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Establishing International Blood Pressure References among Nonoverweight Children and Adolescents Aged 6 to 17 Years

Title
Establishing International Blood Pressure References among Nonoverweight Children and Adolescents Aged 6 to 17 Years
Authors
Xi B.Zong X.Kelishadi R.Hong Y.M.Khadilkar A.Steffen L.M.Nawarycz T.Krzywińska-Wiewiorowska M.Aounallah-Skhiri H.Bovet P.Chiolero A.Pan H.Litwin M.Poh B.K.Sung R.Y.T.So H.-K.Schwandt P.Haas G.-M.Neuhauser H.K.Marinov L.Galcheva S.V.Motlagh M.E.Kim H.S.Khadilkar V.Krzyzaniak A.Romdhane H.B.Heshmat R.Chiplonkar S.Stawińska-Witoszyńska B.El Ati J.Qorbani M.Kajale N.Traissac P.Ostrowska-Nawarycz L.Ardalan G.Parthasarathy L.Zhao M.Zhang T.
Ewha Authors
홍영미김혜순
SCOPUS Author ID
홍영미scopus; 김혜순scopus
Issue Date
2016
Journal Title
Circulation
ISSN
0009-7322JCR Link
Citation
vol. 133, no. 4, pp. 398 - 408
Keywords
AdolescentBlood pressureChildHypertension
Publisher
Lippincott Williams and Wilkins
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Background-Several distributions of country-specific blood pressure (BP) percentiles by sex, age, and height for children and adolescents have been established worldwide. However, there are no globally unified BP references for defining elevated BP in children and adolescents, which limits international comparisons of the prevalence of pediatric elevated BP. We aimed to establish international BP references for children and adolescents by using 7 nationally representative data sets (China, India, Iran, Korea, Poland, Tunisia, and the United States). Methods and Results-Data on BP for 52 636 nonoverweight children and adolescents aged 6 to 19 years were obtained from 7 large nationally representative cross-sectional surveys in China, India, Iran, Korea, Poland, Tunisia, and the United States. BP values were obtained with certified mercury sphygmomanometers in all 7 countries by using standard procedures for BP measurement. Smoothed BP percentiles (50th, 90th, 95th, and 99th) by age and height were estimated by using the Generalized Additive Model for Location Scale and Shape model. BP values were similar between males and females until the age of 13 years and were higher in males than females thereafter. In comparison with the BP levels of the 90th and 95th percentiles of the US Fourth Report at median height, systolic BP of the corresponding percentiles of these international references was lower, whereas diastolic BP was similar. Conclusions-These international BP references will be a useful tool for international comparison of the prevalence of elevated BP in children and adolescents and may help to identify hypertensive youths in diverse populations. © 2015 American Heart Association, Inc.
DOI
10.1161/CIRCULATIONAHA.115.017936
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의학전문대학원 > 의학과 > Journal papers
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