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Blood pressure reference values for European non-overweight school children: the IDEFICS study.
1Epidemiology & Population Genetics, Institute of Food Sciences, CNR, Avellino, Italy.
International Journal of Obesity (2005)
|September 16, 2014
Summary
Updated blood pressure (BP) reference values for non-overweight European school children aged 2 to 10.9 years are now available. These findings help in monitoring child health and planning disease prevention strategies.
Area of Science:
- Pediatric Health
- Cardiovascular Health
- Public Health
Background:
- Accurate blood pressure (BP) reference values are crucial for identifying hypertension in children.
- Previous reference data may not reflect current pediatric populations, necessitating updated values.
- The IDEFICS study provides a robust dataset for establishing reliable BP norms.
Purpose of the Study:
- To establish age- and height-specific oscillometric blood pressure (BP) reference values for European non-overweight school children.
- To provide separate BP percentiles for boys and girls to account for sex-based differences.
- To inform public health initiatives for disease prevention in children.
Main Methods:
- Cross-sectional analysis of data from the IDEFICS study (n=16,937, ages 2-10.9 years).
- Standardized BP and anthropometric measurements were collected.
- Generalized Additive Models for Location, Scale and Shape (GAMLSS) were used to calculate BP percentiles, with sensitivity analyses performed.
Main Results:
- Provided age- and height-specific BP percentiles for non-overweight European children (n=13,547), stratified by sex.
- Observed slight differences in diastolic BP between girls and boys, and higher systolic BP in boys from age 5.
- Demonstrated that including overweight/obese children elevated reference BP values, particularly systolic BP in girls.
Conclusions:
- Presents updated BP reference values for European children aged 2 to <11 years.
- These updated norms are valuable for clinical monitoring and population health strategies.
- Highlights the impact of overweight and obesity on BP reference values.
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