Blood pressure centiles for Great Britain.
Blood pressure centiles for Great Britain.
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DOI：
10.1136/adc.2005.081216
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发表时间：
2007-04
影响因子：
5.2
通讯作者：
Cole TJ
中科院分区：
文献类型：
--
作者：
Jackson LV;Thalange NK;Cole TJ
为生活在英国的儿童和青少年提供具有代表性的横断面血压参考百分位数。分析七项全国代表性调查的血压数据：1995-8年英格兰健康调查，1995年和1998年苏格兰健康调查，1997年全国饮食和营养调查。使用Dinamap 8100测量血压，整个过程中使用相同的方案。还测量了体重和身高。在排除0.3%的缺失或离群数据后，11364名4-23岁男性和11537名4-23岁女性的数据纳入分析。使用潜在调节结构（LMS）方程法推导收缩压、舒张压、平均动脉压和脉压的百分位数。儿童期男女的血压相似，随着年龄的增长而逐渐升高，在青春期上升更快。成年男性的收缩压上升较快，明显高于成年女性。校正年龄后，血压与体重的相关性大于身高，对收缩压的影响更大。男性和女性的脉压峰值分别在18岁和16岁。 这些百分位数增加了我们对当代英国儿童和年轻人血压标准的了解。年龄高血压应定义为血压高于第98百分位数，年龄正常高血压定义为血压介于第91和第98百分位数之间。百分位数确定儿童和年轻人血压升高，将有利于临床实践和研究。
To produce representative cross‐sectional blood pressure reference centiles for children and young people living in Great Britain. Analysis of blood pressure data from seven nationally representative surveys: Health Surveys for England 1995–8, Scottish Health Surveys 1995 and 1998, and National Diet & Nutrition Survey 1997. Blood pressure was measured using the Dinamap 8100 with the same protocol throughout. Weight and height were also measured. Data for 11 364 males and 11 537 females aged 4–23 years were included in the analysis, after excluding 0.3% missing or outlying data. Centiles were derived for systolic, diastolic, mean arterial and pulse pressure using the latent moderated structural (LMS) equations method. Blood pressure in the two sexes was similar in childhood, rising progressively with age and more rapidly during puberty. Systolic pressure rose faster and was appreciably higher in adult men than in adult women. After adjustment for age, blood pressure was related more to weight than height, the effect being stronger for systolic blood pressure. Pulse pressure peaked at 18 years in males and 16 years in females. These centiles increase our knowledge of blood pressure norms in contemporary British children and young people. High blood pressure for age should be defined as blood pressure above the 98th centile, and high‐normal blood pressure for age as blood pressure between the 91st and 98th centiles. The centiles identify children and young people with increased blood pressure, and will be of benefit to both clinical practice and research.
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影响因子：
2
作者：
COLE, TJ;GREEN, PJ
通讯作者：
GREEN, PJ
影响因子：
1.7
作者：
Jin, RZ;Donaghue, KC;Silink, M
通讯作者：
Silink, M
影响因子：
--
作者：
Chinn, S;Rona, RJ
通讯作者：
Rona, RJ
影响因子：
2.7
作者：
Lambrechtsen, J;Rasmussen, F;Jacobsen, IA
通讯作者：
Jacobsen, IA
影响因子：
1.3
作者：
O'Brien, E
通讯作者：
O'Brien, E