Blood pressure trajectory modeling in childhood: birth-cohort study

Abstract Background Systolic blood pressure (SBP) and diastolic blood pressure (DBP) tends to increase with age and increase in proportion to body weight and height. Recent epidemiological and longitudinal cohort studies have found that high BP in children can be progressed into hypertension (HTN) i...

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Main Authors: Jung Won Lee, Nameun Kim, Bohyun Park, Hyesook Park, Hae Soon Kim
Format: Article
Language:English
Published: BMC 2020-01-01
Series:Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1186/s40885-019-0133-9
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author Jung Won Lee
Nameun Kim
Bohyun Park
Hyesook Park
Hae Soon Kim
author_facet Jung Won Lee
Nameun Kim
Bohyun Park
Hyesook Park
Hae Soon Kim
author_sort Jung Won Lee
collection DOAJ
description Abstract Background Systolic blood pressure (SBP) and diastolic blood pressure (DBP) tends to increase with age and increase in proportion to body weight and height. Recent epidemiological and longitudinal cohort studies have found that high BP in children can be progressed into hypertension (HTN) in adulthood. Therefore, the aim of this study is that we monitor and analyze the tendency of the BP trajectory in children from the age of 3 years to the age of 10 years. Method A total of 767 subjects were gathered from Ewha Birth and Growth cohort study. We observed and analyzed the data of 65 subjects which were completely repeated measures for 6 times as 3, 5, 7, 8, 9, 10 years old follow-up. We collected retrospective information such as BP and anthropometric data measured for children and constructed the trajectory models of SBP and DBP in early stage of life. Results Three distinct trajectories on SBP and DBP from 3 to 10 years old were identified. As a result of SBP, 82.7% (n = 54) of subjects experienced moderate SBP levels maintained stable levels; 13.7% (n = 9) of subjects experienced a rapid increase as the age increase; 3.6% (n = 2) of subjects experienced high SBP levels throughout follow-up as moderate grade. For DBP, 6.7% (n = 4) of subjects started with low levels and experienced generally a gradual grade; 61.7% (n = 41) of subjects started with moderate levels and experienced a steep increase at 7-years-old; 31.6% (n = 20) of subjects experienced a rapid increase on DBP levels. Conclusion The result of study shows tendency of increase BP as the age increase. This research inspires that we verify risk group and risk factor in early stage of life with trajectory modeling for the HTN prevention in adulthood.
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spelling doaj.art-e19054d539724deba524c69ac285c6c92022-12-21T22:33:28ZengBMCClinical Hypertension2056-59092020-01-012611610.1186/s40885-019-0133-9Blood pressure trajectory modeling in childhood: birth-cohort studyJung Won Lee0Nameun Kim1Bohyun Park2Hyesook Park3Hae Soon Kim4Department of Pediatrics, Ewha Womans University College of MedicineDepartment of Preventive Medicine, Ewha Womans University College of MedicineDepartment of Preventive Medicine, Ewha Womans University College of MedicineDepartment of Preventive Medicine, Ewha Womans University College of MedicineDepartment of Pediatrics, Ewha Womans University College of MedicineAbstract Background Systolic blood pressure (SBP) and diastolic blood pressure (DBP) tends to increase with age and increase in proportion to body weight and height. Recent epidemiological and longitudinal cohort studies have found that high BP in children can be progressed into hypertension (HTN) in adulthood. Therefore, the aim of this study is that we monitor and analyze the tendency of the BP trajectory in children from the age of 3 years to the age of 10 years. Method A total of 767 subjects were gathered from Ewha Birth and Growth cohort study. We observed and analyzed the data of 65 subjects which were completely repeated measures for 6 times as 3, 5, 7, 8, 9, 10 years old follow-up. We collected retrospective information such as BP and anthropometric data measured for children and constructed the trajectory models of SBP and DBP in early stage of life. Results Three distinct trajectories on SBP and DBP from 3 to 10 years old were identified. As a result of SBP, 82.7% (n = 54) of subjects experienced moderate SBP levels maintained stable levels; 13.7% (n = 9) of subjects experienced a rapid increase as the age increase; 3.6% (n = 2) of subjects experienced high SBP levels throughout follow-up as moderate grade. For DBP, 6.7% (n = 4) of subjects started with low levels and experienced generally a gradual grade; 61.7% (n = 41) of subjects started with moderate levels and experienced a steep increase at 7-years-old; 31.6% (n = 20) of subjects experienced a rapid increase on DBP levels. Conclusion The result of study shows tendency of increase BP as the age increase. This research inspires that we verify risk group and risk factor in early stage of life with trajectory modeling for the HTN prevention in adulthood.https://doi.org/10.1186/s40885-019-0133-9Blood pressureChildrenTrajectory
spellingShingle Jung Won Lee
Nameun Kim
Bohyun Park
Hyesook Park
Hae Soon Kim
Blood pressure trajectory modeling in childhood: birth-cohort study
Clinical Hypertension
Blood pressure
Children
Trajectory
title Blood pressure trajectory modeling in childhood: birth-cohort study
title_full Blood pressure trajectory modeling in childhood: birth-cohort study
title_fullStr Blood pressure trajectory modeling in childhood: birth-cohort study
title_full_unstemmed Blood pressure trajectory modeling in childhood: birth-cohort study
title_short Blood pressure trajectory modeling in childhood: birth-cohort study
title_sort blood pressure trajectory modeling in childhood birth cohort study
topic Blood pressure
Children
Trajectory
url https://doi.org/10.1186/s40885-019-0133-9
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