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June 19, 2025European Journal of Internal MedicineOpen Access

Blood pressure values in healthy normal weight children and adolescents in eight European countries: auscultatory and oscillometric measurements

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Key result

Increasing age and height are linked to progressively higher systolic blood pressure in youth.

  • n=38,374

Why the study?

The study aimed to provide sex-, age-, and height-adjusted blood pressure values in a large sample of healthy, normal-weight children and adolescents across eight European countries using standardized oscillometric and auscultatory methods.

What are the normal blood pressure percentiles adjusted for sex, age, and height in healthy European children and adolescents?

Population

38.374 healthy and normal weight children and adolescents aged 3-17 years in eight European countries

Comparison

Oscillometric vs auscultatory blood pressure measurement

Authors

ELEmpar LurbeCRCamila Regueiro-OnsGMGiuseppe Mancia

Discussion

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Overview

May guide European adolescent BP screening near adult thresholds from age 13; extends normative data but leaves outcome validation open.

Key Points

  • To establish standardized blood pressure percentiles adjusted for sex, age, and height in healthy, normal-weight children and adolescents across eight European countries using auscultatory and oscillometric methods.
  • Assessed blood pressure in N=38,374 healthy, normal-weight children and adolescents (20,189 girls) aged 3–17 years from eight European countries.
  • Measured blood pressure according to European Society of Hypertension guidelines using standardized auscultatory and oscillometric techniques.
  • Derived 90th, 95th, and 99th systolic and diastolic percentiles by simultaneously modeling the effects of age, sex, and height.
  • Systolic blood pressure 90th and 95th percentiles increased progressively with age and height, showing greater gains in boys than girls, whereas diastolic blood pressure showed no significant sex differences.
  • At median height (50th percentile), the 95th blood pressure percentile reached approximately 130/80 mmHg at age 13 in both sexes and methods, rising to roughly 140/90 mmHg at age 17 in boys.
  • Differences between oscillometric and auscultatory measurements were minimal across most ages, diverging slightly only in the oldest adolescent group.

Study Design

Type

Cross-Sectional (n=38,374)

Multicenter

Yes

Structured PICO

What are the normal blood pressure percentiles adjusted for sex, age, and height in healthy European children and adolescents?

P
Population
38,374 healthy and normal weight children and adolescents aged 3-17 years from eight European countries.
E
Exposure
Standardized blood pressure measurement by oscillometric and auscultatory methods
O
Outcome
Blood pressure values (90th, 95th, and 99th percentiles) adjusted for sex, age, and heightsurrogate

This study provides updated, standardized blood pressure percentiles for European children and adolescents, demonstrating that BP increases with age and height and that oscillometric and auscultatory methods yield minimal differences.

Cite This Study

Lurbe et al. (2025) conducted a cross-sectional in Healthy and normal weight (n=38,374). Age, sex, and height was evaluated on 90th, 95th, and 99th systolic and diastolic blood pressure percentiles. Age and height progressively increased systolic blood pressure, with the 95th percentile threshold reaching approximately 130/80 mmHg at age 13 and 140/90 mmHg for boys at age 17.

synapsesocial.com/papers/6aa2b785abff4220a6a89c8bhttps://doi.org/10.1016/j.ejim.2025.06.011
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Also Consider

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

  1. 1Normal Blood Pressure Values and Percentile Curves in Children2006 · 4 citations
  2. 2Normal blood pressure values and percentile curves measured by oscillometric method in children under 6 years of age2008 · 6 citations
  3. 3Home blood pressure normalcy in children and adolescents: the Arsakeion School study2007 · 117 citations
  4. 4Blood Pressure Percentiles by Age and Height From Nonoverweight Children and Adolescents in Germany2011 · 283 citations
  5. 5Blood Pressure in Children, Adolescents and Young Adults1991 · 38 citations