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印度南部学龄儿童(6-16 岁)的血压特征:一项前瞻性观察研究。

Blood pressure profile in school children (6-16 years) of southern India: a prospective observational study.

机构信息

Candy Children Hospital , Hyderabad, Telangana , India.

Department of Paediatrics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences , Haryana , India.

出版信息

Front Pediatr. 2015 Mar 31;3:24. doi: 10.3389/fped.2015.00024. eCollection 2015.

DOI:10.3389/fped.2015.00024
PMID:25874192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4379873/
Abstract

AIMS AND OBJECTIVE

To determine normal blood pressure (BP) in apparently healthy, asymptomatic school children in the age group of 6-16 years and to determine the correlation of BP values with different sex, weight, height, and body mass index (BMI) and also to find out prevalence of hypertension in school going population.

MATERIALS AND METHODS

This prospective, observational study enrolled 3,302 urban children (1,658 boys and 1,644 girls) in the age group of 6-16 years. These were analyzed to study the distribution pattern of systolic blood pressure (SBP) and diastolic blood pressure (DBP) at different ages, sex, weight, height, and BMI. The SBP and DBP were noted as per age and sex. The association was seen between mean SBP and mean DBP with weight, height, and BMI. Information was collected about the family history of hypertension and was correlated with the obtained SBP and DBP readings.

RESULTS

The mean SBP in males at 6 years was 99.69 ± 3.62 mm of Hg, at 10 years was 102.20 ± 2.16 mm of Hg, and at 16 years was 115.33 ± 1.26 mm of Hg. The mean SBP in females at 6 years was 96.55 ± 2.86 mm of Hg, at 10 years was 101.16 ± 2.12 mm of Hg, and at 16 years was 112.41 ± 1.06 mm of Hg. The correlation coefficient for relationship between age and SBP in males and females was 0.89 and 0.91, respectively, and for DBP was 0.92 and 0.90, respectively. The correlation coefficient for relationship between height and SBP in males and females was 0.91 and 0.93, respectively, and for DBP was 0.92 and 0.88, respectively. The correlation coefficient for relationship between weight and SBP in males and females was 0.92 and 0.92, respectively, and for DBP was 0.94 and 0.91, respectively. In the nomogram obtained in the study, 95% of study population fall between mean +2SD and -2SD.

CONCLUSION

The blood pressure (BP) (SBP and DBP) tends to increase with age, weight, height, and BMI. The BP values (SBP and DBP) increases grossly after 11 years of age. The students with positive family history of hypertension had higher valve when compared to other student. The BP of children and adolescents can be evaluated using the reference table according to age. The table provided helps to classify as "normal" or "hypertension" (>+2SD).

摘要

目的和目标

确定年龄在 6-16 岁的明显健康、无症状的学龄儿童的正常血压 (BP),并确定血压值与不同性别、体重、身高和体重指数 (BMI) 的相关性,以及发现学龄人口中高血压的患病率。

材料和方法

本前瞻性观察研究纳入了 3302 名城市儿童(1658 名男孩和 1644 名女孩),年龄在 6-16 岁之间。对这些儿童进行分析,以研究不同年龄、性别、体重、身高和 BMI 下收缩压 (SBP) 和舒张压 (DBP) 的分布模式。根据年龄和性别记录 SBP 和 DBP。观察 SBP 和 DBP 的平均值与体重、身高和 BMI 之间的关系。收集了有关高血压家族史的信息,并与获得的 SBP 和 DBP 读数相关联。

结果

男性 6 岁时的平均 SBP 为 99.69±3.62mmHg,10 岁时为 102.20±2.16mmHg,16 岁时为 115.33±1.26mmHg。女性 6 岁时的平均 SBP 为 96.55±2.86mmHg,10 岁时为 101.16±2.12mmHg,16 岁时为 112.41±1.06mmHg。男女两性年龄与 SBP 之间的相关系数分别为 0.89 和 0.91,与 DBP 的相关系数分别为 0.92 和 0.90。男女两性身高与 SBP 之间的相关系数分别为 0.91 和 0.93,与 DBP 的相关系数分别为 0.92 和 0.88。男女两性体重与 SBP 之间的相关系数分别为 0.92 和 0.92,与 DBP 的相关系数分别为 0.94 和 0.91。在研究中获得的列线图中,95%的研究人群落在均值+2SD 和-2SD 之间。

结论

血压 (BP) (SBP 和 DBP) 随年龄、体重、身高和 BMI 而升高。BP 值 (SBP 和 DBP) 在 11 岁后大幅上升。有高血压家族史的学生的血压值高于其他学生。可以根据年龄使用参考表评估儿童和青少年的血压。提供的表格有助于将“正常”或“高血压”(>+2SD)分类。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/89f411350d51/fped-03-00024-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/7dadb6d8ab91/fped-03-00024-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/9de6f1fc5d42/fped-03-00024-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/25e1c1fc0ba1/fped-03-00024-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/89f411350d51/fped-03-00024-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/7dadb6d8ab91/fped-03-00024-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/9de6f1fc5d42/fped-03-00024-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/25e1c1fc0ba1/fped-03-00024-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d3c/4379873/89f411350d51/fped-03-00024-g004.jpg

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