Korean J Pediatr.  2008 Jan;51(1):33-41. 10.3345/kjp.2008.51.1.33.

Normative blood pressure references for Korean children and adolescents

• Lee CG
• Moon JS
• Choi JM
• Nam CM
• Lee SY
• Oh K
• Kim YT

• KMID: 1487156
• DOI: http://doi.org/10.3345/kjp.2008.51.1.33

Abstract

PURPOSE: It is now understood that blood pressure (BP) measurement in the routine pediatric examination is very important because of the relevance of childhood BP to pediatric health care and the development of adult essential hypertension. There hasn't been a reference table of BP for Korean children and adolescents up to now. This study was to make normative BP references and to provide criteria of hypertension for Korean children and adolescents.
METHODS
BP measurements were done on 57,433 Koean children and adolescents (male: 29,443, female: 27,990), paged 7 to 20 years, in 2005. Heights and weights were measured simultaneously. Oscillometric devices, Dinamap Procare 200 (GE Inc., Milwaukee, Wi, USA), were used for the measurements. BPs were measured 2 times and mean levels were gathered for the analysis. Outliers of 2,373 subjects with overweight per height, over +3SD, were excluded for the analysis. For the BP centiles adjusted by sex, age and height, fixed modified LMS method which was adopted from the mixed effect model of 2004 Task Force in NHLBI (USA) was used.
RESULTS
Normative BP tables for Korean children and adolescents adjusted for height percentiles (5th, 10th, 25th, 50th, 75th, 90th, 95th), gender (male, female) and age(7 to 18 years) were completed. Height centiles of Korean children and adolescents are available from Korean Center for Disease Control and Prevention homepage, http://www.cdc.go.kr/webcdc/. Criteria of hypertension (95th, 99th percentile) and normal range of BP (50th, 90th) adjusted for height percentiles, age and gender were made.
CONCLUSION
This is the first study to make normative BP tables and define hypertension for the Korean children and adolescents. Reliability and accuracy of Dinamap Procare 200 oscillometer for BP measurements remains debatable.

Keyword

Blood pressure; Hypertension; Oscillometric device; Dinamap

MeSH Terms

Adolescent
Adult
Advisory Committees
Blood Pressure
Centers for Disease Control and Prevention (U.S.)
Child
Delivery of Health Care
Humans
Hypertension
National Heart, Lung, and Blood Institute (U.S.)
Overweight
Reference Values
Weights and Measures