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January 1, 1986Clinical and Experimental Hypertension

Change of Blood Pressure Over Five Years in Childhood and Adolescence

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Why the study?

Does blood pressure tracking over five years in childhood and adolescence reliably predict future hypertension?

Population

2,777 boys and girls aged 4-18 years

Design

Cohort

Follow-up

5 years

Authors

JAJean-Luc AndréJDJ DeschampsJPJ.C. Petit

Discussion

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Overview

Weak childhood BP tracking cautions against overinterpreting single measurements; leaves open whether repeated monitoring improves hypertension prediction.

Key Points

  • To determine the degree of blood pressure tracking and evaluate whether childhood blood pressure measurements reliably predict elevated levels five years later.
  • Assessed blood pressure across a five-year interval in 2,777 boys and girls aged 4 to 18 years.
  • Converted blood pressure measurements into height- and sex-adjusted standard deviation unit scores to evaluate tracking and stability.
  • Systolic blood pressure scores showed low five-year correlations (r = 0.19 in boys, r = 0.15 in girls), which were lower than raw blood pressure correlations (0.33 and 0.23), weight (0.82 and 0.75), and height (0.87 and 0.80).
  • Only 14% of boys and 8% of girls with baseline systolic blood pressure above the 95th percentile remained above the 95th percentile after five years, with even lower persistence observed for diastolic blood pressure.

Structured PICO

Does blood pressure tracking over five years in childhood and adolescence reliably predict future hypertension?

P
Population
2,777 boys and girls aged 4-18 years
O
Outcome
Change in blood pressure values over a five-year intervalsurrogate

Blood pressure tracking from childhood to adolescence is weak, suggesting early BP measurements are poor predictors of future hypertension and do not justify aggressive preventive measures beyond lifestyle advice.

Cite This Study

André et al. (1986) studied this question.

synapsesocial.com/papers/6a71f099a528af2d65c4413ahttps://doi.org/10.3109/10641968609046569
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Blood pressure tracking in Japanese adolescents Five-year follow-up in Hisayama, Japan.1985 · 4 citations
  2. 2Prediction of Stable High Blood Pressure in Adolescents1986 · 4 citations
  3. 3TIME COURSE STUDIES OF BLOOD PRESSURE IN CHILDREN-THE BOGALUSA HEART STUDY1979 · 128 citations
  4. 4A LONGITUDINAL STUDY OF BLOOD PRESSURE IN CHILDHOOD1974 · 155 citations
  5. 5Blood pressure values in healthy normal weight children and adolescents in eight European countries: auscultatory and oscillometric measurements2025 · 5 citations