Establishment of blood pressure nomograms representative for Egyptian children and adolescents: a cross-sectional study.

Autor:	El-Shafie AM; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., El-Gendy FM; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Allhony DM; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Abo El Fotoh WMM; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Omar ZA; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Samir MA; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Bahbah WA; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Abd El Naby SA; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., El Zayat RS; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Abd El Hady NMS; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., El Gazar BA; Department of Pediatrics, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., Zannoun MA; Department of Paediatrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Kasemy ZA; Department of Public Health and Community Epidemiology and Biostatistics Division, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt., El-Bazzar AN; Ministry of Health Hospitals, Cairo, Egypt., Abd El-Fattah MAE; Ministry of Health Hospitals, Cairo, Egypt., Abd El-Monsef AA; Ministry of Health Hospitals, Cairo, Egypt., Kairallah AM; Ministry of Health Hospitals, Cairo, Egypt., Raafet HM; Ministry of Health Hospitals, Cairo, Egypt., Baz GM; Ministry of Health Hospitals, Cairo, Egypt., Salah AG; Ministry of Health Hospitals, Cairo, Egypt., Galab WS; Ministry of Health Hospitals, Cairo, Egypt.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2018 Jul 25; Vol. 8 (7), pp. e020609. Date of Electronic Publication: 2018 Jul 25.
DOI:	10.1136/bmjopen-2017-020609
Abstrakt:	Objective: To define nomograms for blood pressure in Egyptian children and adolescents. Methods and Study Design: A total of 60 025 Egyptian children from birth to 19 years were enrolled in this cross-sectional randomised study from December 2015 to March 2017. They were selected from diverse geographical districts in Egypt. Healthy children who fulfilled the inclusion criteria, which included good nutritional history, absence of fever or documented underlying disease at the time of examination, no evidence of haemodynamically significant illness, and no antihypertensive drugs or other chronic drug administration, were included in the study. Body weight, recumbent length (for less than 24 months) and height (from 2 years to 19 years), and blood pressure were measured using standard mercury sphygmomanometers. Results: Blood pressure increases with age in both boys and girls. The 90th percentile of systolic and diastolic blood pressure among Egyptian children was different from other ethnic populations (American and Turkish children) in both sexes. Systolic and diastolic blood pressure showed a positive correlation with weight and height in both sexes (p<0.001). Conclusion: We assumed that normal blood pressure curves should be used cautiously during childhood, and it is recommended that every population have its own normal standard curve to define measured blood pressure levels in children. These centiles increased our knowledge and awareness of normal blood pressure among Egyptian children and adolescents. The percentiles will distinguish children and young adolescents with increased blood pressure and will be of value to both medical practice and scientific research. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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