Objective To validate a Simplified Height Specific Blood Pressure (BP) Table for screening high blood pressure (HBP) among children and adolescents in Suzhou,in order to provide reference for making strategies for preventing childhood HBP. Methods A total of 6 972 children and adolescents aged 7 to 17 years were selected in this study by stratified cluster random sampling method from 2017 to 2018,and were asked to fill out questionnaires,meanwhile their height,weight and BP were measured.According to Chinese Blood Pressure Reference for Children and Adolescents aged 7-18 years (WS/T 610-2018) (hereafter referred to as "gold standard"),a simplified height specific BP table was developed.Validation of HBP and high normal BP (HNBP) was assessed. Results According to gold standard and simplified height specific BP table,the detection rates of HNBP in children and adolescents aged 7 to 17 years in Suzhou were 16.7% and 16.6%,respectively,and the detection rate of HBP was 12.7% and 12.8%.Paired chi-square test showed that there was no significant difference on the prevalence of HNBP and HBP identified by two standards (χ2=1.376,P=0.711).Performance of simplified height specific BP table was in good agreement with gold standard.When screening HNBP,the area under the curve (95%CI),sensitivity,specificity and Kappa value were 0.900(0.887-0.913),83.2%,96.8%,and 0.803,respectively.And corresponding values for screening HBP were 0.925(0.911-0.938),86.9%,98.0%,and 0.848,respectively. Conclusion Simplified height specific BP table is easy to use,and it shows satisfying effect for screening HNBP and HBP.
Key words
blood pressure /
child /
adolescent /
Simplified Height Specific Blood Pressure Table
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 董彦会,宋逸,董彬,等.2014年中国7～18岁学生血压状况与营养状况的关联分析—基于中国儿童青少年血压评价标准[J].北京大学学报(医学版),2018,50(3):422-428.
[2] 席波.预防成年期心血管疾病应始于儿童期[J].中华预防医学杂志,2019,53(7):657-660.
[3] Flynn JT,Kaelber DC,Baker-smith CM,et al.Clinical practice guideline for screening and management of high blood pressure in children and adolescents[J].Pediatrics,2017,140(3):e20171904.
[4] 中华人民共和国国家卫生健康委员会.WS/T 610-2018.7岁～18岁儿童青少年血压偏高筛查界值[S].北京:中国标准出版社,2018.
[5] Chiolero A,Paradis G,Simonetti GD,et al.Absolute height specific thresholds to identify elevated blood pressure in children[J].J Hypertens,2013,31(6):1170-1174.
[6] Ma C,Kelishadi R,Hong YM,et al.Performance of eleven simplified methods for the identification of elevated blood pressure in children and adolescents[J].Hypertension,2016,68(3):614-620.
[7] 侯亚苹,刘琴,羊柳,等.儿童青少年身高别高血压筛查界值简化表的制定与验证[J].中华预防医学杂志,2019,53(7):701-705.
[8] 胡佳,韩迪,丁子尧,等.基于不同血压标准的苏州市儿童青少年血压偏高率比较[J].中国学校卫生,2019,40(12):1870-1872,1876.
[9] Hu J,Shen H,Wu JZ,et al.Prevalence of high blood pressure and high normal blood pressure among 7 to 17 year old children and adolescents in developed regions,China from 2014 to 2017[J].J Hum Hypertens,2019,33(5):400-410.
[10] 中华人民共和国国家卫生健康委员会.WS/T 586-2018 学龄儿童青少年超重与肥胖筛查[S].北京:中国标准出版社,2018.
[11] 陶芳标.儿童青少年卫生学[M].北京:人民卫生出版社,2017.
[12] 曹志娟,侯陈瑶,叶周丰,等.上海市某区7～13岁学生超重和肥胖流行趋势[J].中国儿童保健杂志,2020,28(2):128-130.
[13] 黄贵民,侯冬青,高爱钰,等.北京市6～16岁儿童青少年睡眠状况与高血压的关联分析[J].中华预防医学杂志,2018,52(11):1136-1139.
[14] Sekgala MD,Monyeki KD,Mogale MA,et al.Performance of blood pressure to height ratio as a screening tool for elevated blood pressure in rural children:Ellisras Longitudinal Study[J].J Hum Hypertens,2017,31(9):591-595.
[15] 梁晶晶,张喆庆,刘步云,等.采用血压身高比筛查广州市部分儿童高血压的初步探讨[J].中国儿童保健杂志,2015,23(7):706-709.
[16] Xi B,Zong X,Kelishadi R,et al.Establishing international blood pressure references among nonoverweight children and adolescents aged 6 to 17 years[J].Circulation,2016,133(4):398-408.
[17] 范晖,闫银坤,米杰.中国3～17岁儿童血压简化标准的研制[J].中华高血压杂志,2017,25(5):436-440.
[18] Ma C,Wang R,Liu Y,et al.Performance of user-friendly screening tools for elevated blood pressure in children[J].Pediatrics,2017,139(2):e20161986.
PDF(544 KB)
