Predictors of future ambulatory blood pressure in youth.

Predictors of future ambulatory blood pressure in youth.
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青少年未来动态血压的预测因素。

DOI:
10.1016/s0022-3476(98)70362-2
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发表时间:
1998
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Strong,WB
Strong,WB
中科院分区:
--
文献类型:
--
作者:
DelRosario,JD;Treiber,FA;Harshfield,GA;Davis,HS;Strong,WB

文献摘要

被引文献

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目的本研究的目的是确定具有原发性高血压家族史的正常血压青年未来动态血压的预测因素。研究对象为48名健康青年(平均年龄10.9±2.5岁,黑人52人,白人36人,男孩45人)。在初次访问期间,人体测量变量和血流动力学在休息和之前,期间和之后三个实验室压力源:姿势变化,额头冷,和视频游戏挑战。受试者的动态血压被监测了24小时,作为平均2.5年后随访评估的一部分。结果血压计和人口学变量以及对实验室应激源的反应性测量与未来白夜动态血压相关。结论这些发现为动态血压的预测提供了重要信息,并强调了静息血压与肥胖的重要性。这些结果支持了第二工作组的指导方针,该指导方针建议在持续医疗保健的背景下测量血压和肥胖。[J]儿科杂志1998;132:693-8。
ObjectiveThe objective of this study was to determine the predictors of future ambulatory blood pressure in normotensive youths with family histories of essential hypertension.Study designEighty-eight healthy youths (mean age 10.9 ± 2.5 years; 52 blacks, 36 whites; 45 boys) were studied. During an initial visit anthropometric variables and hemodynamics were measured at rest and before, during, and after three laboratory stressors: postural change, forehead cold, and video game challenge. The subjects' ambulatory blood pressure was monitored for 24 hours as part of a follow-up evaluation an average of 2.5 years later.ResultsAnthropometric and demographic variables and measures of reactivity to laboratory stressors were related to future daytime and nighttime ambulatory blood pressure.ConclusionThese findings provide important information on the predictors of ambulatory blood pressure and underscore the importance of resting blood pressure and adiposity. These results support the guidelines of the Second Task Force, which recommend the measurement of blood pressure and adiposity in the context of ongoing health care. (J Pediatr 1998;132:693-8.)