Rames L K, Clarke W R, Connor W E, Reiter M A, Lauer R M
Pediatrics. 1978 Feb;61(2):245-51.
This study describes the seated blood pressure distributions of 6,622 predominantly white schoolchildren in Muscatine, Iowa. Subjects with seated pressures equal to or greater than the 95th percentile for age and sex or 140 mm Hg systolic or 90 mm Hg diastolic were examined on repeated occasions. Approximately 13% of subjects were found to have blood pressures at these levels when first examined, but less than 1% were found to have persistent blood pressure elevations. Of 41 subjects found to have persistent blood pressure elevations, 23 were obese with relative weights in excess of 120%. Of the 18 lean subjects, 5 had secondary hypertension and 13 were considered to have essential hypertension. Mass screening of school-age children identifies many children with transient elevation of blood pressure and few with fixed high blood pressures. Children's blood pressures should be assessed during their continuing care where pressures can be measured over a period of time to identify those with fixed blood pressure elevations.
本研究描述了爱荷华州马斯卡廷6622名以白人为主的学龄儿童的坐位血压分布情况。坐位血压等于或高于年龄和性别的第95百分位数或收缩压140毫米汞柱或舒张压90毫米汞柱的受试者接受了多次检查。首次检查时，约13%的受试者血压处于这些水平，但发现持续血压升高的受试者不到1%。在41名发现有持续血压升高的受试者中，23名肥胖，相对体重超过120%。在18名瘦的受试者中，5名患有继发性高血压，13名被认为患有原发性高血压。对学龄儿童进行大规模筛查发现，许多儿童血压短暂升高，而血压持续升高的儿童很少。儿童的血压应在持续护理期间进行评估，在此期间可以在一段时间内测量血压，以识别那些血压持续升高的儿童。
