Agyemang C, Bhopal R, Bruijnzeels M
Institute of Health Policy and Management, Erasmus Medical Center, The Netherlands.
J Hum Hypertens. 2004 Apr;18(4):229-37. doi: 10.1038/sj.jhh.1001658.
The objective of this study was to assess whether variations in BP in children of UK ethnic minority populations correspond to those seen in adults. A systematic literature review was carried out using MEDLINE 1966-2003 and EMBASE 1980-2003, supplemented by correspondence with expert informants, and citations from references. Five studies were identified. There were important differences between studies in terms of age and sex of samples, definition of ethnic minority children and methods of evaluating BP. Three studies of children of African descent reported lower mean SBP in boys from African descent compared to white boys, the differences being significant only in one study. In African descent girls, the mean SBP was significantly lower in one study, while DBP was significantly higher in one study. Four studies included children of South Asian origin. The Health Survey for England '99 reported on South Asian groups separately. Pakistani boys had a significantly higher age- and height-standardised mean SBP than the general population. The mean DBP was significantly higher in Indian and Pakistani boys than the general population. Pakistani and Bangladeshi girls had a significantly higher mean DBP than the general population. The other three studies, which combined South Asian subgroups found no significant differences in the mean BP between South Asians and white subjects. One study included children of Chinese descent and reported significantly higher mean DBP in Chinese boys and girls compared to the general population. Overall, BP across ethnic groups was similar. These similarities in BP patterns particularly in African, Bangladeshi and Pakistani descent children contrasts with those in the corresponding adult populations in the UK where BP is comparatively high in those of African descent and comparatively low in those of Bangladeshi and Pakistani descent.
本研究的目的是评估英国少数族裔儿童的血压变化是否与成人相似。我们使用1966 - 2003年的MEDLINE数据库和1980 - 2003年的EMBASE数据库进行了系统的文献综述，并通过与专家信息提供者的通信以及参考文献的引用进行补充。共识别出五项研究。这些研究在样本的年龄和性别、少数族裔儿童的定义以及血压以及血压评估方法等方面存在重要差异。三项针对非洲裔儿童的研究报告称，非洲裔男孩的平均收缩压低于白人男孩，但只有一项研究中的差异具有统计学意义。在非洲裔女孩中，一项研究显示平均收缩压显著较低，而另一项研究则显示舒张压显著较高。四项研究纳入了南亚裔儿童。1999年的英国健康调查分别报告了南亚群体的情况。巴基斯坦男孩的年龄和身高标准化平均收缩压显著高于普通人群。印度和巴基斯坦男孩的平均舒张压显著高于普通人群。巴基斯坦和孟加拉国女孩的平均舒张压显著高于普通人群。其他三项将南亚亚组合并的研究发现，南亚人和白人受试者的平均血压没有显著差异。一项研究纳入了华裔儿童，报告称华裔男孩和女孩的平均舒张压显著高于普通人群。总体而言，各民族之间的血压相似。这些血压模式的相似性，尤其是在非洲裔、孟加拉裔和巴基斯坦裔儿童中，与英国相应成年人群的情况形成对比，在英国成年人群中，非洲裔的血压相对较高，而孟加拉裔和巴基斯坦裔的血压相对较低。
