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Age-, sex-, and height-based blood pressure reference charts, Yazd children 6-18 years, Iran
Nastaran Ahmadi1, Seyedeh Mahdieh Namayandeh2, Seyed Mahmood Sadr Bafghi2
1Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Insights
This study establishes age- and height-specific blood pressure percentiles for children and adolescents in Yazd, Iran. These findings are crucial for identifying pediatric hypertension and improving cardiovascular health in this population.
Area of Science:
- Pediatrics
- Cardiovascular Health
- Public Health
Background:
- Pediatric hypertension is a significant contributor to illness and death in young people.
- Accurate diagnostic criteria are essential for early detection and management.
- The percentile rank approach is a key method for defining hypertension in pediatric populations.
Purpose of the Study:
- To establish age- and height-specific blood pressure percentiles for children and adolescents.
- To define hypertension using the 95th percentile threshold.
- To provide clinical reference data for pediatric hypertension in Yazd, Iran.
Main Methods:
- Utilized data from the Iranian Children and Adolescents' Psychiatric Disorders (IRCAP) survey.
- Focused on a sample of 1,035 children and adolescents aged 6-18 years in Yazd province.
- Employed random cluster sampling to select participants.
Main Results:
- Analyzed data from 456 males (44.1%) and 579 females (55.9%).
- Mean age was 11.2±3.8 years, with mean height of 146±20.0 cm.
- Evaluated blood pressure distributions and determined specific percentiles.
Conclusions:
- Determined age- and height-specific 50th, 90th, 95th, and 99th percentiles for systolic and diastolic blood pressure.
- Utilized 10-cm height intervals for precise percentile calculation.
- Provided essential data for identifying and managing pediatric hypertension in the study region.
Background:
Pediatric hypertension is the main cause of morbidity and mortality in pediatric populations.
Purpose:
To examine pediatric hypertension in a clinical setting, we used the percentile rank approach and defined hypertension as that above the 95th percentile.
Methods:
The present study was linked to the a national analytical cross-sectional community-based Iranian Children and Adolescents' Psychiatric Disorders (IRCAP) survey. The survey was nationwide and funded by the National Institute of Medical Research Development. The IRCAP survey included 31,000 children and adolescents aged 6-18 years in all 31 Iran provinces. The current study included 1,035 children and adolescents and linked the data of the risk factors of cardiovascular disease only in Yazd province via random cluster sampling.
Results:
Of the total participants, 456 (44.1%) were male and 579 (55.9%) were female. The mean age was 11.2±3.8 years (11.7±3.7 years for males, 11.0±3.6 years for females), while mean height was 146±20.0 cm overall, 147.2±22.0 cm for males, and 144.6±17.0 cm for females (P=0.009). The blood pressure distributions and percentiles were evaluated.
Conclusion:
Here we determined age- and height-specific 50th, 90th, 95th, and 99th percentiles of systolic and diastolic blood pressures in Yazd boys and girls using 10-cm height intervals.
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