Key result
Newly established Turkish pediatric BP percentiles show lower values than existing US references.
Why the study?
Pediatric hypertension is an early risk factor for cardiovascular and renal morbidity and mortality, requiring country-specific blood pressure percentiles for early detection.
Cross-Sectional (n=4,984)
This study establishes novel age- and height-specific reference blood pressure values for Turkish children and adolescents, highlighting population-specific differences compared to US references.
Answers are grounded in this paper and cite their sources.
May warrant population-specific BP references for Turkish youth; leaves open whether these improve hypertension detection over US norms.
Aim: Pediatric hypertension, a public health concern, is now commonly known worldwide to be an early risk factor for cardiovascular and renal morbidity and mortality.Early detection of hypertension is of the utmost importance to help reduce serious complications.Several distributions of country-specific blood pressure (BP) percentiles have been established worldwide.The aim of this study is to determine BP percentiles in healthy Turkish children aged 2 to 18 years. Materials and Methods:In this cross-sectional study, BP was measured in 4,984 randomly selected children and adolescents aged 2-17 years.The 50 th , 90 th and 95 th percentile of BP percentiles were determined for gender, age and height with the use a polynomial regression model.BP percentiles at median height were compared with the US Fourth Report references. Results:The normative values of systolic blood pressure (SBP) and diastolic blood pressure (DBP) increased with age for both genders and varied by gender.At median height, the age-specific differences at the 90 th percentile of SBP tended to be higher in boys than in girls at all ages.DBP values in girls were higher than in boys until the age of 9 years, after which boys demonstrated higher values compared to girls. Conclusion:The age and height specific reference BP values determined in this study is a novel reference for Turkish children and adolescents.Turkish BP values are lower than existing US reference values.
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Keskınoğlu et al. (2020) conducted a cross-sectional in Healthy (n=4,984). Turkish children and adolescents vs. US Fourth Report references was evaluated on Blood pressure percentiles (50th, 90th, and 95th). Age- and height-specific blood pressure percentiles for Turkish children and adolescents were established, demonstrating that Turkish BP values are lower than existing US reference values.
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