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[Reference values of 24-hour ambulatory blood pressure in healthy children by height]

Anna Wasilewska1, Walentyna Zoch-Zwierz, Barbara Tomaszewska

  • 1I Klinika Chorób Dzieci AM w Białymstoku. annwasil@interia.pl

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|March 10, 2005
PubMed

Insights

This study established percentile charts for children's blood pressure using 24-hour ambulatory blood pressure monitoring (ABPM). Height is a key factor, showing a strong correlation with systolic blood pressure in children aged 7-17.

Area of Science:

  • Pediatric Cardiology
  • Clinical Physiology
  • Biostatistics

Context:

  • Accurate blood pressure reference ranges are crucial for diagnosing hypertension in children.
  • Existing pediatric blood pressure charts often lack sufficient granularity or are based on outdated methodologies.
  • 24-hour ambulatory blood pressure monitoring (ABPM) provides a comprehensive assessment of blood pressure patterns in children.

Purpose:

  • To develop height-specific percentile curves for blood pressure in children aged 7-17 years.
  • To utilize data from 24-hour ambulatory blood pressure monitoring (ABPM) for improved accuracy.
  • To establish normative data for systolic (SBP) and diastolic (DBP) blood pressure in a pediatric cohort.

Summary:

  • 852 healthy children (7-17 years) underwent 24-hour ABPM.
  • Percentile charts were generated based on height, revealing a strong positive correlation between height and SBP.
  • Systolic blood pressure showed a stronger correlation with height than with age, and decreased more significantly at night compared to DBP.

Impact:

  • Provides essential normative data for pediatricians and cardiologists.
  • Facilitates earlier and more accurate diagnosis of pediatric hypertension.
  • Enables better monitoring of cardiovascular health in children based on height-specific blood pressure standards.
Abstract

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