Prevalence of hypertension and pre-hypertension among adolescents
Prevalence of hypertension and pre-hypertension among adolescents
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DOI：
10.1016/j.jpeds.2007.01.052
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发表时间：
2007-06-01
影响因子：
5.1
通讯作者：
Portman, Ronald J.
中科院分区：
文献类型：
--
作者：
McNiece, Karen L.;Poffenbarger, Timothy S.;Portman, Ronald J.
目的根据2004年全国高血压教育计划工作组指南，对休斯敦地区6790名11~17岁青少年的血压水平进行横断面调查，以确定高血压及高血压前期的患病率。最初的测量包括身高、体重和4个示波式血压读数。随后对血压持续升高的学生进行了两次重复测量。结果初筛时血压分布正常81.1%，高血压前期9.5%，高血压9.4%(第1期8.4%，第2期1%)。3次筛查后患病率分别为81.1%正常，15.7%高血压前，3.2%高血压(2.6%1期，0.6%2期)。高血压和高血压前期随着体重指数的增加而增加。性别、种族和超重或超重的风险分类与高血压前期独立相关。仅分类为。保持镇定。超重与高血压相关。结论应用新的青少年血压升高分类指南显示，有20%的人有患高血压的风险。有必要进行进一步的研究，确定每个BP类别的重要性，并改进定义以解释BP的可变性。
Objective To determine the prevalence of hypertension and pre-hypertension on the basis of the 2004 National High Blood Pressure Education Program Working Group guidelines in an adolescent school-screening population.Study design Cross-sectional assessment of blood pressure (BP) in 6790 adolescents (11-17 years) in Houston schools was conducted from 2003 to 2005. Initial measurements included height, weight, and 4 oscillometric BP readings. Repeat measurements were obtained on 2 subsequent occasions in students with persistently elevated BP. Final prevalence was adjusted for loss to follow-up and logistic regression used to assess risk factors.Results BP distribution at initial screen was 81.1% normal, 9.5% pre-hypertension, and 9.4% hypertension (8.4% Stage 1; 1% Stage 2). Prevalence after 3 screenings was 81.1% normal, 15.7% pre-hypertension, and 3.2% hypertension (2.6% Stage 1; 0.6% Stage 2). Hypertension and pre-hypertension increased with increasing body mass index. Sex, race, and classification as either at-risk for overweight or overweight were independently associated with pre-h pertension. Only classification as. pertension. overweight was associated with hyConclusions Application of new classification guidelines for adolescents with elevated BP reveals similar to 20% are at risk for hypertension. Further research determining the significance of each BP category, and refining definitions to account for BP variability is warranted.