Sinaiko A R, Gomez-Marin O, Prineas R J
Department of Pediatrics, School of Public Health, University of Minnesota Health Sciences Center, Minneapolis 55455.
Am J Hypertens. 1988 Apr;1(2):178-80. doi: 10.1093/ajh/1.2.178.
The Second Task Force on Blood Pressure Control in Children defines "significant" hypertension as blood pressure persistently above the 95th percentile for age-sex specific distribution. In this report we present preliminary data on the prevalence of significant diastolic hypertension in pre-high school black and white children after repeated blood pressure measurements. Blood pressure was measured in 10,446 children two times at an initial screening in school and remeasured two times at a rescreening in 2,808 children from the upper 30 percentiles of the initial screening distribution. Significant hypertension was found in 653 children (6.3%) after the first screening measurement and in 475 children (4.5%) after averaging the first two screening measurements. At the rescreening, the prevalence of significant hypertension was further reduced in this cohort to 1% after one measurement and to 0.8% after averaging the two measurements. The prevalence of significant systolic hypertension had fallen to 0.47% after averaging the two rescreening measurements. These data suggest that the prevalence of significant hypertension is very low in pre-high school children.
儿童血压控制第二特别工作组将“重度”高血压定义为血压持续高于按年龄和性别划分的特定分布的第95百分位数。在本报告中，我们展示了在对高中前的黑人和白人儿童进行多次血压测量后，重度舒张期高血压患病率的初步数据。在学校的初次筛查中，对10446名儿童进行了两次血压测量，并对初次筛查分布中处于前30百分位数的2808名儿童在再次筛查时进行了两次重新测量。在第一次筛查测量后，653名儿童（6.3%）被发现患有重度高血压，在前两次筛查测量平均后，475名儿童（4.5%）被发现患有重度高血压。在再次筛查时，该队列中重度高血压的患病率在一次测量后进一步降至1%，在两次测量平均后降至0.8%。在两次再次筛查测量平均后，重度收缩期高血压的患病率已降至0.47%。这些数据表明，高中前儿童中重度高血压的患病率非常低。
