刚果民主共和国卢本巴希非超重儿童和青少年按年龄和身高划分的示波法血压情况

Oscillometric blood pressure by age and height for non overweight children and adolescents in Lubumbashi, Democratic Republic of Congo.

作者信息

Muyumba Emmanuel Kiyana, Nkulu Dophra Ngoy, Mukeng Clarence Kaut, Musung Jacques Mbaz, Kakoma Placide Kambola, Kakisingi Christian Ngama, Luboya Oscar Numbi, Malonga Françoise Kaj, Kizonde Justin Kalungwe, Mukuku Olivier, Yan Weili

机构信息

Department of Internal Medicine, Sendwe Hospital, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.

Department of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.

出版信息

BMC Cardiovasc Disord. 2018 Jan 19;18(1):9. doi: 10.1186/s12872-018-0741-4.

DOI:10.1186/s12872-018-0741-4

PMID:29351738

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5775618/

Abstract

BACKGROUND

The diagnosis of hypertension in children is complex because based on normative values by sex, age and height, and these values vary depending on the environment. Available BP references used, because of the absence of local data, do not correspond to our pediatric population. Accordingly, our study aimed to provide the BP threshold for children and adolescents in Lubumbashi (DRC) and to compare them with German (KIGGS study), Polish (OLAF study) and Chinese (CHNS study) references.

METHODS

We conducted a cross-sectional study among 7523 school-children aged 3 to 17 years. The standardized BP measurements were obtained using a validated oscillometric device (Datascope Accutor Plus). After excluding overweight and obese subjects according to the IOTF definition (n = 640), gender-specific SBP and DBP percentiles, which simultaneously accounted for age and height by using an extension of the LMS method, namely GAMLSS, were tabulated.

RESULTS

The 50th, 90th and 95th percentiles of SBP and DBP for 3373 boys and 3510 girls were tabulated simultaneously by age and height (5th, 25th, 50th, 75th and 95th height percentile). Before 13 years the 50th and 90th percentiles of SBP for boys were higher compared with those of KIGGS and OLAF, and after they became lower: the difference for adolescents aged 17 years was respectively 8 mmHg (KIGGS) and 4 mmHg (OLAF). Concerning girls, the SBP 50th percentile was close to that of OLAF and KIGGS studies with differences that did not exceed 3 mmHg; whereas the 90th percentile of girls at different ages was high. Our oscillometric 50th and 90th percentiles of SBP and DBP were very high compared to referential ausculatory percentiles of the CHNS study respectively for boys from 8 to 14 mmHg and 7 to 13 mmHg; and for girls from 10 to 16 mmHg and 11 to 16 mmHg.

CONCLUSIONS

The proposed BP thresholds percentiles enable early detection and treatment of children and adolescents with high BP and develop a local program of health promotion in schools and family.

摘要

背景

儿童高血压的诊断较为复杂，因为其诊断基于按性别、年龄和身高划分的标准值，而这些值会因环境不同而有所差异。由于缺乏本地数据，现有的血压参考标准并不适用于我们的儿科人群。因此，我们的研究旨在提供卢本巴希（刚果民主共和国）儿童和青少年的血压阈值，并将其与德国（KiGGS研究）、波兰（OLAF研究）和中国（CHNS研究）的参考标准进行比较。

方法

我们对7523名3至17岁的在校儿童进行了一项横断面研究。使用经过验证的示波装置（Datascope Accutor Plus）进行标准化血压测量。根据国际肥胖工作组（IOTF）的定义排除超重和肥胖受试者（n = 640）后，使用LMS方法的扩展方法即广义相加模型（GAMLSS）同时列出按年龄和身高划分的特定性别收缩压（SBP）和舒张压（DBP）百分位数。

结果

按年龄和身高（第5、25、50、75和95身高百分位数）同时列出了3373名男孩和3510名女孩的SBP和DBP的第50、90和95百分位数。13岁之前，男孩SBP的第50和90百分位数高于KiGGS和OLAF研究中的数值，之后则较低：17岁青少年的差异分别为8 mmHg（KiGGS）和4 mmHg（OLAF）。对于女孩，SBP的第50百分位数与OLAF和KiGGS研究接近，差异不超过3 mmHg；而不同年龄女孩的第90百分位数较高。与CHNS研究的参考听诊百分位数相比，我们的示波法SBP和DBP的第50和90百分位数非常高，男孩分别高出8至14 mmHg和7至13 mmHg；女孩分别高出10至16 mmHg和11至16 mmHg。