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[Blood pressure values in adolescents in the Community of Madrid: Tables based on the MEPAFAC Study]
A Molinero1, M Cervero2, M C Magro3
1Grupo de trabajo en Hipertensión y Riesgo Vascular, Sociedad Española de Farmacia Familiar y Comunitaria (SEFAC); Departamento de Ciencias Biomédicas, Universidad Alcalá de Henares, Alcalá de Henares, España.
Introduction:
High blood pressure (HBP) is a modifiable cardiovascular risk factor and its detection at early ages may allow strategies to be designed to reduce cardiovascular risk in adulthood.
Objectives:
To provide blood pressure (BP) values in a sample of adolescents using an electronic oscillometric device.
Material And Methods:
BP was measured according the European Society of Hypertension guidelines using an oscillometric device. Height and weight were also measured. Four height groups were used in order to associate the 90, 95, and 99 percentiles with systolic BP (pSBP) and diastolic BP percentiles (pDBP) for sex and age: H150 (≤ 150cm), H160(151-160cm), H170(161-170cm), and H180(≥171cm).
Results:
Data from 2,758 students aged 12-17 years were included in the analysis. BP increases with age, with differences of up to 11mmHg in boys vs. 3mmHg in girls for SBP and 3mmHg vs. 1mmHg for DBP. In high SBP, for the younger adolescents, the difference related to height was 15mmHg in boys vs. 8mmHg in girls, with no significant increase in the older ones in either gender. The high BDP varied depending on the height, 10mmHg in younger boys and 3mmHg in older ones, while in girls the variation was 3mmHg for all ages.
Conclusions:
SBP/DBP in adolescents increases with age and also with height, giving similar figures in the taller ones, regardless of age.
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Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(two-step method)

