Abstract
In this report we describe the distributions of blood pressure and its associations in adolescence. Six hundred and twenty-five subjects aged 13 to 18 were drawn from three general practices in different urban and rural settings. Systolic pressures were higher and rose with age in boys (mean = 119 mm Hg) compared with girls (mean = 114 mm Hg), who showed no age association. Diastolic pressures (phase 5) were higher in girls (mean = 64 mm Hg) than in boys (mean = 60 mm Hg) and showed no association with age in either sex. Initial blood pressures were generally higher than those recorded after a further five minutes' rest in the sitting position, although diastolic pressures rose on the second reading in the older subjects. Systolic pressures of subjects from the suburban practice and in the late autumn were relatively low; diastolic pressures tended to be lower in the spring and in subjects from the rural practice. Systolic pressures were lower in the morning and this was found to be primarily related to fasting status. Individuals with a positive family history of hypertension had significantly higher blood pressures than those with a negative history. Boys who frequently played sports had lower diastolic pressures, largely accounting for the above sex difference. We conclude that although blood pressure measurement in adolescence is a difficult screening procedure it should be offered to selected groups such as those with a family history of hypertension.
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- Blumenthal S. Prevention of atherosclerosis. Am J Cardiol. 1973 May;31(5):591–594. doi: 10.1016/0002-9149(73)90327-5. [DOI] [PubMed] [Google Scholar]
- Clarke W. R., Schrott H. G., Leaverton P. E., Connor W. E., Lauer R. M. Tracking of blood lipids and blood pressures in school age children: the Muscatine study. Circulation. 1978 Oct;58(4):626–634. doi: 10.1161/01.cir.58.4.626. [DOI] [PubMed] [Google Scholar]
- Johnson A. L., Cornoni J. C., Cassel J. C., Tyroler H. A., Heyden S., Hames C. G. Influence of race, sex and weight on blood pressure behavior in young adults. Am J Cardiol. 1975 Apr;35(4):523–530. doi: 10.1016/0002-9149(75)90835-8. [DOI] [PubMed] [Google Scholar]
- Kannel W. B., McGee D., Gordon T. A general cardiovascular risk profile: the Framingham Study. Am J Cardiol. 1976 Jul;38(1):46–51. doi: 10.1016/0002-9149(76)90061-8. [DOI] [PubMed] [Google Scholar]
- Kotchen J. M. Effect of relative weight on familial blood pressure aggregations. Am J Epidemiol. 1977 Mar;105(3):214–222. doi: 10.1093/oxfordjournals.aje.a112377. [DOI] [PubMed] [Google Scholar]
- Kuller L. H., Crook M., Almes M. J., Detre K., Reese G., Rutan G. Dormont High School (Pittsburgh, Pennsylvania) blood pressure study. Hypertension. 1980 Jul-Aug;2(4 Pt 2):109–116. [PubMed] [Google Scholar]
- Laaser U., Schütt A. The cardiovascular risk-profile of adolescents in Cologne. A representative study including 6302 pupils. Z Kardiol. 1978 Dec;67(12):837–846. [PubMed] [Google Scholar]
- Lauer R. M., Connor W. E., Leaverton P. E., Reiter M. A., Clarke W. R. Coronary heart disease risk factors in school children: the Muscatine study. J Pediatr. 1975 May;86(5):697–706. doi: 10.1016/s0022-3476(75)80353-2. [DOI] [PubMed] [Google Scholar]
- Lloyd J. K., Wolff O. H. A paediatric approach to the prevention of atherosclerosis. J Atheroscler Res. 1969 Sep-Oct;10(2):135–138. doi: 10.1016/s0368-1319(69)80001-3. [DOI] [PubMed] [Google Scholar]
- Long M., Dunlop J. R., Holland W. W. Blood pressure recording in children. Arch Dis Child. 1971 Oct;46(249):636–640. doi: 10.1136/adc.46.249.636. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Millar-Craig M. W., Bishop C. N., Raftery E. B. Circadian variation of blood-pressure. Lancet. 1978 Apr 15;1(8068):795–797. doi: 10.1016/s0140-6736(78)92998-7. [DOI] [PubMed] [Google Scholar]
- Morris J. N., Chave S. P., Adam C., Sirey C., Epstein L., Sheehan D. J. Vigorous exercise in leisure-time and the incidence of coronary heart-disease. Lancet. 1973 Feb 17;1(7799):333–339. doi: 10.1016/s0140-6736(73)90128-1. [DOI] [PubMed] [Google Scholar]
- Paffenbarger R. S., Jr, Wing A. L. Chronic disease in former college students. X. The effects of single and multiple characteristics on risk of fatal coronary heart disease. Am J Epidemiol. 1969 Dec;90(6):527–535. doi: 10.1093/oxfordjournals.aje.a121099. [DOI] [PubMed] [Google Scholar]
- Shear C. L., Frerichs R. R., Weinberg R., Berenson G. S. Childhood sibling aggregation of coronary artery disease risk factor variables in a biracial community. Am J Epidemiol. 1978 Jun;107(6):522–528. doi: 10.1093/oxfordjournals.aje.a112571. [DOI] [PubMed] [Google Scholar]
- Voors A. W., Webber L. S., Frerichs R. R., Berenson G. S. Body height and body mass as determinants of basal blood pressure in children--The Bogalusa Heart Study. Am J Epidemiol. 1977 Aug;106(2):101–108. doi: 10.1093/oxfordjournals.aje.a112439. [DOI] [PubMed] [Google Scholar]
- Voors A. W., Webber L. S., Frerichs R. R., Berenson G. S. Body height and body mass as determinants of basal blood pressure in children--The Bogalusa Heart Study. Am J Epidemiol. 1977 Aug;106(2):101–108. doi: 10.1093/oxfordjournals.aje.a112439. [DOI] [PubMed] [Google Scholar]
- Wright B. M., Dore C. F. A random-zero sphygmomanometer. Lancet. 1970 Feb 14;1(7642):337–338. doi: 10.1016/s0140-6736(70)90709-9. [DOI] [PubMed] [Google Scholar]
- Zinner S. H., Martin L. F., Sacks F., Rosner B., Kass E. H. A longitudinal study of blood pressure in childhood. Am J Epidemiol. 1974 Dec;100(6):437–442. doi: 10.1093/oxfordjournals.aje.a112055. [DOI] [PubMed] [Google Scholar]