Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years

Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years Publisher Pubmed

Xi B¹ ; Zong X² ; Kelishadi R³ ; Hong YM⁴ ; Khadilkar A^{5, 21} ; Steffen LM⁵ ; Nawarycz T^{6, 22} ; Krzywinskawiewiorowska M⁷ ; Aounallahskhiri H^{8, 23} ; Bovet P⁹ ; Chiolero A^{10, 24} ; Pan H^{11, 25} ; Litwin M^{12, 26} ; Poh BK^{13, 27} Show All Authors

Xi B¹
Zong X²
Kelishadi R³
Hong YM⁴
Khadilkar A^{5, 21}
Steffen LM⁵
Nawarycz T^{6, 22}
Krzywinskawiewiorowska M⁷
Aounallahskhiri H^{8, 23}
Bovet P⁹
Chiolero A^{10, 24}
Pan H^{11, 25}
Litwin M^{12, 26}
Poh BK^{13, 27}
Sung RYT¹⁴
So HK⁴
Schwandt P¹⁵
Haas GM^{16, 28}
Neuhauser HK¹⁷
Marinov L¹⁸
Galcheva SV¹⁹
Motlagh ME²⁰
Kim HS¹¹
Khadilkar V¹³
Krzyzaniak A¹²
Romdhane HB⁸
Heshmat R⁷
Chiplonkar S⁶
Stawinskawitoszynska B⁹
El Ati J¹⁰
Qorbani M¹²
Kajale N¹⁴
Traissac P¹⁵
Ostrowskanawarycz L¹⁶
Ardalan G¹⁵
Parthasarathy L³
Zhao M²
Zhang T¹

Show Affiliations

1. Department of Epidemiology, School of Public Health, Shandong University, 44 Wenhuaxi Rd, Jinan, Shandong, 250012, China
2. Department of Growth and Development, Capital Institute of Pediatrics, Beijing, China
3. Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non Communicable Disease, Isfahan, Iran
4. Department of Pediatrics, Ewha Womans University, School of Medicine, Seoul, South Korea
5. Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India
6. Division of Epidemiology and Community Health, University of Minnesota, School of Public Health, Minneapolis, MN, United States
7. Department of Biophysics, Medical University of Lodz, Lodz, Poland
8. Department of Epidemiology, Poznan University of Medical Sciences, Poznan, Poland
9. National Institute of Public Health (INSP), Tunis, Tunisia
10. Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland
11. Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Canada
12. Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Medical College, Dongguan, China
13. Department of Nephrology and Arterial Hypertension, Children's Memorial Health Institute, Warsaw, Poland
14. Nutritional Sciences Programme, School of Healthcare Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
15. Department of Pediatrics, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong
16. Atherosclerosis Prevention Institute, Munich-Nuremberg, Germany
17. Medical Department, Ludwig-Maximilian University of Munich, Munich, Germany
18. Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
19. DZHK (German Center for Cardiovascular Research), Berlin, Germany
20. Department of Pediatrics and Medical Genetics, Varna Medical University, Varna, Bulgaria
21. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
22. Cardiovascular Epidemiology and Prevention, Research Laboratory, University Tunis El Manar, Tunis, Tunisia
23. Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran, Iran
24. SURVEN (Nutrition Surveillance and Epidemiology Unit), National Institute of Nutrition and Food Technology, Tunis, Tunisia
25. Department of Community Medicine, Alborz University of Medical Sciences, Karaj, Iran
26. IRD (Institut de Recherche Pour le Developpement), UMR NUTRIPASS, IRD-UM-SupAgro, Montpellier, France
27. Department of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, China
28. Department of Biostatistics, School of Public Health, Shandong University, Jinan, China

