Association between pubertal development and elevated blood pressure in children
Abstract Blood pressure (BP) increased with age and height development, but little was known about the effect of pubertal development on blood pressure in children. A cross‐sectional study was performed among 4146 children aged 7–12 years old in China. Pubertal development was assessed based on brea...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-08-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14315 |
| _version_ | 1797645203520094208 |
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| author | Yanhui Li Yanhui Dong Zhiyong Zou Di Gao Xijie Wang Zhaogeng Yang Bin Dong Jun Ma |
| author_facet | Yanhui Li Yanhui Dong Zhiyong Zou Di Gao Xijie Wang Zhaogeng Yang Bin Dong Jun Ma |
| author_sort | Yanhui Li |
| collection | DOAJ |
| description | Abstract Blood pressure (BP) increased with age and height development, but little was known about the effect of pubertal development on blood pressure in children. A cross‐sectional study was performed among 4146 children aged 7–12 years old in China. Pubertal development was assessed based on breast stages and testicular volume. The associations of pubertal development with BP levels and the rate of elevated blood pressure (EBP) were quantified using multiple linear and logistic regressions. We found that pubertal developmental level was positively correlated with BP, and children who experienced puberty onset and early pubertal timing had higher BP levels and prevalence of EBP. After adjusting for covariates, children experienced puberty onset had 3.84 and 2.24 mmHg increase in systolic blood pressure and diastolic blood pressure, and 70%, 53%, and 62% increased odds of EBP, ESBP, and EDBP, respectively, compared with those without puberty onset. Similar results were observed for children who had early pubertal timing. The change of BP in puberty is greater and the association between pubertal development and BP is stronger in girls than boys. These findings suggested that pubertal development could be an important independent factor and one critical period for the EBP progress. Monitoring and management of pubertal development are necessary particularly among girls. |
| first_indexed | 2024-03-11T14:43:56Z |
| format | Article |
| id | doaj.art-fcd1ea5a2a794b4fb7039233a1fc3b14 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:56Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-fcd1ea5a2a794b4fb7039233a1fc3b142023-10-30T13:26:33ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-08-012381498150510.1111/jch.14315Association between pubertal development and elevated blood pressure in childrenYanhui Li0Yanhui Dong1Zhiyong Zou2Di Gao3Xijie Wang4Zhaogeng Yang5Bin Dong6Jun Ma7Institute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaInstitute of Child and Adolescent Health, School of Public Health Peking University Beijing ChinaAbstract Blood pressure (BP) increased with age and height development, but little was known about the effect of pubertal development on blood pressure in children. A cross‐sectional study was performed among 4146 children aged 7–12 years old in China. Pubertal development was assessed based on breast stages and testicular volume. The associations of pubertal development with BP levels and the rate of elevated blood pressure (EBP) were quantified using multiple linear and logistic regressions. We found that pubertal developmental level was positively correlated with BP, and children who experienced puberty onset and early pubertal timing had higher BP levels and prevalence of EBP. After adjusting for covariates, children experienced puberty onset had 3.84 and 2.24 mmHg increase in systolic blood pressure and diastolic blood pressure, and 70%, 53%, and 62% increased odds of EBP, ESBP, and EDBP, respectively, compared with those without puberty onset. Similar results were observed for children who had early pubertal timing. The change of BP in puberty is greater and the association between pubertal development and BP is stronger in girls than boys. These findings suggested that pubertal development could be an important independent factor and one critical period for the EBP progress. Monitoring and management of pubertal development are necessary particularly among girls.https://doi.org/10.1111/jch.14315blood pressurechildren and adolescentshypertensionpubertal developmentpubertal timing |
| spellingShingle | Yanhui Li Yanhui Dong Zhiyong Zou Di Gao Xijie Wang Zhaogeng Yang Bin Dong Jun Ma Association between pubertal development and elevated blood pressure in children The Journal of Clinical Hypertension blood pressure children and adolescents hypertension pubertal development pubertal timing |
| title | Association between pubertal development and elevated blood pressure in children |
| title_full | Association between pubertal development and elevated blood pressure in children |
| title_fullStr | Association between pubertal development and elevated blood pressure in children |
| title_full_unstemmed | Association between pubertal development and elevated blood pressure in children |
| title_short | Association between pubertal development and elevated blood pressure in children |
| title_sort | association between pubertal development and elevated blood pressure in children |
| topic | blood pressure children and adolescents hypertension pubertal development pubertal timing |
| url | https://doi.org/10.1111/jch.14315 |
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