blood pressure over height ratios: simple and accurate method of detecting elevated blood pressure in children
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2012
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Abstract
Background. Blood pressure (BP) percentiles in childhood are assessed according to age, gender, and height. Objective. To create a simple BP/height ratio for both systolic BP (SBP) and diastolic BP (DBP). To study the relationship between BP/height ratios and corresponding BP percentiles in children. Methods. We analyzed data on height and BP from 2006-2007 NHANES data. BP percentiles were calculated for 3775 children. Receiver-operating characteristic (ROC) curve analyses were performed to calculate sensitivity and specificity of BP/height ratios as diagnostic tests for elevated BP (>90%). Correlation analysis was performed between BP percentiles and BP/height ratios. Results. The average age was 12.54 ± 2.67 years. SBP/height and DBP/height ratios strongly correlated with SBP & DBP percentiles in both boys (𝑃<0.001, 𝑅2=0.85, 𝑅2=0.86) and girls (𝑃<0.001, 𝑅2=0.85, 𝑅2=0.90). The cutoffs of SBP/height and DBP/height ratios in boys were ≥0.75 and ≥0.46, respectively; in girls the ratios were ≥0.75 and ≥0.48, respectively with sensitivity and specificity in range of 83–100%. Conclusion. BP/height ratios are simple with high sensitivity and specificity to detect elevated BP in children. These ratios can be easily used in routine medical care of children.
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| Reference Key |
galescu2012internationalblood
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| Authors | ;Ovidiu Galescu;Minu George;Sudhakar Basetty;Iuliana Predescu;Anil Mongia;Svetlana Ten;Amrit Bhangoo |
| Journal | journal of experimental child psychology |
| Year | 2012 |
| DOI |
10.1155/2012/253497
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| URL | |
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