Abstract:
:Blood pressure (BP) tracking from childhood to adulthood has two aspects: the ranking stability relative to others over time and the prediction of future values. This study investigates BP tracking in children and adolescents in Germany in the context of hypertension risk factors. BP was measured and analyzed in 2542 participants of the German Health Examination Survey for Children and Adolescents (t0 2003-2006; 3 to 17-year olds) and of a six year follow-up "Motorik Modul" (t1 2009-2012; 9 to 24-year olds). BP tracking coefficients were calculated from Spearman's rank-order correlations. Predictive values and logistic regression models were used to forecast t1-BP above the hypertension threshold from t0-BP as well as from baseline and follow-up hypertension risk factors. BP tracking was moderate (0.33-0.50 for SBP and 0.19-0.39 for DBP) with no statistically significant differences between sex and age groups. Baseline hypertensive BP was the strongest independent predictor of hypertensive BP at follow-up (OR 4.3 and 3.4 for age groups 3-10 and 11-17 years) after adjusting for sex, BMI trajectories, birthweight, parental hypertension, and age-group dependent-sports/physical activity. However, the positive predictive value of baseline hypertensive BP for hypertensive BP at follow-up in 3- to 10-year olds was only 39% (34% in 11- to 17-year olds) and increased only moderately in the presence of additional risk factors. Our analysis with population-based data from Germany shows that BP in children and adolescents tracks only moderately over six years. BP in childhood is the strongest independent predictor of future BP but its predictive value is limited.
journal_name
Int J Hypertensjournal_title
International journal of hypertensionauthors
Sarganas G,Schaffrath Rosario A,Niessner C,Woll A,Neuhauser HKdoi
10.1155/2018/8429891subject
Has Abstractpub_date
2018-09-26 00:00:00pages
8429891eissn
2090-0384issn
2090-0392journal_volume
2018pub_type
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journal_title:International journal of hypertension
pub_type: 杂志文章
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journal_title:International journal of hypertension
pub_type: 杂志文章,评审
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journal_title:International journal of hypertension
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journal_title:International journal of hypertension
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journal_title:International journal of hypertension
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更新日期:2018-07-26 00:00:00
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journal_title:International journal of hypertension
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更新日期:2012-01-01 00:00:00
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journal_title:International journal of hypertension
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.4061/2010/137206
更新日期:2011-01-09 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2012/968123
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2013/175428
更新日期:2013-01-01 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.4061/2010/410794
更新日期:2010-06-21 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.4061/2010/219358
更新日期:2011-01-04 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
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更新日期:2011-01-01 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2019/8070198
更新日期:2019-03-19 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2020/2980954
更新日期:2020-03-27 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.4061/2011/837817
更新日期:2011-01-20 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2018/7864564
更新日期:2018-10-04 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2020/3934212
更新日期:2020-08-27 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2020/3261408
更新日期:2020-04-09 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章,评审
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更新日期:2019-04-07 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章,评审
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更新日期:2019-03-07 00:00:00
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journal_title:International journal of hypertension
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更新日期:2020-02-28 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.4061/2010/647147
更新日期:2010-03-23 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2012/274851
更新日期:2012-01-01 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2013/358562
更新日期:2013-01-01 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.1155/2018/8637101
更新日期:2018-01-29 00:00:00
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journal_title:International journal of hypertension
pub_type: 杂志文章
doi:10.4061/2011/391762
更新日期:2011-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1155/2017/6537956
更新日期:2017-01-01 00:00:00