Elcarte López R, Villa Elizaga I, Sada Goñi J, Gasco Eguiluz M, Oyarzabal Irigoyen M, Sola Mateos A, Martínez González A, Elcarte López T, Serrano Tellechea D, Merino García R
Unidad de Endocrinología Pediátrica, Hospital Virgen del Camino, Pamplona, Navarra.
An Esp Pediatr. 1993 Feb;38(2):151-8.
As part of an epidemiological study on cardiovascular risk factors among children and adolescents in Navarra, arterial blood pressure (BP) readings were taken in 5,829 children, including both sexes and aged between 4 and 17 years. The subjects were randomly selected from the public and private school population in our community. BP-age and BP-height percentiles were obtained for each sex and the physiological variations in BP according to these parameters was also analyzed. Systolic BP increased with age in both sexes throughout childhood. During adolescence, there is almost no variation in BP among girls, but in boys older than 13 years, there is a sudden increase. For this reason, boys have higher values than girls. Diastolic BP shows a linear increase in both sexes. BP increases with height in both sexes. In spite of the sudden rise in systolic BP among the boys taller than 145 cm, the increase in systolic BP in relationship to height is smaller and more homogeneous than the increase seen with age. As the BP variations with height are smaller and more homogeneous than those related to age, it is preferable to evaluate this parameter by BP-height rather than by BP-age.
作为纳瓦拉地区儿童和青少年心血管危险因素流行病学研究的一部分，对5829名4至17岁的儿童（包括男童和女童）进行了动脉血压（BP）测量。这些受试者是从我们社区的公立和私立学校人群中随机选取的。获得了各性别BP与年龄以及BP与身高的百分位数，并分析了根据这些参数得出的BP生理变化。在整个儿童期，男女收缩压均随年龄增长而升高。在青春期，女孩的血压几乎没有变化，但13岁以上男孩的血压会突然升高。因此，男孩的血压值高于女孩。男女舒张压均呈线性升高。男女血压均随身高增加。尽管身高超过145厘米的男孩收缩压突然升高，但收缩压相对于身高的升高幅度小于且比随年龄的升高更均匀。由于血压随身高的变化比随年龄的变化更小且更均匀，因此通过BP与身高而非BP与年龄来评估该参数更为可取。
