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儿童和青少年血压的趋势
Paul Muntner1, Jiang He, Jeffrey A Cutler
1Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, La 70112, USA. pmuntner@tulane.edu
JAMA
|May 6, 2004
概括
1988年至2000年间,儿童血压显著增加. 这种血压升高与越来越多的超重儿童和青少年的患病率有关.
科学领域:
- 儿科健康 儿科健康
- 心血管流行病学心血管流行病学
- 公共卫生 营养 公共卫生 营养
背景情况:
- 儿童超重的流行率从1988年到2000年有所上升.
- 在此期间,儿童血压的趋势和超重的影响在此期间以前是未知的.
研究的目的:
- 从1988年到2000年,分析儿童和青少年的静缩和静缩血压的趋势.
- 调查儿童群体中超重和血压变化之间的关联.
主要方法:
- 利用了国家健康和营养检查调查 (NHANES III) 1988-1994年和NHANES 1999-2000年的全国代表性数据.
- 包括8至17岁儿童和青少年的截面样本.
- 测量了心压和腹压血压水平.
主要成果:
- 在标准化后的1988-1994年相比,在1999-2000年,静脉压平均高1.4毫米升,静脉压平均高3.3毫米升.
- 观察到血压的种族和性别差异,非西班牙裔黑人和墨西哥裔美国男孩的血压水平更高.
- 对体重指数的调整减轻了这些差异,表明了超重的作用.
结论:
- 在过去的十年里,儿童的血压有所增加.
- 儿童血压的上升部分归因于超重的患病率增加.
- 针对儿童肥胖的公共卫生干预措施对心血管健康至关重要.
相关概念视频
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Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...
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Physiological Factors:
Physiological Factors:
01:28Special considerations while measuring blood pressure
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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.
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.
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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01:24Blood Pressure
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