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儿童和青少年五年间的血压变化

Change of blood pressure over five years in childhood and adolescence.

作者信息

André J L, Deschamps J P, Petit J C, Guéguen R

出版信息

Clin Exp Hypertens A. 1986;8(4-5):539-45. doi: 10.3109/10641968609046569.

DOI:10.3109/10641968609046569
PMID:3757275
Abstract

We compared blood pressure (BP) values, measured at a five year interval, in 2,777 boys and girls aged 4-18 years. BP values were converted into height and sex adjusted standard deviation unit scores. Correlation coefficients were significant but low for systolic BP score: 0.19 in boys and 0.15 in girls, and were even lower for diastolic BP score. These correlations are weaker than those observed for overall BP values (boys: 0.33, girls: 0.23), weight (0.82, 0.75) and height (0.87, 0.80). The probability of remaining in a high percentile (greater than 95th) is low since only 14 p. cent of boys and 8 p. cent of girls whose first systolic BP value was greater than the 95th percentile were still in this range five years later. Probability was still weaker for diastolic BP. BP tracking exists but would appear to be weak to permit early detection of future hypertensives, and does not justify preventive measures other than advice on diet and way of life.

摘要

我们比较了2777名4至18岁男孩和女孩每隔五年测量一次的血压(BP)值。血压值被转换为根据身高和性别调整后的标准差单位分数。收缩压分数的相关系数显著但较低:男孩为0.19,女孩为0.15,舒张压分数的相关系数甚至更低。这些相关性比总体血压值(男孩:0.33,女孩:0.23)、体重(0.82,0.75)和身高(0.87,0.80)所观察到的相关性更弱。处于高百分位数(大于第95百分位数)的可能性较低,因为首次收缩压值大于第95百分位数的男孩中只有14%,女孩中只有8%在五年后仍处于该范围内。舒张压的可能性更低。血压轨迹是存在的,但似乎很弱,无法早期发现未来的高血压患者,除了饮食和生活方式建议外,没有理由采取其他预防措施。

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