 2004 National High Blood Pressure Education Program Working Group guidelines.
642