Fluctuation of elevated blood pressure among 6-8 years old children in Beijing

ZHEN Guoxin; SHU Wen; ZHAO Ruilan; DUAN Junwei; LI Li; ZHAO Fangfang; LI Menglong; HU Yifei

doi:10.16835/j.cnki.1000-9817.2021.05.004

Volume 42 Issue 5

May 2021

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(5): 656-658, 662

ZHEN Guoxin, SHU Wen, ZHAO Ruilan, DUAN Junwei, LI Li, ZHAO Fangfang, LI Menglong, HU Yifei. Fluctuation of elevated blood pressure among 6-8 years old children in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 656-658, 662. doi: 10.16835/j.cnki.1000-9817.2021.05.004

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ZHEN Guoxin, SHU Wen, ZHAO Ruilan, DUAN Junwei, LI Li, ZHAO Fangfang, LI Menglong, HU Yifei. Fluctuation of elevated blood pressure among 6-8 years old children in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 656-658, 662. doi: 10.16835/j.cnki.1000-9817.2021.05.004

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Fluctuation of elevated blood pressure among 6-8 years old children in Beijing

doi: 10.16835/j.cnki.1000-9817.2021.05.004

1.
Department of School Health, Shunyi District Center for Disease Control and Prevention, Beijing(101300), China

Received Date: 2021-01-20
Rev Recd Date: 2021-04-15

Available Online: 2021-05-20

Publish Date: 2021-05-25

Abstract

Abstract

Objective To explore differences in the detection rate of elevated blood pressure (BP) in children aged 6-8 years old, and to verify the apparent existence of white-coat hypertension (BP) in children. Methods Based on census data(PROC), and three subsequent BP readings were taken during follow-ups which were carried out from October 2018 to June 2019. A total of 1 785 children were included in the present study. Using updating blood pressure reference for Chinese children aged 3-17 years, compared the BP detection rate at baseline, at the first follow-up, and the average value of the last two BP readings. Fluctuations in the detection rate of elevated BP in children at different time-points were analyzed. Results The detection rates of the three elevated BP measurements of 6-8-year-old children were 57.65%, 25.88% and 15.46%, respectively, and the detection rate was higher among boys than girls. The detection rate of baseline BP was higher than that of the first follow-up BP measurements and the average of the last two BP measurements(P < 0.01). Given the agreement in the diagnosis of high SBP, high DBP, high BP at baseline, and the average of the last two follow-up BP measurements, elevated BP at baseline was the lowest among the three groups and SBP was higher than DBP. Conclusion Blood Pressure fluctuations might be caused by transient tension that was experienced during the baseline BP measurement and during the first of the three follow-ups. Therefore, the average value of last two BP measurements may better reflect the real BP level in children.
- Blood pressure,
- Prevalence,
- Child,
- Cohort studies

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References(19)

