Establishing Percentiles for Blood Pressure Based on Absolute Height for Children and Adolescents

Overview

Journal BMC Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2021 Jan 8

PMID 33413191

Citations 3

Authors

Marco Cossio-Bolanos

Ruben Vidal-Espinoza

Felipe Castelli Correia de Campos

Jose Sulla-Torres

Wilbert Cossio-Bolanos

Cynthia Lee Andruske

Camilo Urra Albornoz

Rossana Gomez Campos

Affiliations

Soon will be listed here.

Abstract

Background: Evaluating blood pressure (BP) is one element for diagnosing and preventing disease in student populations. The objectives of this research were to (a) identify the range of height for measuring BP adjusted for student populations and (b) propose percentiles for evaluating BP based on height.

Methods: A cross-sectional study was carried out with 3,013 students. Weight, height, and diastolic (DBP) and systolic (SBP) blood pressure were evaluated. Body Mass Index (BMI) was calculated. Height ranges of 5 and 10 cm were generated.

Results: R values for height ranges of 5 cm consisted of [normotensive: DBP (R = 10 to 13%) and SBP (R = 14 to 20%), and for hypertensive: DBP (R = 0.07 to 15%) and for SBP (R = 29 to 32%)]. For height ranges of 10 cm, values included: [normotensive: DBP (R = 10 to 15%), and SBP (R = 15 to 21%) and for hypertensive: DBP (R = 0.07 to 16%) and SBP (R = 29 to 35%)]. For 5 cm height ranges, diferences occurred between both sexes for DBP (in 5 height ranges from 123 to 148 cm and 158 to 168 cm) and for the SBP (in 6 height ranges from 128 to 148 cm and from 158 to 168 cm). In the 10 cm categories, diferences appeared in DBP (from 138 to 148 cm) and in the SBP (from 158 to 168 cm).

Conclusions: Height is a determinant for evaluating blood pressure, and height ranges of 10 cm are more suitable for children and adolescents. The proposed percentiles based on height ranges allowed assessment of the DBP and SBP suggest their use in epidemiological and educational contexts.

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References

Lurbe E, Cifkova R, Cruickshank J, Dillon M, Ferreira I, Invitti C . Management of high blood pressure in children and adolescents: recommendations of the European Society of Hypertension. J Hypertens. 2009; 27(9):1719-42. DOI: 10.1097/HJH.0b013e32832f4f6b. View

Galescu O, George M, Basetty S, Predescu I, Mongia A, Ten S . Blood Pressure over Height Ratios: Simple and Accurate Method of Detecting Elevated Blood Pressure in Children. Int J Pediatr. 2012; 2012:253497. PMC: 3332207. DOI: 10.1155/2012/253497. View

Cole T, Bellizzi M, Flegal K, Dietz W . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000; 320(7244):1240-3. PMC: 27365. DOI: 10.1136/bmj.320.7244.1240. View

Chiolero A, Bovet P, Paradis G . Screening for elevated blood pressure in children and adolescents: a critical appraisal. JAMA Pediatr. 2013; 167(3):266-73. DOI: 10.1001/jamapediatrics.2013.438. View

Flynn J, Kaelber D, Baker-Smith C, Blowey D, Carroll A, Daniels S . Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017; 140(3). DOI: 10.1542/peds.2017-1904. View

Al Salloum A, El Mouzan M, Al Herbish A, Al Omar A, Qurashi M . Blood pressure standards for Saudi children and adolescents. Ann Saudi Med. 2009; 29(3):173-8. PMC: 2813655. DOI: 10.4103/0256-4947.51787. View

Rosner B, Cook N, Daniels S, Falkner B . Childhood blood pressure trends and risk factors for high blood pressure: the NHANES experience 1988-2008. Hypertension. 2013; 62(2):247-54. PMC: 3769135. DOI: 10.1161/HYPERTENSIONAHA.111.00831. View

Krzyzaniak A, Krzywinska-Wiewiorowska M, Stawinska-Witoszynska B, Kaczmarek M, Krzych L, Kowalska M . Blood pressure references for Polish children and adolescents. Eur J Pediatr. 2009; 168(11):1335-42. DOI: 10.1007/s00431-009-0931-2. View

Ma C, Kelishadi R, Hong Y, Bovet P, Khadilkar A, Nawarycz T . Performance of Eleven Simplified Methods for the Identification of Elevated Blood Pressure in Children and Adolescents. Hypertension. 2016; 68(3):614-20. PMC: 4991624. DOI: 10.1161/HYPERTENSIONAHA.116.07659. View

10.

Chiolero A, Paradis G . User-friendly tools to identify elevated blood pressure in children. Paediatr Child Health. 2014; 18(2):63-4. PMC: 3567897. DOI: 10.1093/pch/18.2.63. View

11.

Mitchell C, Theriot J, Sayat J, Muchant D, Franco S . A simplified table improves the recognition of paediatric hypertension. J Paediatr Child Health. 2010; 47(1-2):22-6. DOI: 10.1111/j.1440-1754.2010.01885.x. View

12.

Goonasekera C, Dillon M . Measurement and interpretation of blood pressure. Arch Dis Child. 2000; 82(3):261-5. PMC: 1718259. DOI: 10.1136/adc.82.3.261. View

13.

Topouchian J, El Assaad M, Orobinskaia L, El Feghali R, Asmar R . Validation of two automatic devices for self-measurement of blood pressure according to the International Protocol of the European Society of Hypertension: the Omron M6 (HEM-7001-E) and the Omron R7 (HEM 637-IT). Blood Press Monit. 2006; 11(3):165-71. DOI: 10.1097/01.mbp.0000209078.17246.34. View

14.

Park M, Menard S, Schoolfield J . Oscillometric blood pressure standards for children. Pediatr Cardiol. 2005; 26(5):601-7. DOI: 10.1007/s00246-004-0828-9. View

15.

. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004; 114(2 Suppl 4th Report):555-76. View

16.

Mattace-Raso F, van der Cammen T, Hofman A, van Popele N, Bos M, Schalekamp M . Arterial stiffness and risk of coronary heart disease and stroke: the Rotterdam Study. Circulation. 2006; 113(5):657-63. DOI: 10.1161/CIRCULATIONAHA.105.555235. View

17.

Gomez-Campos R, Arruda M, Andruske C, Leite-Portella D, Pacheco-Carrillo J, Urral-Albornoz C . Physical Growth and Body Adiposity Curves in Students of the Maule Region (Chile). Front Pediatr. 2019; 7:323. PMC: 6691029. DOI: 10.3389/fped.2019.00323. View

18.

Neuhauser H, Thamm M, Ellert U, Hense H, Schaffrath Rosario A . Blood pressure percentiles by age and height from nonoverweight children and adolescents in Germany. Pediatrics. 2011; 127(4):e978-88. DOI: 10.1542/peds.2010-1290. View

19.

Banker A, Bell C, Gupta-Malhotra M, Samuels J . Blood pressure percentile charts to identify high or low blood pressure in children. BMC Pediatr. 2016; 16:98. PMC: 4950817. DOI: 10.1186/s12887-016-0633-7. View

20.

Lu Q, Ma C, Yin F, Liu B, Lou D, Liu X . How to simplify the diagnostic criteria of hypertension in adolescents. J Hum Hypertens. 2010; 25(3):159-63. DOI: 10.1038/jhh.2010.46. View