Predictors of Higher Blood Pressure in a Clinical Setting in Normotensive Children: A Prospective Study

Predictors of Higher Blood Pressure in a Clinical Setting in Normotensive Children: A Prospective Study

Author Bohlke, Maristela Autor UNIFESP Google Scholar
Dullius, Fernanda Google Scholar
Menezes, Juliana Google Scholar
Cunha, Tiago Google Scholar
Boemer, Hayslan Google Scholar
Menezes, Adriana Google Scholar
Caruso, Paulo Google Scholar
Institution Univ Catolica Pelotas
Universidade Federal de São Paulo (UNIFESP)
Abstract This study was designed to assess the predictors of a higher blood pressure (BP) in a clinical setting in a prospective cohort of normotensive children recruited in an outpatient pediatric clinical setting in Southern Brazil. the study evaluated 443 children 3-12 years of age. If the mean value of BP was greater than the 95th percentile for age, sex and height in the medical setting, children were scheduled to other two evaluations at home. the systolic BP percentile in the clinical consultation was associated with BMI and birth weight. the diastolic BP in the clinical consultation was associated with birth weight, age, and BMI. Weight excess, low birth weight and younger age were associated with a higher BP in normotensive children seen in a clinical setting. To our knowledge, this is the first study to describe the association between lower birth weight and a greater BP response to medical consultation. Our finding suggests that the tendency to higher white-coat effect is determined, at least to some extent, in intrauterine life. Copyright (C) 2009 S. Karger AG, Basel
Keywords Blood pressure
Birth weight
Body mass index
White-coat hypertension
Language English
Date 2009-01-01
Published in Kidney & Blood Pressure Research. Basel: Karger, v. 32, n. 3, p. 205-209, 2009.
ISSN 1420-4096 (Sherpa/Romeo, impact factor)
Publisher Karger
Extent 205-209
Origin http://dx.doi.org/10.1159/000226427
Access rights Closed access
Type Article
Web of Science ID WOS:000268372600008
URI http://repositorio.unifesp.br/handle/11600/31225

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