American Journal of Epidemiology Vol. 106, No. 2: 101-108
Copyright © 1977 by The Johns Hopkins University School of Hygiene and Public Health
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BODY HEIGHT AND BODY MASS AS DETERMINANTS OF BASAL BLOOD PRESSURE IN CHILDREN—THE BOGALUSA HEART STUDY
1Departments of Public Health and Preventive Medicine
2Medicine, Louisiana State University Medical Center
2 Reprint requests to Dr. Berenson, Louisiana State University Medical School (SCOR-A), 1542 Tulane Ave, New Orleans, LA 70112.
Voors, A. W., L. S. Webber, R. R. Frerichs and G. S. Berenson (Louisiana State U. Medical School (SCOR-A), New Orleans, LA 70112). Body height and body mass as determinants of basal blood pressure in children-The Bogalusa Heart Study. Am J Epidemiol 106:101–108, 1977.
Risk factor variables for coronary artery disease were measured in a total biracial community study of 3524 children, ages 5–14 years. Anthropometric variables, serum lipids, and blood pressure (BP) were measured in a rigid randomized design. Blood pressure data were obtained with an automatic recording instrument that avoids excessive pressure readings in obese children by the use of an over-sized arm cuff bladder with a built-in infrasonic transducer. By reducing the anxiety of the child and by taking multiple readings, pressures were obtained that approached published basal levels. A multiple regression analysis showed that all measured variables could account for 39% of the systolic BP variation. Major determinants were based on weight (W) and height (H). The BP levels, when related to H and to a weight-height index (W/H3), suggest a strong influence of H and an additional influence of W/H3 on BP, both consistent and proportionate over the entire ranges of H and W/H3. The total spectrum of observed correlates of BP, resulting from the multiple regression analysis, suggests that the BP measured under basal-like conditions increases as the child grows and is proportional to lean body mass and total body mass. Practical criteria for evaluating abnormal blood pressure levels in children should be based on normative values derived from body weight and body height rather than from age.
adolescence; blood pressure; body height; body weight; coronary disease
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