Túri Sándor, Baráth Akos, Boda Krisztina, Tichy Mariett, Károly Eva
Department of Pediatrics, University of Szeged, Szeged, Hungary.
Kidney Blood Press Res. 2008;31(1):63-9. doi: 10.1159/000115519. Epub 2008 Feb 6.
BACKGROUND/AIMS: Blood pressure (BP) during childhood is an established predictor of adult BP, which in turn predicts mortality in the event of cardiovascular disease. Reference data for systolic (SBP) and diastolic (DBP) BP are not available for Hungarian children (aged 11-14 years). The aim was to make up for this deficit.
Analyses were performed on 14,504 Hungarian children aged 11-16 years. All measurements were made with a validated, automated device. Criteria described by international guidelines were used.
The 50th, 90th and 95th percentile BP values were defined by dividing the participating population into age-, gender- and height-specific subgroups. The SBP increased linearly with age to an apparent plateau at around the age of 15-16 years in both girls and boys, and there were similar increases in DBP and mean arterial pressure. Both the SBP and DBP revealed highly significant correlations in both genders with weight (SBP: r = 0.452, p < 0.01; DBP: r = 0.340, p < 0.01), height (SBP: r = 0.314, p < 0.01; DBP: r = 0.245, p < 0.01) and body mass index (SBP: r = 0.407, p < 0.01; DBP: r = 0.294, p < 0.01).
The present study provides reference data on SBP and DBP, facilitating the diagnosis of essential hypertension in the 11- to 16-year age group.
背景/目的：儿童期血压是成人血压的既定预测指标，而成人血压又可预测心血管疾病发生时的死亡率。目前尚无匈牙利11至14岁儿童收缩压（SBP）和舒张压（DBP）的参考数据。本研究旨在弥补这一不足。
对14504名11至16岁的匈牙利儿童进行分析。所有测量均使用经过验证的自动设备，并采用国际指南中描述的标准。
通过将参与研究的人群按年龄、性别和身高分为特定亚组，确定了第50、90和95百分位数的血压值。男孩和女孩的SBP均随年龄线性增加，在15至16岁左右达到明显平稳期，DBP和平均动脉压也有类似增加。SBP和DBP在两性中均与体重（SBP：r = 0.452，p < 0.01；DBP：r = 0.340，p < 0.01）、身高（SBP：r = 0.314，p < 0.01；DBP：r = 0.245，p < 0.01）和体重指数（SBP：r = 0.407，p < 0.01；DBP：r = 0.294，p < 0.01）高度相关。
本研究提供了SBP和DBP的参考数据，有助于11至16岁年龄组原发性高血压的诊断。