References

[1]	中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2019概要[J]. 中国循环杂志, 2020, 35(9): 833-854. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202009001.htm China Cardiovascular Health and Disease Report Writing Group. Report on cardiovascular health and diseases in China 2019: an updated summary[J]. Chin Circul J, 2020, 35(9): 833-854. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202009001.htm
[2]	KRMAR R T. White-coat hypertension from a paediatric perspective[J]. Acta Paediatr, 2019, 108(1): 44-49. doi: 10.1111/apa.14416
[3]	URBINA E M, KHOURY P R, BAZZANO L, et al. Relation of blood pressure in childhood to self-reported hypertension in adulthood[J]. Hypertension, 2019, 73(6): 1224-1230. doi: 10.1161/HYPERTENSIONAHA.118.12334
[4]	TRAN A H, URBINA E M. Hypertension in children[J]. Curr Opin Cardiol, 2020, 35(4): 376-380. doi: 10.1097/HCO.0000000000000744
[5]	LURBE E, INGELFINGER J R. Blood pressure in children and adolescents: current insights[J]. J Hypertens, 2016, 34(2): 176-183. doi: 10.1097/HJH.0000000000000790
[6]	JURKO A J R, MINARIK M, JURKO T, et al. White coat hypertension in pediatrics[J]. Ital J Pediatr, 2016, 42(1): 1-5. doi: 10.1186/s13052-015-0208-5
[7]	WHO Multicentre Growth Reference Study Group. WHO child growth standards based on length/height, weight and age[J]. Acta Paediatr Suppl, 2006, 450: 76-85. DOI: 10.1111/j.1651-2227.2006.tb02378.X.
[8]	范晖, 闫银坤, 米杰. 中国3~17岁儿童性别、年龄别和身高别血压参照标准[J]. 中华高血压杂志, 2017, 25(5): 428-435. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201705010.htm FAN H, YAN Y K, MI J. Updating blood pressure references for Chinese children aged 3-17 years[J]. Chin J Hypert, 2017, 25(5): 428-435. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGZ201705010.htm
[9]	GUTTIER M C, BARCELOS R S, FERREIRA R W, et al. Repeated high blood pressure at 6 and 11 years at the Pelotas 2004 birth cohort study[J]. BMC Public Health, 2019, 19(1): 1260. doi: 10.1186/s12889-019-7544-0
[10]	KAGURA J, ADAIR L S, MUNTHALI R J, et al. Association between early life growth and blood pressure trajectories in black south african children[J]. Hypertension, 2016, 68(5): 1123-1131. doi: 10.1161/HYPERTENSIONAHA.116.08046
[11]	RECKELHOFF J F. Gender differences in the regulation of blood pressure[J]. Hypertension, 2001, 37(5): 1199-1208. doi: 10.1161/01.HYP.37.5.1199
[12]	MARANON R, RECKELHOFF J F. Sex and gender differences in control of blood pressure[J]. Clin Sci(Lond), 2013, 125(7): 311-318. doi: 10.1042/CS20130140
[13]	ARNOLD A P, CASSIS L A, EGHBALI M, et al. Sex hormones and sex chromosomes cause sex differences in the development of cardiovascular diseases[J]. Arterioscler Thromb Vasc Biol, 2017, 37(5): 746-756. doi: 10.1161/ATVBAHA.116.307301
[14]	唐努, 陈亚军, 谭蔚清, 等. 基于不同血压参照标准的儿童高血压检出率比较[J]. 中华疾病控制杂志, 2019, 23(2): 44-49. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201902008.htm TANG N, CHEN Y J, TAN W Q, et al. The comparison of hypertension prevalence among children based on different references of hypertension[J]. Chin J Dis Control Prev, 2019, 23(2): 44-49. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201902008.htm
[15]	FLYNN J T, KAELBER D C, BAKER-SMITH C M, et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents[J]. Pediatrics, 2017, 140(3): e20171904. http://europepmc.org/abstract/MED/28827377
[16]	PICKERING T G, HALL J E, APPEL L J, et al. Recommendations for blood pressure measurement in humans and experimental animals[J]. Circulation, 2005, 111(5): 697-716. doi: 10.1161/01.CIR.0000154900.76284.F6
[17]	崔晓丽, 王成. 动态血压在儿科的应用[J]. 国际儿科学杂志, 2011, 38(2): 136-138. doi: 10.3760/cma.j.issn.1673-4408.2011.02.013 CUI X L, WANG C. Ambulatory blood pressure monitoring in pediatrics[J]. Int J Pediatr, 2011, 38(2): 136-138. doi: 10.3760/cma.j.issn.1673-4408.2011.02.013
[18]	席波. 关注儿童青少年高血压预防成年期心血管疾病[J]. 中国学校卫生, 2016, 37(10): 1441-1444. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201610003.htm XI B. Pay attention to hypertension in children and adolescents to prevent cardiovascular disease in adulthood[J]. Chin J Sch Health, 2016, 37(10): 1441-1444. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201610003.htm
[19]	HEISKANEN J S, RUOHONEN S, ROVIO S P, et al. Cardiovascular risk factors in childhood and left ventricular diastolic function in adulthood[J]. Pediatrics, 2021, 147(3): e2020016691. doi: 10.1542/peds.2020-016691