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Okul Çağı Çocukları için Kan Basıncı Persentilleri

Year 2016, Volume: 43 Issue: 2, 193 - 198, 01.06.2016

Abstract

Amaç: Çocukluk çağında ve adölesan dönemde hipertansiyon
prevalansı gittikçe artmaktadır. 7-18 yaş arası
çocukların kan basıncı değerlerini incelemeyi amaçladık.
Yöntemler: Bu çalışmaya 27 okuldan toplam 3375 (1777
kız, 1598 erkek) çocuk dahil edildi. Çocukların kan basınçları
kol çevresine uygun sfigmomanometre ile ölçüldü.
Bulgular: Erkek ve kız çocuklarında sistolik ve diastolik
kan basıncı ile vücut ağırlığı, boy, yaş ve vücut kitle indeksi
arasında pozitif bir ilişki bulundu. Sistolik kan basıncı,
13 yaşından sonra erkeklerde kızlardan daha yüksekti.
Diastolik kan basıncı 14 yaşından sonra erkeklerde kızlardan
daha yüksekti. Sistolik kan basıncında ortalama
yıllık artış erkeklerde 2.06 mmHg ve kızlarda 1.54 mmHg
idi. Diastolik kan basıncında ortalama yıllık artış erkeklerde
1.52 mmHg ve kızlarda 1.38 mmHg idi.
Sonuç: Bu çalışmada, Erzurum şehrinde 7-18 yaş arasındaki
çocuklarda kan basıncı için eşik değerleri belirledik.
Türk çocuklarının yaş, cinsiyet ve boy persentillerine
göre kan basıncı persentillerini belirlemek için farklı bölgelerden
elde edilen verilerin değerlendirilmesi ve kombine
edilmesi gereklidir.

References

  • 1. Lauer RM, Clark WR. Childhood risk factors for high adult blood pressure: the MUSCATINE study. Pediatrics 1989;84:633–641.
  • 2. Horan MJ, Sinaiko AR. Report of the second task force on blood pressure control in children. Pediatrics 1987;79:1-25. 3. Baron AE, Freyer B, Fixter DE. Longitudinal blood pressure in blacks, whites and Mexican, Americans during adolescence and early adulthood. Am J Epidemiology 1986;123:809-817.
  • 4. Rosner B, Prineas RJ, Laggie JMH, Daniels SR. Blood pressure nomograms of children and adolescent by height, sex and age in the United States. J Pediatr 1993;123:809.
  • 5. Çelikel AB, Yalçınkaya F, Ekim M. Çocuklarda kan basıncının değerlendirilmesi; 24 saat yaşam içinde kan basıncı izlemi. Nefroloji Dergisi 2004;13:71-74.
  • 6. Buonomo E, Pasquarella A, Palombi L. Blood pressure and anthropometry in parents and children of a Southern Italian village. J Hum Hypertens l996;10:S77-S79.
  • 7. Blumenthal S, Epps RP, Heavenrich R, et al. Report of the task force on blood pressure control in children. Pediatrics 1977;59:797-820.
  • 8. National high blood pressure education program working group on hypertension control in children and adolescents. update on the 1987 task force report on high blood pressure in children and adolescents: a working group report from the national high blood pressure education program. Pediatrics 1996;98:649-658.
  • 9. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-576.
  • 10. Candan C, Çalışkan S. Çocukluk çağında hipertansiyona yaklaşım. Turk Pediatri Ars 2005;40:15-22.
  • 11. Fredriks AM, Van Buuren S, Sing RA, et al. Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr 2005;94:496-498.
  • 12. Buyan N. Çocukluk çağı hipertansiyonu. Turkiye Klinikleri J Pediatr Sci 2008;4:72-93.
  • 13. Fidan K, Necla B. Çocukluk çağı ve yenidoğan döneminde hipertansiyonun tanımlanması, değerlendirilmesi ve tedavisi. Turkiye Klinikleri J Int Med Sci 2005;1:30-43.
  • 14. Tumer N, Yalcinkaya F, Ince E, et al. Blood pressure nomograms for children and adolescents in Turkey. Pediatr Nephrol 1999;13:438–443.
  • 15. Bal C, Yalçın BM, Mazıcıoğlu MM, et al. Blood pressure percentiles for the children between 11-17 years of age in Kayseri. Turkiye Klinikleri J Med Sci 2009;29:1412-1420.
  • 16. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240–1243.
  • 17. Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 2007;335:194–201.
  • 18. Ferrara LA, Maratto T, Mainenti G, et al. Resting blood pressure and cardiovasculer response to sympathetic stimulation in adolescents. Int J Cardiol 1992;36:197-201.
  • 19. Tanır MK, Demirbağ BC, Tanır İM, Yiğitbaş Ç. The relationship between serum lipid levels, high blood pressure and obesity in children. Dicle Med J 2014;41:1-9.
  • 20. Öktem F. Results of ambulatory arterial blood pressure monitoring in children with obesity. Dicle Med J 2010;37:353- 357.
  • 21. Hanna JM. Climate, altitude, and blood pressure. Hum Biol 1999;71:553-582.
  • 22. Tripathy V, Gupta R. Blood pressure variation among Tibetans at different altitudes. Ann Hum Biol 2007;34:470-483.
  • 23. Maddocks I, Vines AP. The Influence of chronic infection on blood pressure in New Guinen males. Lancet 1966;30:262- 264.
  • 24. Leon-Velarde F, Sanchez J, Bigard AX, et al. High altitude tissue adaptation in Andean coots: capillarity, fibre area, fibre type and enzymatic activities of skeletal muscle. J Comp Physiol B 1993;163:52-58.
  • 25. Ataei N, Aghamohammadi A, Yousefi E, et al. Blood pressure nomograms for school children in Iran. Pediatr Nephrol 2004;19:164-168.
  • 26. Merhi BA, Al-Hajj F, Al-Tannir M, et al. A survey of blood pressure in Lebanese children and adolescence. N Am J Med Sci 2011;3:24–29.
  • 27. Kim HS, Park MJ, Oh MK, Hong YM. Auscultatory measured normative blood pressure of Korean adolescents: using the Korean national health and nutrition examination survey 2001-2007. Korean Circ J 2012;42:809-815.
  • 28. Awazu M. Epidemiology of hypertension. In: Avner ED, Harmon WE, Niaudet P, Yoshikawa N, editors. Pediatric Nephrology. Berlin Heidelberg: Springer Verlag; 2009;1460–1484.

