Korean Circ J.  2019 Dec;49(12):1167-1180. 10.4070/kcj.2019.0075.

Blood Pressure Reference Values for Normal Weight Korean Children and Adolescents: Data from The Korea National Health and Nutrition Examination Survey 1998–2016: The Korean Working Group of Pediatric Hypertension

• Kim SH
• Park Y
• Song YH
• An HS
• Shin JI
• Oh JH
• Lee JW
• Kim SH
• Kim HS
• Shin HJ
• Lee HK
• Park YB
• Lee HY
• Kim NS
• Ha IS
• Ahn S
• Lee W
• Hong YM

• KMID: 2464297
• DOI: http://doi.org/10.4070/kcj.2019.0075

Abstract

BACKGROUND AND OBJECTIVES
Hypertension is becoming one of the most common health conditions in children and adolescents due to increasing childhood obesity. We aimed to provide the auscultatory blood pressure (BP) normative reference values for Korean non-overweight children and adolescents.
METHODS
BP measurements in children and adolescents aged 10 to 18 years were performed in the Korean National Health and Nutrition Examination Survey (KNHANES) from 1998 to 2016. BP was measured using a mercury sphygmomanometer. Sex-, age- and height-specific systolic BP (SBP) and diastolic BP (DBP) percentiles were calculated in the non-overweight children (n=10,442). We used the General Additive Model for Location Scale and Shape method to calculate BP percentiles.
RESULTS
The 50th, 90th, 95th, and 99th percentiles of SBP and DBP tables and graphs of non-overweight children and adolescents aged 10 to 18 years were presented by age and height percentiles. We found that the SBP and DBP at the 95th percentile were well correlated with height. The BP tables presented by height contained BP values from 124 cm to 190 cm for boys and from 120 cm to 178 cm for girls. Boys had higher SBP and DBP.
CONCLUSIONS
We provided the sex-, age- and height-specific auscultatory BP values using the KNHANES big data. These may be useful in diagnosis and treatment of hypertension in Korean children and adolescents.

Keyword

Blood pressure; Hypertension; Adolescent; Auscultation

MeSH Terms

Adolescent*
Auscultation
Blood Pressure*
Child*
Diagnosis
Female
Humans
Hypertension*
Korea*
Methods
Nutrition Surveys*
Pediatric Obesity
Reference Values*
Sphygmomanometers

Figure

• 

  Figure 1 BP percentiles by (A-D) age and by (E-H) height. (A) SBP for boys by age. (B) DBP for boys by age. (C) SBP for girls by age. (D) DBP for girls by age. (E) SBP for boys by height. (F) DBP for boys by height. (G) SBP for girls by height. (H) DBP for girls by height. BP = blood pressure; DBP = diastolic blood pressure; SBP = systolic blood pressure.

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