Blood pressure reference values for European non-overweight school children: The IDEFICS study

被引:58
作者
Barba, G. [1 ]
Buck, C. [2 ]
Bammann, K. [2 ,3 ]
Hadjigeorgiou, C. [4 ]
Hebestreit, A. [2 ]
Marild, S. [5 ]
Molnar, D. [6 ]
Russo, P. [1 ]
Veidebaum, T. [7 ]
Vyncke, K. [8 ]
Ahrens, W. [2 ,9 ]
Moreno, L. A. [10 ]
机构
[1] CNR, Inst Food Sci, Epidemiol & Populat Genet, I-83100 Avellino, Italy
[2] Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany
[3] Univ Bremen, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany
[4] Res & Educ Inst Child Hlth, Strovolos, Cyprus
[5] Univ Gothenburg, Sahlgrenska Acad, Dept Paediat, Gothenburg, Sweden
[6] Univ Pecs, Dept Paediat, Pecs, Hungary
[7] Natl Inst Hlth Dev, Dept Chron Dis, Tallinn, Estonia
[8] Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium
[9] Univ Bremen, Fac Math & Comp Sci, Inst Stat, D-28359 Bremen, Germany
[10] Univ Zaragoza, GENUD Res Grp, Zaragoza, Spain
关键词
CARDIOVASCULAR RISK; BODY-MASS; CHILDHOOD; AGE; HYPERTENSION; ADOLESCENTS; PERCENTILES; PREVALENCE; VALIDATION; ADULTHOOD;
D O I
10.1038/ijo.2014.135
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES: To provide oscillometric blood pressure (BP) reference values in European non-overweight school children. DESIGN: Cross-sectional analysis from the IDEFICS study (www.ideficsstudy.eu) database. METHODS: Standardised BP and anthropometric measures were obtained from children aged 2 to 10.9 years, participating in the 2007-2008 and 2009-2010 IDEFICS surveys. Age- and height-specific systolic and diastolic pressure percentiles were calculated by GAMLSS, separately for boys and girls, in both the entire population (n = 16 937) and the non-overweight children only (n = 13 547). The robustness of the models was tested by sensitivity analyses carried out in both population samples. RESULTS: Percentiles of BP distribution in non-overweight children were provided by age and height strata, separately for boys and girls. Diastolic BP norms were slightly higher in girls than in boys for similar age and height, while systolic BP values tended to be higher in boys starting from age 5 years. Sensitivity analysis, comparing BP distributions obtained in all children with those of non-overweight children, showed that the inclusion of overweight/obese individuals shifted the references values upward, in particular systolic BP in girls at the extreme percentiles. CONCLUSIONS: The present analysis provides updated and timely information about reference values for BP in children aged 2 to <11 years that may be useful for monitoring and planning population strategies for disease prevention.
引用
收藏
页码:S48 / S56
页数:9
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