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Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension
Joint Authors
Woll, Alexander
Neuhauser, Hannelore
Sarganas, Giselle
Schaffrath Rosario, Angelika
Niessner, Claudia
Source
International Journal of Hypertension
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-26
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Blood pressure (BP) tracking from childhood to adulthood has two aspects: the ranking stability relative to others over time and the prediction of future values.
This study investigates BP tracking in children and adolescents in Germany in the context of hypertension risk factors.
BP was measured and analyzed in 2542 participants of the German Health Examination Survey for Children and Adolescents (t0 2003-2006; 3 to 17-year olds) and of a six year follow-up “Motorik Modul” (t1 2009-2012; 9 to 24-year olds).
BP tracking coefficients were calculated from Spearman’s rank-order correlations.
Predictive values and logistic regression models were used to forecast t1-BP above the hypertension threshold from t0-BP as well as from baseline and follow-up hypertension risk factors.
BP tracking was moderate (0.33-0.50 for SBP and 0.19-0.39 for DBP) with no statistically significant differences between sex and age groups.
Baseline hypertensive BP was the strongest independent predictor of hypertensive BP at follow-up (OR 4.3 and 3.4 for age groups 3-10 and 11-17 years) after adjusting for sex, BMI trajectories, birthweight, parental hypertension, and age-group dependent-sports/physical activity.
However, the positive predictive value of baseline hypertensive BP for hypertensive BP at follow-up in 3- to 10-year olds was only 39% (34% in 11- to 17-year olds) and increased only moderately in the presence of additional risk factors.
Our analysis with population-based data from Germany shows that BP in children and adolescents tracks only moderately over six years.
BP in childhood is the strongest independent predictor of future BP but its predictive value is limited.
American Psychological Association (APA)
Sarganas, Giselle& Schaffrath Rosario, Angelika& Niessner, Claudia& Woll, Alexander& Neuhauser, Hannelore. 2018. Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension. International Journal of Hypertension،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1173212
Modern Language Association (MLA)
Sarganas, Giselle…[et al.]. Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension. International Journal of Hypertension No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1173212
American Medical Association (AMA)
Sarganas, Giselle& Schaffrath Rosario, Angelika& Niessner, Claudia& Woll, Alexander& Neuhauser, Hannelore. Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension. International Journal of Hypertension. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1173212
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173212