Hypertension, Vol 7, 695-701, Copyright © 1985 by American Heart Association
B Woynarowska, D Mukherjee, AF Roche and RM Siervogel
Serial data were analyzed for blood pressure recorded between the ages of 9
to 18 years for 278 children and for a subset of this group whose blood
pressure was measured at the age of 30 +/- 5.0 years (n = 93). Blood
pressures were measured by auscultation over the antecubital fossa with the
participant seated. Systolic blood pressure was recorded when the first
sound was heard, and diastolic blood pressure was recorded when all sounds
disappeared (fifth phase). A linear regression model was fitted to the data
for each individual, and adjustments were made for regression toward the
mean using maximum likelihood procedures. There were no significant
correlations between the estimated initial values of blood pressure and the
rate of change from 9 to 18 years of age. The associations between the
levels of blood pressure at 9 years of age and at 30 years of age were
significant for systolic blood pressure only in male subjects and were not
significant for diastolic blood pressure in either sex. The correlations
between the rate of blood pressure change from 9 to 18 years of age and
blood pressure levels at 30 years of age were nonsignificant. When the
initial values and the rate of change in blood pressure from 9 to 18 years
of age were taken into account simultaneously, they accounted for
approximately 20% of the variation in systolic blood pressure levels at 30
years of age. This finding indicates that children with higher blood
pressure levels at about 9 years of age and with rapid increases in blood
pressure during pubescence may have an increased risk of becoming
hypertensive.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Blood pressure changes during adolescence and subsequent adult blood pressure level
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