Source: Circulation Published:2016

Abstract

Background-Several distributions of country-specific blood pressure (BP) percentiles by sex, age, and height for children and adolescents have been established worldwide. However, there are no globally unified BP references for defining elevated BP in children and adolescents, which limits international comparisons of the prevalence of pediatric elevated BP. We aimed to establish international BP references for children and adolescents by using 7 nationally representative data sets (China, India, Iran, Korea, Poland, Tunisia, and the United States). Methods and Results-Data on BP for 52 636 nonoverweight children and adolescents aged 6 to 19 years were obtained from 7 large nationally representative cross-sectional surveys in China, India, Iran, Korea, Poland, Tunisia, and the United States. BP values were obtained with certified mercury sphygmomanometers in all 7 countries by using standard procedures for BP measurement. Smoothed BP percentiles (50th, 90th, 95th, and 99th) by age and height were estimated by using the Generalized Additive Model for Location Scale and Shape model. BP values were similar between males and females until the age of 13 years and were higher in males than females thereafter. In comparison with the BP levels of the 90th and 95th percentiles of the US Fourth Report at median height, systolic BP of the corresponding percentiles of these international references was lower, whereas diastolic BP was similar. Conclusions-These international BP references will be a useful tool for international comparison of the prevalence of elevated BP in children and adolescents and may help to identify hypertensive youths in diverse populations. © 2015 American Heart Association, Inc.

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Style	Citing Format
MLA	Xi B, et al.. "Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years." Circulation, vol. 133, no. 4, 2016, pp. 398-408.
APA	Xi B, Zong X, Kelishadi R, Hong YM, Khadilkar A, Steffen LM, Nawarycz T, Krzywinskawiewiorowska M, Aounallahskhiri H, Bovet P, Chiolero A, Pan H, Litwin M, Poh BK, Sung RYT, So HK, Schwandt P, Haas GM, Neuhauser HK, ... Zhang T (2016). Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years. Circulation, 133(4), 398-408.
Chicago	Xi B, Zong X, Kelishadi R, Hong YM, Khadilkar A, Steffen LM, Nawarycz T, et al.. "Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years." Circulation 133, no. 4 (2016): 398-408.
Harvard	Xi B et al. (2016) 'Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years', Circulation, 133(4), pp. 398-408.
Vancouver	Xi B, Zong X, Kelishadi R, Hong YM, Khadilkar A, Steffen LM, et al.. Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years. Circulation. 2016;133(4):398-408.
BibTex	@article{ author = {Xi B and Zong X and Kelishadi R and Hong YM and Khadilkar A and Steffen LM and Nawarycz T and Krzywinskawiewiorowska M and Aounallahskhiri H and Bovet P and Chiolero A and Pan H and Litwin M and Poh BK and Sung RYT and So HK and Schwandt P and Haas GM and Neuhauser HK and Marinov L and Galcheva SV and Motlagh ME and Kim HS and Khadilkar V and Krzyzaniak A and Romdhane HB and Heshmat R and Chiplonkar S and Stawinskawitoszynska B and El Ati J and Qorbani M and Kajale N and Traissac P and Ostrowskanawarycz L and Ardalan G and Parthasarathy L and Zhao M and Zhang T}, title = {Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years}, journal = {Circulation}, volume = {133}, number = {4}, pages = {398-408}, year = {2016} }
RIS	TY - JOUR AU - Xi B AU - Zong X AU - Kelishadi R AU - Hong YM AU - Khadilkar A AU - Steffen LM AU - Nawarycz T AU - Krzywinskawiewiorowska M AU - Aounallahskhiri H AU - Bovet P AU - Chiolero A AU - Pan H AU - Litwin M AU - Poh BK AU - Sung RYT AU - So HK AU - Schwandt P AU - Haas GM AU - Neuhauser HK AU - Marinov L AU - Galcheva SV AU - Motlagh ME AU - Kim HS AU - Khadilkar V AU - Krzyzaniak A AU - Romdhane HB AU - Heshmat R AU - Chiplonkar S AU - Stawinskawitoszynska B AU - El Ati J AU - Qorbani M AU - Kajale N AU - Traissac P AU - Ostrowskanawarycz L AU - Ardalan G AU - Parthasarathy L AU - Zhao M AU - Zhang T TI - Establishing International Blood Pressure References Among Nonoverweight Children and Adolescents Aged 6 to 17 Years JO - Circulation VL - 133 IS - 4 SP - 398 EP - 408 PY - 2016 ER -

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