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首页> 外文期刊>Anthropological Review >Percentile distribution of blood pressure readings in relation to body mass index: a populationbased cross-sectional study ADOPOLNOR
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Percentile distribution of blood pressure readings in relation to body mass index: a populationbased cross-sectional study ADOPOLNOR

机译：血压读数与体重指数的百分比分布：基于人群的横断面研究ADOPOLNOR

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Recent upward trends toward elevated blood pressure and increased weight expressed in terms of body mass index in children and adolescents call for regular monitoring of their physical growth and age-related changes in blood pressure. This requires adequate tools - reference values of a normal blood pressure range. The main objective of this study was to provide sex- and BMI-specific percentile reference values for systolic and diastolic blood pressure based on the adolescent Polish population, participants in the ADOPOLNOR study. A cross-sectional survey was carried out on a representative, randomly selected cohort of 4,941; 2,451 male and 2,490 female students aged 10-18 years, residents in Wielkopolska province and its capital, the city of Poznań. All examinations were performed in school nursery rooms during morning hours according to standard procedures. Body height and weight were measured and BMI was calculated. Blood pressure was measured twice on each occasion on the right arm using a fully calibrated TECH MED TM-Z mercury gauge sphygmomanometer with sets of exchangeable cuffs and a clinical stethoscope. The blood pressure classification was determined using the surveillance method. For each participant, the mean of measurements taken on each of the three occasions was calculated and served as his/her final blood pressure value. Using the LMS method, fitted percentile curves were created for BMI-related systolic and diastolic blood pressure. The findings revealed that age related blood pressure pattern was similar in boys and girls. It showed a steady increase of systolic and diastolic blood pressure with age. There was a positive correlation between the systolic and diastolic blood pressure indicating that when systolic blood pressure increased so diastolic did (r=0.61 at p<0.01). Boys were likely to have relatively higher mean values of systolic and diastolic blood pressure and steeper slope for BMI-related change in blood pressure than girls. Similar pattern was found for age-related changes in BMI. The quotation of 3rd, 5th, 10th, 15th, 25th, 50th, 75th, 85th, 90th, 95th, and 97th at any given BMI between 12 kg/m2 and 35 kg/m2 provided indication of the entire variation in blood pressure of adolescent males and females aged 10-18 years. The sex- and BMI-specific reference values and charts for systolic and diastolic blood pressure may be a useful tool in monitoring blood pressure for early detection of its abnormal level and treatment of children and adolescents with high blood pressure.
机译：用儿童体重指数表示的血压升高和体重增加的近期上升趋势要求对他们的身体成长和与年龄有关的血压变化进行定期监测。这需要足够的工具-正常血压范围的参考值。这项研究的主要目的是根据波兰青少年群体（ADOPOLNOR研究的参与者）提供针对性别和BMI的收缩压和舒张压的特定百分比参考值。对一个有代表性的，随机选择的队列4,941进行了横断面调查; Wielkopolska省及其首府波兹南市有2,451名男学生和2,490名女学生，年龄在10-18岁之间。所有检查均根据标准程序在早晨的学校托儿所进行。测量身高和体重并计算BMI。使用完全校准的TECH MED TM-Z水银压力计血压计，每组两次测量右血压，该血压计带有可更换的袖套和临床听诊器。使用监视方法确定血压分类。对于每个参与者，计算在三种情况下每一次所测得的平均值，并将其用作他/她的最终血压值。使用LMS方法，创建了与BMI相关的收缩压和舒张压的拟合百分曲线。研究结果表明，与年龄有关的血压模式在男孩和女孩中相似。随着年龄的增长，其收缩压和舒张压稳定增加。收缩压与舒张压之间呈正相关，表明当收缩压升高时舒张压也升高（r = 0.61，p <0.01）。与女孩相比，男孩的收缩压和舒张压平均值可能较高，而与BMI相关的血压变化斜率更陡。对于年龄相关的BMI变化，发现了类似的模式。在任何给定的BMI介于12 kg / m2和35 kg / m2之间的情况下引用3、5、10、15、25、50、75、85、90、95和97的报价提供了青少年血压整体变化的指示男性和女性年龄在10-18岁之间。性别和BMI特定的参考值和收缩压和舒张压图表可能是监测血压以早期发现其异常水平并治疗高血压儿童和青少年的有用工具。

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