Blood Pressure Percentiles for School Children

Year 2016, Volume: 43 Issue: 2, 193 - 198, 01.06.2016

Abstract

Objective: The prevalence of hypertension in childhood and adolescence is gradually increasing. We aimed to in­vestigate the blood pressure (BP) values of children aged 7-18 years. Methods: This study was conducted in a total of 3375 (1777 females, 1598 males) children from 27 schools. Blood pressures of children were measured using sphyg­momanometer appropriate to arm circumference. Results: A positive relationship was found between sys­tolic blood pressure (SBP) and diastolic blood pressure (DBP) and the body weight, height, age and body mass index (BMI) in male and female children. SBP was high­er in males than females after the age of 13. DBP was higher in males than the females after the age of 14. The mean annual increase of SBP was 2.06 mmHg in males and 1.54 mmHg in females. The mean annual increase of DBP was 1.52 mmHg in males and 1.38 mmHg in fe­males. Conclusion: In this study, we identified the threshold val­ues for blood pressure in children between the age of 7 and 18 years in Erzurum province. It is necessary to com­bine and evaluate data obtained from various regions for the identification of BP percentiles according to the age, gender and height percentiles of Turkish children.

References

  • 1. Lauer RM, Clark WR. Childhood risk factors for high adult blood pressure: the MUSCATINE study. Pediatrics 1989;84:633–641.
  • 2. Horan MJ, Sinaiko AR. Report of the second task force on blood pressure control in children. Pediatrics 1987;79:1-25. 3. Baron AE, Freyer B, Fixter DE. Longitudinal blood pressure in blacks, whites and Mexican, Americans during adolescence and early adulthood. Am J Epidemiology 1986;123:809-817.
  • 4. Rosner B, Prineas RJ, Laggie JMH, Daniels SR. Blood pressure nomograms of children and adolescent by height, sex and age in the United States. J Pediatr 1993;123:809.
  • 5. Çelikel AB, Yalçınkaya F, Ekim M. Çocuklarda kan basıncının değerlendirilmesi; 24 saat yaşam içinde kan basıncı izlemi. Nefroloji Dergisi 2004;13:71-74.
  • 6. Buonomo E, Pasquarella A, Palombi L. Blood pressure and anthropometry in parents and children of a Southern Italian village. J Hum Hypertens l996;10:S77-S79.
  • 7. Blumenthal S, Epps RP, Heavenrich R, et al. Report of the task force on blood pressure control in children. Pediatrics 1977;59:797-820.
  • 8. National high blood pressure education program working group on hypertension control in children and adolescents. update on the 1987 task force report on high blood pressure in children and adolescents: a working group report from the national high blood pressure education program. Pediatrics 1996;98:649-658.
  • 9. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-576.
  • 10. Candan C, Çalışkan S. Çocukluk çağında hipertansiyona yaklaşım. Turk Pediatri Ars 2005;40:15-22.
  • 11. Fredriks AM, Van Buuren S, Sing RA, et al. Alarming prevalences of overweight and obesity for children of Turkish, Moroccan and Dutch origin in The Netherlands according to international standards. Acta Paediatr 2005;94:496-498.
  • 12. Buyan N. Çocukluk çağı hipertansiyonu. Turkiye Klinikleri J Pediatr Sci 2008;4:72-93.
  • 13. Fidan K, Necla B. Çocukluk çağı ve yenidoğan döneminde hipertansiyonun tanımlanması, değerlendirilmesi ve tedavisi. Turkiye Klinikleri J Int Med Sci 2005;1:30-43.
  • 14. Tumer N, Yalcinkaya F, Ince E, et al. Blood pressure nomograms for children and adolescents in Turkey. Pediatr Nephrol 1999;13:438–443.
