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American Journal of Epidemiology Vol. 109, No. 3: 320-334
Copyright © 1979 by The Johns Hopkins University School of Hygiene and Public Health


other

TIME COURSE STUDIES OF BLOOD PRESSURE IN CHILDREN-THE BOGALUSA HEART STUDY

A. WOUTER VOORS, LARRY S. WEBBER and GERALD S. BERENSON1,

1 From the Department of Public Health and Preventive Medicine and the Department of Medicine, Louisiana State University Medical Center New Orleans, LA 70112

Address reprint requests to: Dr. G. S. Berenson, Department of Medicine, Louisiana State University Medical Center, 1542 Tulane Ave., New Orleans, LA 70112.

Blood pressures (BPs) were taken with a mercury sphygmomanometer and an automatic recorder on 3524 children representative of an entire geographic community. For all children ages 5, 8, 11, and 14 years in the initial examination, age-specific systolic and diastolic (4th phase) selected percentiles were assessed. Of these children, 1101 were reexamined after one year. Observations from a group of 35 fifth-graders examined monthly for eight months were pooled to observe Intra-child BP variability. This estimate was used to reduce to zero In a statistical adjustment the regression toward the mean of the BPs for the after-one-year reexamined children. It was found that those children initially in the top ten percentiles had, upon reexamination, on the average only 3 mmHg lower systolic and 1 mmHg lower diastolic levels. In a multiple regression analysis, the previous year's BP contributed a partial correlation coefficient of 0.6–0.7 for each age cohort to the variability of the BP, controlling for other determinants. These findings, based on reliable, basal-like measurements, point to a degree of persistence which is quite high. The higher the degree of tracking the more likely that primary hypertension begins early in life.

blood pressure; hypertension; pediatrics; school health


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