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Reliability and validity of ambulatory blood pressure recording in children

W Langewitz, A W von Eiff, E Gogolin

    Clinical and Experimental Hypertension. Part A, Theory and Practice
    |January 1, 1985
    PubMed

    Insights

    Ambulatory blood pressure (aBP) monitoring in children captures daily environmental variations and activity levels. This method effectively reveals how mental stress and gender influence blood pressure changes in children aged 10-13.

    Area of Science:

    • Pediatric Cardiology
    • Cardiovascular Physiology
    • Biomedical Monitoring

    Background:

    • Ambulatory blood pressure (aBP) monitoring is crucial for understanding blood pressure (BP) variability in children.
    • Assessing situational variations and the impact of physiological challenges on BP is essential for pediatric health.
    • The influence of factors like physical activity, mental stress, and gender on children's BP requires detailed investigation.

    Purpose of the Study:

    • To determine if ambulatory blood pressure (aBP) recordings in children reflect situational variations.
    • To evaluate if aBP can depict the impact of heightened cardiovascular reactivity during mental challenges and gender on BP changes.
    • To assess the sensitivity of aBP monitoring in detecting influences on BP development in children.

    Main Methods:

    • Conducted 19 ambulatory blood pressure (aBP) protocols over 2 years in 86 children (aged 10-13 years).
    • aBP recordings were performed in the afternoon (2:00 PM to 7:30 PM) at 30-minute intervals.
    • Correlated aBP data with self-reported physical activity, mental arithmetic tasks, and bicycle exercise tests.

    Main Results:

    • Repetitive aBP recording effectively reflects the variability of environmental stimuli in children.
    • Mean aBP showed a strong correlation with self-reported physical activity levels.
    • Systolic aBP correlated with cardiovascular changes during mental arithmetic and, to a lesser extent, during bicycle exercise.

    Conclusions:

    • Ambulatory blood pressure (aBP) monitoring is a sensitive method for assessing BP development in children.
    • aBP effectively captures the influence of environmental stimuli, physical activity, and mental challenges on children's blood pressure.
    • This technique is valuable for detecting the impact of hyperreactivity and gender on BP trends in pediatric populations aged 10-13 years.

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