Improving Hypertension Screening in Childhood Using Modified Blood Pressure to Height Ratio

被引:6
作者
Dong, Bin [1 ,2 ]
Wang, Zhiqiang [1 ,2 ]
Wang, Hai-Jun [1 ]
Ma, Jun [1 ]
机构
[1] Peking Univ, Inst Child & Adolescent Hlth, Sch Publ Hlth, Hlth Sci Ctr, 38 Xueyuan Rd, Beijing 100191, Peoples R China
[2] Univ Queensland, Ctr Chron Dis, Sch Med, Brisbane, Qld, Australia
基金
英国医学研究理事会;
关键词
DIAGNOSTIC-CRITERIA; PREHYPERTENSION; ADOLESCENTS; DEFINITION; PREVALENCE; OVERWEIGHT; CHILDREN; OBESITY;
D O I
10.1111/jch.12712
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Blood pressure to height ratio (BPHR) has been suggested as a simple method for screening children with hypertension, but its discriminatory ability in young children is not as good as that in older children. Using data of 89,664 Chinese children aged 7 to 11 years, the authors assessed whether modified BPHR (BP:eHT13) was better than BPHR in identifying young children with hypertension. BP:eHT13 was estimated as BP/(height+7x(13-age in years)). Using Youden's index, the thresholds of systolic/diastolic BP:eHT13 for identifying prehypertension and hypertension were 0.67/0.44 and 0.69/0.45, respectively. These proposed thresholds revealed high sensitivity, specificity, negative predictive value, and area under the curve (AUC), ranging from 0.874 to 0.999. In addition, BP:eHT13 showed better AUCs and fewer cutoff points than, if not similar to, two existing BPHR references. BP:eHT13 generally performed better than BPHR in discriminating BP abnormalities in young children and may improve early hypertension recognition and control.
引用
收藏
页码:557 / 564
页数:8
相关论文
共 22 条
[1]   Tracking of blood pressure from childhood to adulthood - A systematic review and meta-regression analysis [J].
Chen, Xiaoli ;
Wang, Youfa .
CIRCULATION, 2008, 117 (25) :3171-3180
[2]   Screening for Elevated Blood Pressure in Children and Adolescents [J].
Chiolero, Arnaud ;
Bovet, Pascal ;
Paradis, Gilles .
JAMA PEDIATRICS, 2013, 167 (03) :266-273
[3]   Body mass index cut offs to define thinness in children and adolescents: international survey [J].
Cole, Tim J. ;
Flegal, Katherine M. ;
Nicholls, Dasha ;
Jackson, Alan A. .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 335 (7612) :194-197
[4]   Establishing a standard definition for child overweight and obesity worldwide: international survey [J].
Cole, TJ ;
Bellizzi, MC ;
Flegal, KM ;
Dietz, WH .
BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7244) :1240-1243
[5]   Blood pressure-to-height ratio for screening prehypertension and hypertension in Chinese children [J].
Dong, B. ;
Wang, Z. ;
Wang, H-J ;
Ma, J. .
JOURNAL OF HUMAN HYPERTENSION, 2015, 29 (10) :618-622
[6]  
Galescu O, 2012, INT J PEDIAT, V2012, DOI DOI 10.1155/2012/253497
[7]   Blood pressure to height ratio: A novel method for detecting hypertension in paediatric age groups [J].
Guo, Xiaofan ;
Zheng, Liqiang ;
Li, Yang ;
Zhang, Xingang ;
Yu, Shasha ;
Sun, Yingxian .
PAEDIATRICS & CHILD HEALTH, 2013, 18 (02) :65-69
[8]  
James PA, 2014, JAMA-J AM MED ASSOC, V311, P1809, DOI 10.1001/jama.2013.284427
[9]   Empirical Changes in the Prevalence of Overweight and Obesity among Chinese Students from 1985 to 2010 and Corresponding Preventive Strategies [J].
Ji Cheng Ye ;
Chen Tian Jiao .
BIOMEDICAL AND ENVIRONMENTAL SCIENCES, 2013, 26 (01) :1-12
[10]   First report on simplified diagnostic criteria for pre-hypertension and hypertension in a national sample of adolescents from the Middle East and North Africa: the CASPIAN-III study [J].
Kelishadi, Roya ;
Heshmat, Ramin ;
Ardalan, Gelayol ;
Qorbani, Mostafa ;
Taslimi, Mahnaz ;
Poursafa, Parinaz ;
Keramatian, Kasra ;
Taheri, Majzoubeh ;
Motlagh, Mohammad-Esmaeil .
JORNAL DE PEDIATRIA, 2014, 90 (01) :85-91