Kelishadi, R. and Heshmat, R. and Ardalan, G. and Qorbani, M. and Taslimi, M. and Poursafa, P. and Keramatian, K. and Taheri, M. and Motlagh, M.-E. (2014) First report on simplified diagnostic criteria for pre-hypertension and hypertension in a national sample of adolescents from the Middle East and North Africa: The CASPIAN-III study. Jornal de Pediatria, 90 (1). pp. 85-91.
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First report on simplified diagnostic criteria for pre-hypertension and hypertension in a national sample of adolescents from the Middle East and North Africa the CASPIAN-III study.pdf Download (739kB) | Preview |
Abstract
Objective this study aimed to simplify the diagnostic criteria of pre-hypertension (pre-HTN) and hypertension (HTN) in the pediatric age group, and to determine the accuracy of these simple indexes in a nationally- representative sample of Iranian children and adolescents. Method the diagnostic accuracy of the indexes of systolic blood pressure-to-height ratio (SBPHR) and diastolic BPHR (DBPHR) to define pre-HTN and HTN was determined by the area under the curve of the receiver operator characteristic curves. Results the study population consisted of 5,738 Iranian students (2,875 females) with mean (SD) age of 14.7 (2.4) years. The prevalences of pre-HTN and HTN were 6.9 and 5.6. The optimal thresholds for defining pre-HTN were 0.73 in males and 0.71 in females for SBPHR, and 0.47 in males and 0.45 in females for DBPHR, respectively. The corresponding figures for HTN were 0.73, 0.71, 0.48, and 0.46, respectively. In both genders, the accuracies of SBPHR and DBPHR in diagnosing pre-HTN and HTN were approximately 80. Conclusions BPHR is a valid, simple, inexpensive, and accurate tool to diagnose pre-HTN and HTN in adolescents. The optimal thresholds of SBPHR and DBPHR were consistent with the corresponding figures in other populations of children and adolescents with different racial and ethnic backgrounds. Thus, it is suggested that the use of these indexes can be generalized in programs aiming to screen elevated blood pressure in the pediatric age group. © 2013 Sociedade Brasileira de Pediatria.
| Item Type: | Article |
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| Additional Information: | cited By 25 |
| Uncontrolled Keywords: | adolescent; article; blood pressure measurement; body height; body mass; child; diagnostic accuracy; diagnostic test; diastolic blood pressure; female; high risk behavior; human; hypertension; Iran; major clinical study; male; mercury sphygmomanometer; Middle East; North Africa; prehypertension; prevalence; school child; sensitivity and specificity; systolic blood pressure; adolescent disease; adult; anthropometric parameters; area under the curve; Article; cardiovascular parameters; childhood disease; diastolic blood pressure to height ratio; elevated blood pressure; ethnic difference; groups by age; Iranian (citizen); race difference; receiver operating characteristic; systolic blood pressure to height ratio; waist circumference; young adult, Adolescence; Adolescência; Blood pressure; Hipertensão; Hypertension; Pre-hypertension; Pressão sanguÃnea; Pré-hipertensão; Screening; Triagem, Adolescent; Africa, Northern; Blood Pressure; Body Height; Body Mass Index; Child; Female; Humans; Hypertension; Male; Middle East; Prehypertension; Prevalence; ROC Curve; Sampling Studies; Students |
| Subjects: | WG Cardiovascular System |
| Depositing User: | Ms Roya Vesal Azad |
| Date Deposited: | 26 Feb 2019 09:14 |
| Last Modified: | 26 Feb 2019 09:14 |
| URI: | http://eprints.iums.ac.ir/id/eprint/11793 |
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