The compatibility of new blood pressure reference values for Korean children and adolescents with the US reference: the Korean Working Group of Pediatric Hypertension

Clinical Hypertension - Tập 28 Số 1 - 2022
Sung Hye Kim1, Young Hwan Song2, Haichao An2, Lee Smıth2, Jin-Hee Oh2, Jung Won Lee2, Seong Heon Kim2, Hae Soon Kim2, Hye-Jung Shin2, Il‐Soo Ha3
1Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea
2The Korean Working Group of Pediatric Hypertension, Seoul, Republic of Korea
3Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Republic of Korea

Tóm tắt

Abstract Background Childhood hypertension is associated with hypertension and metabolic syndrome in adulthood. Since the definition of childhood hypertension is based on the distribution of normative blood pressure (BP), a reference range is essential to create hypertension guidelines for children. We aimed to investigate the compatibility of the new Korean BP reference with the United States (US) BP reference based on the 2017 Clinical Practice Guideline. Methods We compared the new Korean reference BP values for children and adolescents aged 10 to 17 years with those in the 2017 Clinical Practice Guidelines. We also analyzed the differences in the prevalence of hypertension in Korean children and adolescents when reference value was applied. Considering Korean and US BP references together, linear trend lines were sought. Results Systolic BP (SBP) and diastolic BP (DBP) values in 95th percentiles showed no significant differences between the two BP references. Applying the two reference values, there was no significant difference in the prevalence of elevated BP and a combination of elevated BP and hypertension. Combining the Korean and US BP values and plotting them against age, approximate lines for the 90th and 95th SBP and DBP percentiles were observed. Conclusions The BP values of the new Korean BP reference were similar to those of the US BP reference; they were reliable and interchangeable.

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Tài liệu tham khảo

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Clinical Hypertension

Tập 28 Số 1

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