American Journal of Epidemiology Vol. 106, No. 2: 101-108
Copyright © 1977 by The Johns Hopkins University School of Hygiene and Public Health
other |
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
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  L. S Adair, R. Martorell, A. D Stein, P. C Hallal, H. S Sachdev, D. Prabhakaran, A. K Wills, S. A Norris, D. L Dahly, N. R Lee, et al. Size at birth, weight gain in infancy and childhood, and adult blood pressure in 5 low- and middle-income-country cohorts: when does weight gain matter? Am. J. Clinical Nutrition, May 1, 2009; 89(5): 1383 - 1392. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Poirier, T. D. Giles, G. A. Bray, Y. Hong, J. S. Stern, F. X. Pi-Sunyer, and R. H. Eckel Obesity and Cardiovascular Disease: Pathophysiology, Evaluation, and Effect of Weight Loss: An Update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease From the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism Circulation, February 14, 2006; 113(6): 898 - 918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.K. Cruickshank, F. Mzayek, L. Liu, L. Kieltyka, R. Sherwin, L.S. Webber, S.R. Srinavasan, and G.S. Berenson Origins of the "Black/White" Difference in Blood Pressure: Roles of Birth Weight, Postnatal Growth, Early Blood Pressure, and Adolescent Body Size: The Bogalusa Heart Study Circulation, April 19, 2005; 111(15): 1932 - 1937. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Law, P Egger, O Dada, H Delgado, E Kylberg, P Lavin, G-H Tang, H von Hertzen, A. Shiell, and D. Barker Body size at birth and blood pressure among children in developing countries Int. J. Epidemiol., February 1, 2001; 30(1): 52 - 57. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. S Freedman, M. K Serdula, S. R Srinivasan, and G. S Berenson Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study Am. J. Clinical Nutrition, February 1, 1999; 69(2): 308 - 317. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H Whincup, D. G Cook, F. Adshead, S. Taylor, O. Papacosta, M. Walker, and V. Wilson Cardiovascular risk factors in British children from towns with widely differing adult cardiovascular mortality BMJ, July 13, 1996; 313(7049): 79 - 84. [Abstract] [Full Text]
|
|
|
|
 |
|
 A. A. Brandao, R. Pozzan, F. M. Albanesi Filho, and A. P. Brandao Role of Anthropometric Indexes and Blood Pressure as Determinants of Left Ventricular Mass and Geometry in Adolescents : The Rio de Janeiro Study Hypertension, December 1, 1995; 26(6): 1190 - 1194. [Abstract] [Full Text]
|
|
|
|
|
|
W. Bao, S. R. Srinivasan, W. A. Wattigney, and G. S. Berenson The Relation of Parental Cardiovascular Disease to Risk Factors in Children and Young Adults : The Bogalusa Heart Study Circulation, January 15, 1995; 91(2): 365 - 371. [Abstract] [Full Text]
|
|
|
|
 |
|
 W. Bao, S. R. Srinivasan, W. A. Wattigney, and G. S. Berenson Persistence of Multiple Cardiovascular Risk Clustering Related to Syndrome X From Childhood to Young Adulthood: The Bogalusa Heart Study Arch Intern Med, August 22, 1994; 154(16): 1842 - 1847. [Abstract] [PDF]
|
|
|
|
|
|
National High Blood Pressure Education Program Working Group Report on Primary Prevention of Hypertension Arch Intern Med, January 25, 1993; 153(2): 186 - 208. [Abstract] [PDF]
|
|
|
|
 |
|
 D. S. Freedman, G. L. Burke, D. W. Harsha, S. R. Srinivasan, J. L. Cresanta, L. S. Webber, and G. S. Berenson Relationship of Changes in Obesity to Serum Lipid and Lipoprotein Changes in Childhood and Adolescence JAMA, July 26, 1985; 254(4): 515 - 520. [Abstract] [PDF]
|
|
|
|
 |
|
 G. S. Berenson, G. C. Frank, S. MacD. Hunter, S. R. Srinivasan, A. W. Voors, and L. S. Webber Cardiovascular Risk Factors in Children: Should They Concern the Pediatrician? Arch Pediatr Adolesc Med, September 1, 1982; 136(9): 855 - 862. [Abstract] [PDF]
|
|
|
|
|
|
G. S. Berenson, C. V. Blonde, R. P. Farris, T. A. Foster, G. C. Frank, S. R. Srinivasan, A. W. Voors, and L. S. Webber Cardiovascular Disease Risk Factor Variables During the First Year of Life Arch Pediatr Adolesc Med, October 1, 1979; 133(10): 1049 - 1057. [Abstract] [PDF]
|
|