Molinero A, Cervero M, Magro M C, Partearroyo T, Zuluaga P, Martín A
Grupo de trabajo en Hipertensión y Riesgo Vascular, Sociedad Española de Farmacia Familiar y Comunitaria (SEFAC); Departamento de Ciencias Biomédicas, Universidad Alcalá de Henares, Alcalá de Henares, España.
Grupo de trabajo en Hipertensión y Riesgo Vascular, Sociedad Española de Farmacia Familiar y Comunitaria (SEFAC); Farmacia comunitaria en Madrid, Madrid, España.
Hipertens Riesgo Vasc. 2017 Oct-Dec;34(4):157-164. doi: 10.1016/j.hipert.2017.04.003. Epub 2017 May 31.
High blood pressure (HBP) is a modifiable cardiovascular risk factor and its detection at early ages may allow strategies to be designed to reduce cardiovascular risk in adulthood.
To provide blood pressure (BP) values in a sample of adolescents using an electronic oscillometric device.
BP was measured according the European Society of Hypertension guidelines using an oscillometric device. Height and weight were also measured. Four height groups were used in order to associate the 90, 95, and 99 percentiles with systolic BP (pSBP) and diastolic BP percentiles (pDBP) for sex and age: H150 (≤ 150cm), H160(151-160cm), H170(161-170cm), and H180(≥171cm).
Data from 2,758 students aged 12-17 years were included in the analysis. BP increases with age, with differences of up to 11mmHg in boys vs. 3mmHg in girls for SBP and 3mmHg vs. 1mmHg for DBP. In high SBP, for the younger adolescents, the difference related to height was 15mmHg in boys vs. 8mmHg in girls, with no significant increase in the older ones in either gender. The high BDP varied depending on the height, 10mmHg in younger boys and 3mmHg in older ones, while in girls the variation was 3mmHg for all ages.
SBP/DBP in adolescents increases with age and also with height, giving similar figures in the taller ones, regardless of age.
高血压是一种可改变的心血管风险因素,在早年对其进行检测有助于制定降低成年期心血管风险的策略。
使用电子示波装置提供青少年样本中的血压值。
根据欧洲高血压学会指南,使用示波装置测量血压。同时测量身高和体重。为了将90%、95%和99%百分位数与按性别和年龄划分的收缩压(pSBP)和舒张压百分位数(pDBP)相关联,使用了四个身高组:H150(≤150cm)、H160(151 - 160cm)、H170(161 - 170cm)和H180(≥171cm)。
分析纳入了2758名12 - 17岁学生的数据。血压随年龄升高,收缩压方面男孩差异高达11mmHg,女孩为3mmHg;舒张压方面男孩差异为3mmHg,女孩为1mmHg。在高收缩压情况下,对于较年轻的青少年,男孩与身高相关的差异为15mmHg,女孩为8mmHg,而两个性别的年长青少年差异均无显著增加。高舒张压随身高变化,年轻男孩为10mmHg,年长男孩为3mmHg,而女孩在各年龄段的变化均为3mmHg。
青少年的收缩压/舒张压随年龄和身高升高,在较高身高的青少年中,无论年龄大小,数值相似。