Blood Pressure Norms and Definition of Hypertension in Children

Blood Pressure Norms and Definition of Hypertension in Children
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儿童血压标准和高血压的定义

DOI:
10.1007/978-1-62703-490-6_10
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发表时间:
2013
影响因子:
4.9
通讯作者:
B. Falkner
B. Falkner
中科院分区:
医学2区
文献类型:
--
作者:
B. Falkner

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在20世纪70年代之前,测量血压不是无症状健康儿童的标准做法。儿童高血压的检测发生在测量有症状和临床疾病的儿童血压时。在缺乏健康儿童血压水平参考数据的情况下,使用成人标准。健康儿童血压水平的早期初步数据表明,血压的正常范围比成人低得多。人们还认识到,健康儿童的血压水平随着儿童期的生长和发育而逐渐升高。随后,对健康儿童和青少年进行了几项大型观察性研究。这些研究在血压测量中采用了统一的方法,同时沿着身高和体重的生长测量。这些研究的数据被合并和分析,以确定健康儿童和青少年血压水平的正态分布。由此得出的1至17岁健康儿童的正常血压范围已成为目前儿童和青少年高血压和高血压前期定义所依据的血压标准。
Prior to the 1970s, measurement of blood pressure was not a standard practice in asymptomatic healthy children. Detection of high blood pressure in children occurred when blood pressure was measured in symptomatic and clinically ill children. In the absence of reference data on blood pressure levels in healthy children, adult criteria were used. Early preliminary data on blood pressure levels in healthy children indicated that the normal range of blood pressure was considerably lower than in adults. It was also recognized that there was progressive increase in blood pressure levels in healthy children that corresponded to childhood growth and development. Subsequently, several large observational studies were conducted on healthy children and adolescents. These studies applied uniform methods in blood pressure measurement along with growth measures of height and weight. Data from these studies have been combined and analyzed to determine the normal distribution of blood pressure levels in healthy children and adolescents. The resulting normal blood pressure range in healthy children from 1 to 17 years of age has become the blood pressure norms on which current definitions of hypertension and prehypertension in children and adolescents are based.
DOI: 10.1542/peds.84.4.633
发表时间: 1989-10
期刊: Pediatrics
影响因子: 8
作者:
R. Lauer;W. Clarke
通讯作者: R. Lauer;W. Clarke
DOI: 10.1093/aje/kwm348
发表时间: 2008-03-15
影响因子: 5
作者:
Rosner, B.;Cook, N.;Falkner, B.
通讯作者: Falkner, B.
DOI: 10.1016/j.jpeds.2007.01.052
发表时间: 2007-06-01
影响因子: 5.1
作者:
McNiece, Karen L.;Poffenbarger, Timothy S.;Portman, Ronald J.
通讯作者: Portman, Ronald J.