  • 15. Bal C, Yalçın BM, Mazıcıoğlu MM, et al. Blood pressure percentiles for the children between 11-17 years of age in Kayseri. Turkiye Klinikleri J Med Sci 2009;29:1412-1420.
  • 16. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240–1243.
  • 17. Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 2007;335:194–201.
  • 18. Ferrara LA, Maratto T, Mainenti G, et al. Resting blood pressure and cardiovasculer response to sympathetic stimulation in adolescents. Int J Cardiol 1992;36:197-201.
  • 19. Tanır MK, Demirbağ BC, Tanır İM, Yiğitbaş Ç. The relationship between serum lipid levels, high blood pressure and obesity in children. Dicle Med J 2014;41:1-9.
  • 20. Öktem F. Results of ambulatory arterial blood pressure monitoring in children with obesity. Dicle Med J 2010;37:353- 357.
  • 21. Hanna JM. Climate, altitude, and blood pressure. Hum Biol 1999;71:553-582.
  • 22. Tripathy V, Gupta R. Blood pressure variation among Tibetans at different altitudes. Ann Hum Biol 2007;34:470-483.
  • 23. Maddocks I, Vines AP. The Influence of chronic infection on blood pressure in New Guinen males. Lancet 1966;30:262- 264.
  • 24. Leon-Velarde F, Sanchez J, Bigard AX, et al. High altitude tissue adaptation in Andean coots: capillarity, fibre area, fibre type and enzymatic activities of skeletal muscle. J Comp Physiol B 1993;163:52-58.
  • 25. Ataei N, Aghamohammadi A, Yousefi E, et al. Blood pressure nomograms for school children in Iran. Pediatr Nephrol 2004;19:164-168.
  • 26. Merhi BA, Al-Hajj F, Al-Tannir M, et al. A survey of blood pressure in Lebanese children and adolescence. N Am J Med Sci 2011;3:24–29.
  • 27. Kim HS, Park MJ, Oh MK, Hong YM. Auscultatory measured normative blood pressure of Korean adolescents: using the Korean national health and nutrition examination survey 2001-2007. Korean Circ J 2012;42:809-815.
  • 28. Awazu M. Epidemiology of hypertension. In: Avner ED, Harmon WE, Niaudet P, Yoshikawa N, editors. Pediatric Nephrology. Berlin Heidelberg: Springer Verlag; 2009;1460–1484.
There are 27 citations in total.

Details

Other ID JA69FM36UU
Journal Section Research Article
Authors

İsmail Özanlı This is me

Sebahat Tülpar This is me

Yunus Yılmaz This is me

Fatih Yıldız This is me

Publication Date June 1, 2016
Submission Date June 1, 2016
Published in Issue Year 2016 Volume: 43 Issue: 2

Cite

APA Özanlı, İ., Tülpar, S., Yılmaz, Y., Yıldız, F. (2016). Okul Çağı Çocukları için Kan Basıncı Persentilleri. Dicle Tıp Dergisi, 43(2), 193-198.
AMA Özanlı İ, Tülpar S, Yılmaz Y, Yıldız F. Okul Çağı Çocukları için Kan Basıncı Persentilleri. diclemedj. June 2016;43(2):193-198.
Chicago Özanlı, İsmail, Sebahat Tülpar, Yunus Yılmaz, and Fatih Yıldız. “Okul Çağı Çocukları için Kan Basıncı Persentilleri”. Dicle Tıp Dergisi 43, no. 2 (June 2016): 193-98.
EndNote Özanlı İ, Tülpar S, Yılmaz Y, Yıldız F (June 1, 2016) Okul Çağı Çocukları için Kan Basıncı Persentilleri. Dicle Tıp Dergisi 43 2 193–198.
IEEE İ. Özanlı, S. Tülpar, Y. Yılmaz, and F. Yıldız, “Okul Çağı Çocukları için Kan Basıncı Persentilleri”, diclemedj, vol. 43, no. 2, pp. 193–198, 2016.
ISNAD Özanlı, İsmail et al. “Okul Çağı Çocukları için Kan Basıncı Persentilleri”. Dicle Tıp Dergisi 43/2 (June 2016), 193-198.
JAMA Özanlı İ, Tülpar S, Yılmaz Y, Yıldız F. Okul Çağı Çocukları için Kan Basıncı Persentilleri. diclemedj. 2016;43:193–198.
MLA Özanlı, İsmail et al. “Okul Çağı Çocukları için Kan Basıncı Persentilleri”. Dicle Tıp Dergisi, vol. 43, no. 2, 2016, pp. 193-8.
Vancouver Özanlı İ, Tülpar S, Yılmaz Y, Yıldız F. Okul Çağı Çocukları için Kan Basıncı Persentilleri. diclemedj. 2016;43(2):193-8.