Screening of hypertensive children using blood pressure to height ratio in Guangzhou.

LIANG Jing-jing; ZHANG Zhe-qing; LIU Bu-yun; YE Xiao-fang; HUANG Zhe-lan; MA Jun; JING Jin.

doi:10.11852/zgetbjzz2015-23-07-10

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Chinese Journal of Child Health Care ›› 2015, Vol. 23 ›› Issue (7) : 706-709. DOI: 10.11852/zgetbjzz2015-23-07-10

original articles

Screening of hypertensive children using blood pressure to height ratio in Guangzhou.

LIANG Jing-jing¹,ZHANG Zhe-qing²,LIU Bu-yun¹,YE Xiao-fang¹,HUANG Zhe-lan¹,MA Jun³,JING Jin¹.

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Abstract

Objective To investigate the prevalence of hypertension in children in Guangzhou,China and to determine the optimal cutoff values of blood pressure to height ratio (BPHR) for screening hypertensive children.Methods A total of 5 471 children aged 6~10 years old were enrolled by means of whole population random sampling.Blood pressure and anthropometric parameters were measured.The areas under receiver operating curves were applied to determine the predictive capability of BPHR to discern children with hypertension. Results The optimal cutoff values of systolic BPHR and diastolic BPHR were 0.80 mmHg/cm and 0.51 mmHg/cm in boys,and 0.78 mmHg/cm and 0.49 mmHg/cm in girls,respectively.The negative predictive values were larger than 99% for hypertension in both gender,the positive predictive values were 17.2% and 15.9%,respectively.The prevalence of hypertension were 3.54% in boys and 3.67% in girls,respectively.Conclusion BPHR is simple and accurate for screening hypertensive children aged 6~10 years old in Guangzhou.

Key words

hypertension / blood pressure to height ratio / receive operating characteristic curve / children

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LIANG Jing-jing,ZHANG Zhe-qing,LIU Bu-yun,YE Xiao-fang,HUANG Zhe-lan,MA Jun,JING Jin.. Screening of hypertensive children using blood pressure to height ratio in Guangzhou.[J]. Chinese Journal of Child Health Care. 2015, 23(7): 706-709 https://doi.org/10.11852/zgetbjzz2015-23-07-10

References

[1] Xi B,Liang Y,Mi J.Hypertension trends in Chinese children in the national surveys,1993 to 2009[J].Int J Cardiol,2013,165(3):577-579.
[2] Stergiou GS,Giovas PP,Kollias A,et al.Relationship of home blood pressure with target-organ damage in children and adolescents[J].Hypertens Res,2011,34(5):640-644.
[3] Chen X,Wang Y.Tracking of blood pressure from childhood to adulthood:a systematic review and meta-regression analysis[J].Circulation,2008,117(25):3171-3180.
[4] Gunn PW,Hansen ML,Kaelber DC.Underdiagnosis of pediatric hypertension-an example of a new era of clinical research enabled by electronic medical records[J].AMIA Annu Symp Proc,2007,10(11):966-975.
[5] Hansen ML,Gunn PW,Kaelber DC.Underdiagnosis of hypertension in children and adolescents[J].JAMA,2007,298(8):874-879.
[6] Lu Q,Ma CM,Yin FZ,et al.How to simplify the diagnostic criteria of hypertension in adolescents[J].J Hum Hypertens,2011,25(3):159-163.
[7] Xi B,Zhang M,Zhang T,et al.Hypertension screening using blood pressure to height ratio[J].Pediatrics,2014,134(1):e106-e111.
[8] 季成叶,孙军玲.中国学龄青少年体重指数地域与人群分布差异的分析[J].中华儿科杂志,2004,42(5):12-16.
[9] 张丽君.中国儿童青少年第二掌骨皮质厚度的南北区域差异[D].石家庄:河北师范大学,2009.
[10] 许睿玮,严恺,严卫丽.儿童原发性高血压影响因素的Meta分析[J].中国循证医学杂志,2013,13(5):564-573.
[11] 米杰,王天有,孟玲慧,等.中国儿童青少年血压参照标准的研究制定[J].中国循证儿科杂志,2010,5(1):4-14.
[12] Rabbia F,Rabbone I,Totaro S,et al.Evaluation of blood pressure/height ratio as an index to simplify diagnostic criteria of hypertension in caucasian adolescents[J].J Hum Hypertens,2011,25(10):623-624.
[13] Ejike CE.Blood pressure to height ratios as simple,sensitive and specific diagnostic tools for adolescent (pre)hypertension in Nigeria[J].Ital J Pediatr,2011,24(37):30-38.
[14] Galescu O,George M,Basetty S,et al.Blood pressure over height ratios:simple and accurate method of detecting elevated blood pressure in children[J].Int J Pediatr,2012,2012(1155):253497-253504.
[15] Mostafavi SN,Barzegar E,Manssori NS,et al.First report on the lipid profile late after kawasaki disease in Iranian children[J].Int J Prev Med,2014,5(7):820-824.
[16] 季成叶,胡佩瑾,何忠虎.中国儿童青少年生长长期趋势及其公共卫生意义[J].北京大学学报:医学版,2007,39(2):126-131.
[17] 徐勇勇,尚磊,杜晓晗.我国17～21岁男青年血压水平的地区差异[J].疾病控制杂志,2003,7(3):189-193.