Harshfield G A, Alpert B S, Pulliam D A, Somes G W, Wilson D K
Department of Pediatrics, University of Tennessee, Memphis 38103.
Pediatrics. 1994 Aug;94(2 Pt 1):180-4.
To provide reference data for ambulatory blood pressure monitoring (ABPM) and to determine the influence of age, sex, and race on these values.
ABPM was performed on 300 healthy, normotensive boys and girls between the ages of 10 and 18 years, including 160 boys and 140 girls, of whom 149 were white and 151 were black. Mean systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) while awake and during sleep were calculated for black and white boys and girls aged 10 to 12 years, 13 to 15 years, and 16 to 18 years.
Boys compared with girls 10 to 12 years of age had higher mean (+/- SD) SBP (115 +/- 9 vs 112 +/- 9 mm Hg; P < .01) and DBP (67 +/- 7 vs 65 +/- 5 mm Hg; P < .01) while awake. Boys compared to girls 13 to 15 years of age had higher SBP while awake (116 +/- 11 vs 112 +/- 8 mm Hg; P < .01). Boys compared with girls 16 to 18 years of age had higher SBP while awake (125 +/- 12 vs 111 +/- 9 mm Hg); P < .01) and during sleep (116 +/- 11 vs 106 +/- 9 mm Hg). Comparisons within sex showed similar changes with age for boys and girls. Blacks compared with whites 13 to 15 years of age had higher SBP during sleep (109 +/- 11 vs 105 +/- 10 mm Hg; P < .01), and blacks compared with whites 16 to 18 years of age had higher DBP during sleep (66 +/- 7 vs 58 +/- 6 mm Hg; P < .01). Comparisons across age groups within race showed that blacks 16 to 18 years of age had higher SBP during sleep than blacks 10 to 12 years of age (109 +/- 11 vs 104 +/- 10 mm Hg), and higher DBP during sleep (66 +/- 7 mm Hg; P < .01) than blacks 10 to 12 years of age (61 +/- 7 mm Hg; P < .01) and 13 to 15 years of age (61 +/- 8; P < .01 mm Hg). The changes with age were not significant for white subjects.
These results provide age-specific reference data for ABPM in youths. These values differ by sex (boys more than girls) and race (Blacks more than Whites).
为动态血压监测（ABPM）提供参考数据，并确定年龄、性别和种族对这些数值的影响。
对300名年龄在10至18岁的健康、血压正常的男孩和女孩进行ABPM，其中包括160名男孩和140名女孩，其中149人为白人，151人为黑人。计算了10至12岁、13至15岁和16至18岁的黑人和白人男孩及女孩清醒和睡眠期间的平均收缩压（SBP）、舒张压（DBP）和心率（HR）。
10至12岁的男孩与女孩相比，清醒时平均（±标准差）SBP更高（115±9 vs 112±9 mmHg；P<.01），DBP更高（67±7 vs 65±5 mmHg；P<.01）。13至15岁的男孩与女孩相比，清醒时SBP更高（116±11 vs 112±8 mmHg；P<.01）。16至18岁的男孩与女孩相比，清醒时SBP更高（125±12 vs 111±9 mmHg；P<.01），睡眠期间也更高（116±11 vs 106±9 mmHg）。性别内比较显示，男孩和女孩随年龄变化相似。13至15岁的黑人与白人相比，睡眠期间SBP更高（109±11 vs 105±10 mmHg；P<.01），16至18岁的黑人与白人相比，睡眠期间DBP更高（66±7 vs 58±6 mmHg；P<.01）。种族内各年龄组比较显示，16至18岁的黑人睡眠期间SBP高于10至12岁的黑人（109±11 vs 104±10 mmHg），睡眠期间DBP高于10至12岁的黑人（66±7 mmHg；P<.01）和13至15岁的黑人（61±8；P<.01 mmHg）。白人受试者随年龄的变化不显著。
这些结果为青少年ABPM提供了特定年龄的参考数据。这些数值因性别（男孩高于女孩）和种族（黑人高于白人）而异。
Zotero 插件