Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
Home Blood Pressure Assessment in Children with Autism Spectrum Disorder: A Feasibility Study
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DOI：
10.2991/artres.k.191123.001
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发表时间：
2019-12-01
期刊：
影响因子：
0.6
通讯作者：
Barreira, Tiago, V
中科院分区：
文献类型：
--
作者：
Heffernan, Kevin S.;Columna, Luis;Barreira, Tiago, V
简介：测量儿童血压 (BP) 可以洞察未来心血管疾病 (CVD) 风险。目的：探讨自闭症谱系障碍 (ASD) 儿童家庭血压监测的可行性和可靠性，并与办公室血压测量进行比较。方法：使用电子设备对 16 名 ASD 儿童（平均年龄 7 +/- 3 岁，n = 2 名女孩）进行 7 天家庭血压监测，并与单一“办公室”血压测量进行比较。要求家长在早上采取两项措施，在傍晚采取两项措施。结果：11 名家长能够获得 > 75% 的措施，其中 8 名家长获得 > 90% 的措施。办公室平均收缩压 (SBP) 和家庭平均收缩压（平均差 2 +/- 9 mmHg，p = 0.46）或办公室平均舒张压 (DBP) 和家庭平均舒张压（平均差 1 +/- 7 mmHg，p = 0.68）之间没有统计学差异。家庭和办公室 SBP 之间的相关性为 r = 0.44 (p = 0.02)。家庭和办公室 DBP 之间的相关性为 r = 0.43 (p = 0.05)。家庭 SBP 与年龄、身高和 BMI 相关 (p < 0.05)，而办公室 SBP 则不然 (p > 0.05)。三天 4 次测量/天足以实现可靠的家庭血压测量 (G > 0.8)。结论：家庭血压监测对于 ASD 儿童是可行的，与典型的相关因素（年龄、身高）相关，并且与办公室血压测量相比，与肥胖状况 (BMI) 的相关性更好。 (C) 2019 年动脉结构和生理学研究协会。 Atlantis Press International B.V. 的出版服务
Introduction: Measurement of Blood Pressure (BP) in children provides insight into future Cardiovascular Disease (CVD) risk.Objective: To examine the feasibility and reliability of home BP monitoring in children with Autism Spectrum Disorder (ASD) and compare to office BP measurement.Methods: Seven day home BP monitoring was completed using an electronic device in 16 children with ASD (mean age 7 +/- 3, n = 2 girls) and compared with a single "office" BP measure. Parents were asked to take two measures in the morning and two measures in the early evening.Results: Eleven parents were able to obtain >75% of measures with eight of those 11 parents obtaining >90% of measures. There were no statistical differences between mean office Systolic BP (SBP) and mean home SBP (mean difference 2 +/- 9 mmHg, p = 0.46) or mean office Diastolic BP (DBP) and mean home DBP (mean difference 1 +/- 7 mmHg, p = 0.68). The correlation between home and office SBP was r = 0.44 (p = 0.02). The correlation between home and office DBP was r = 0.43 (p = 0.05). Home SBP correlated with age, height and BMI (p < 0.05) while office SBP did not (p > 0.05). Three days with 4 measurements/day was sufficient to achieve reliable home BP measurements (G > 0.8).Conclusion: Home BP monitoring is feasible in children with ASD, is associated with typical correlates (age, height), and is better associated with obesity status (BMI) than office BP measurement. (C) 2019 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.