Bull World Health Organ. 1984;62(1):121-32.
From 17 634 children born in 1964 and screened in 1977 two sample groups were selected: 10% of children from the upper 5% of the systolic and diastolic blood pressure distribution curves (95th percentile and above) were taken to form an "upper" group, and 10% from the remainder as a "lower" group. These children were re-examined in 1978. There was an 89% response rate (3640 children), with no difference in this rate between sexes or between the two groups. Data from the parents' responses to a questionnaire on themselves and the children were compared for differences between the two groups.The parents' ages, smoking habits and marital status, and the children's order of birth, number of siblings, and proportion of twins did not differ significantly between the upper and lower groups.The prevalence of hypertension and diabetes among the children, and the prevalence of hypertension, stroke and diabetes in the medical history of the parents were significantly higher in the upper than in the lower group. Signs of left ventricular hypertrophy and symptoms of a hyperkinetic heart syndrome (based on heart rate, innocent systolic murmurs, the magnitude of R and S waves on the ECG, and mean values of cardiothoracic and heart volume indices) occurred more frequently in the upper than in the lower group.Children in the upper group were sexually more developed, taller, more obese (higher Quetelet's index and skinfold thickness), and less active physically.Average values of blood sugar and serum uric acid were also higher in the upper than in the lower group. No significant difference was found between the two groups in the proportion of smokers among the children or in mean cholesterol values.These differences between the upper and lower groups were strengthened by the comparison of children who showed repeatedly a low arterial pressure below the 30th percentile of the systolic and diastolic blood pressure distribution curves.
从1964年出生并于1977年接受筛查的17634名儿童中选取了两个样本组：收缩压和舒张压分布曲线处于上5%（第95百分位数及以上）的儿童中的10%被选出来组成一个“高值”组，其余儿童中的10%作为“低值”组。这些儿童于1978年再次接受检查。应答率为89%（3640名儿童），该应答率在性别之间或两组之间没有差异。比较了父母对关于他们自己和孩子的问卷的回答数据，以找出两组之间的差异。高值组和低值组在父母的年龄、吸烟习惯和婚姻状况，以及孩子的出生顺序、兄弟姐妹数量和双胞胎比例方面没有显著差异。高值组儿童中高血压和糖尿病的患病率，以及父母病史中高血压、中风和糖尿病的患病率显著高于低值组。左心室肥厚的体征和高动力性心脏综合征的症状（基于心率、无害性收缩期杂音、心电图上R波和S波的幅度，以及心胸和心脏容积指数的平均值）在高值组中比低值组中更频繁出现。高值组的儿童性发育更成熟、更高、更肥胖（体重身高指数和皮褶厚度更高），身体活动更少。高值组的血糖和血清尿酸平均值也高于低值组。两组在儿童吸烟者比例或平均胆固醇值方面没有发现显著差异。通过对收缩压和舒张压分布曲线第30百分位数以下动脉压反复较低的儿童进行比较，高值组和低值组之间的这些差异得到了强化。
