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International Journal of Pediatrics، جلد ۴، شماره ۷، صفحات ۲۱۵۳-۲۱۶۶

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عنوان انگلیسی Blood Pressure Nomograms by Age and Weight for Iranian Children and Adolescents
چکیده انگلیسی مقاله Background: Normal standard references of blood pressure (BP) for children and adolescents have been suggested to be constructed based on anthropometric indices. Accordingly, we aimed to develop first BP reference percentiles by weight and age for Iranian children aged 3-18 years old. Materials and Methods: A total of 16,246 children and adolescents aged 3-18 years were included from 3 cross-sectional studies conducted in Tehran- Iran. Data on demographic characteristics, anthropometric indices and BP values of these subjects were gathered. Quantile regression model was used to assess the need for weight adjustment in different percentiles of systolic and diastolic BPs with age, gender, and the corresponding weight percentiles. Then, Age- and sex-specific BP nomograms were developed according to weight. Results: All the regression coefficients for weight percentiles were statistically significant in quantile regression of BPs, which confirms the positive effect of adjustment for weight (P< 0.05). The BP percentiles by age and weight are presented for each gender. All the BP percentiles rose steadily in all the weight percentiles with minor discrepancies between the two genders. Based on the weight-adjusted BP curves, lean subjects are estimated to have a higher prevalence of hypertension while this figure is lower among the overweight and obese children. Conclusion: This study presents the first Iranian BP references by age and weight for 3 to 18 year old children and adolescents. BMI-adjusted BP curves were found to be a better tool for assessing the prevalence of hypertension in children and adolescents, on the basis of which a more reliable classification standard for hypertension could be obtained.
کلیدواژه‌های انگلیسی مقاله Blood Pressure, Children, Nomograms, References, Weight

نویسندگان مقاله مصطفی حسینی | mostafa hosseini
department of epidemiology and biostatistics, school of public health, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مسعود بیک پور | masoud baikpour
department of medicine, school of medicine, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمود یوسفی فرد | mahmoud yousefifard
physiology research center and department of physiology, faculty of medicine, iran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

مهدی یاسری | mehdi yaseri
department of epidemiology and biostatistics, school of public health, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمد فیاض | mohammad fayaz
department of biostatistics, school of allied medical sciences, shahid beheshti university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

هدی شیرافکن | hoda shirafkan
department of epidemiology and biostatistics, school of public health, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

آرش عباسی | arash abbasi
pediatric chronic kidney disease research center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

هادی اسدی | hadi asady
department of occupational health engineering, faculty of public health, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

فایزه javidilarijani | faezeh javidilarijani
department of pediatric nephrology, atieh hospital, tehran, iran


بهناز بازرگانی | behnaz bazargani
pediatric chronic kidney disease research center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نعمت اله عطایی | neamatollah ataei
pediatric chronic kidney disease research center, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)


نشانی اینترنتی http://ijp.mums.ac.ir/article_7013.html
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