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Height-specific blood pressure cutoffs for screening elevated and high blood pressure in children and adolescents: an International Study.
Journal article

Height-specific blood pressure cutoffs for screening elevated and high blood pressure in children and adolescents: an International Study.

  • Hou Y Department of Epidemiology, School of Public Health, Shandong University, Jinan, China.
  • Bovet P Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Lausanne, Switzerland.
  • Kelishadi R Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Litwin M Department of Nephrology and Arterial Hypertension, The Children's Memorial Health Institute, Warsaw, Poland.
  • Khadilkar A Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Hong YM Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.
  • Nawarycz T Department of Biophysics, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, Poland.
  • Stawińska-Witoszyńska B Department of Epidemiology, Poznan University of Medical Sciences, Poznan, Poland.
  • Aounallah-Skhiri H National Institute of Public Health (INSP), Nutrition Surveillance and Epidemiology in Tunisia (SURVEN) Research Laboratory, 1002, Tunis, Tunisia.
  • Motlagh ME Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Kim HS Department of Pediatrics, Ewha Womans University School of Medicine, Seoul, Korea.
  • Khadilkar V Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Krzyżaniak A Department of Epidemiology, Poznan University of Medical Sciences, Poznan, Poland.
  • Ben Romdhane H Cardiovascular Epidemiology and Prevention, Research Laboratory, Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia.
  • Heshmat R Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
  • Chiplonkar S Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Krzywińska-Wiewiorowska M Department of Epidemiology, Poznan University of Medical Sciences, Poznan, Poland.
  • Ati JE Nutrition Surveillance and Epidemiology Unit (SURVEN), National Institute of Nutrition and Food Technology, Tunis, Tunisia.
  • Qorbani M Department of Epidemiology, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
  • Kajale N Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Traissac P Institut de Recherche pour le Développement (IRD), UMR NUTRIPASS IRD-UM-SupAgro, Montpellier, France.
  • Ostrowska-Nawarycz L Department of Biophysics, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, Poland.
  • Ardalan G Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Parthasarathy L Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
  • Yang L Department of Epidemiology, School of Public Health, Shandong University, Jinan, China.
  • Zhao M Department of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, China.
  • Chiolero A Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Lausanne, Switzerland.
  • Xi B Department of Epidemiology, School of Public Health, Shandong University, Jinan, China. xibo2007@126.com.
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  • 2018-12-28
Published in:
  • Hypertension research : official journal of the Japanese Society of Hypertension. - 2019
adolescents
children
elevated blood pressure
epidemiology
high blood pressure
methodology
Adolescent
Age Factors
Area Under Curve
Blood Pressure
Body Height
Child
Cohort Studies
Cross-Sectional Studies
Female
Humans
Hypertension
Male
Mass Screening
Predictive Value of Tests
Reproducibility of Results
Sensitivity and Specificity
Sex Factors
English Pediatric blood pressure (BP) reference tables are generally based on sex, age, and height and tend to be cumbersome to use in routine clinical practice. In this study, we aimed to develop a new, height-specific simple BP table according to the international child BP reference table based on sex, age and height and to evaluate its performance using international data. We validated the simple table in a derivation cohort that included 58,899 children and adolescents aged 6-17 years from surveys in 7 countries (China, India, Iran, Korea, Poland, Tunisia, and the United States) and in a validation cohort that included 70,072 participants from three other surveys (China, Poland and Seychelles). The BP cutoff values for the simple table were calculated for eight height categories for both the 90th ("elevated BP") and 95th ("high BP") percentiles of BP. The simple table had a high performance to predict high BP compared to the reference table, with high values (boys/girls) of area under the curve (0.94/0.91), sensitivity (88.5%/82.9%), specificity (99.3%/99.7%), positive predictive values (93.9%/97.3%), and negative predictive values (98.5%/97.8%) in the pooled data from 10 studies. The simple table performed similarly well for predicting elevated BP. A simple table based on height only predicts elevated BP and high BP in children and adolescents nearly as well as the international table based on sex, age, and height. This has important implications for simplifying the detection of pediatric high BP in clinical practice.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/278303
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