Factors Affecting Tracking of Blood Pressure from Childhood to Adulthood: The Childhood Determinants of Adult Health Study

The Journal of Pediatrics
Rebecca K KellyCostan G Magnussen

Abstract

To examine the modifiable factors that alter the trajectory of blood pressure (BP) from childhood to adulthood. This study investigated the BP of 798 participants (53% female) from the Childhood Determinants of Adult Health Study who had BP measured when aged 9, 12, or 15 years, and at follow-up 20 years later. BP was classified as normal or elevated (prehypertensive or hypertensive) in childhood and adulthood. BP trajectory groups (persistently normal, resolution, incident elevated, persistently elevated) were established according to these classifications. Potentially modifiable factors measured at both examinations included body mass index, fruit and vegetable intake, physical activity, cardiorespiratory fitness, alcohol consumption, smoking, and socioeconomic status. Spearman correlation coefficients for BP tracking from childhood to adulthood were 0.31 (P < .001) for systolic BP and 0.16 (P < .001) for diastolic BP. Children with elevated BP had a 35% increased risk of elevated BP in adulthood compared with those with normal BP (relative risk 1.35, 95% CI 1.18-1.55, P < .001). Relative to those with persistently elevated BP, participants in the resolution group significantly decreased their body mass index z-score, decreas...Continue Reading

References

Mar 23, 1974·British Medical Journal·R J WeirE Wilson
Dec 4, 2002·The Journal of Pediatrics·J Caroline DekkersFrank A Treiber
May 6, 2004·JAMA : the Journal of the American Medical Association·Paul MuntnerPaul K Whelton
Aug 3, 2004·Pediatrics·UNKNOWN National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
Jan 18, 2005·Lancet·Patricia M KearneyJiang He
Nov 16, 2011·Pediatrics·UNKNOWN Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, UNKNOWN National Heart, Lung, and Blood Institute
Apr 23, 2013·Lancet·Annemijn M Algra
Sep 14, 2013·American Journal of Hypertension·Huynh L QuanAlison J Venn
Jun 12, 2014·The New England Journal of Medicine·Julie R Ingelfinger
Jun 22, 2014·Journal of the Academy of Nutrition and Dietetics·Sheryl S AguilarJulie Gast
Sep 6, 2014·The Journal of Pediatrics·Elyse Olshen KharbandaPatrick J O'Connor

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Citations

Sep 28, 2015·The Journal of Pediatrics·Samuel S Gidding
Jul 5, 2017·Journal of Intellectual Disability Research : JIDR·J WyszyńskaA Mazur
Jan 15, 2018·International Journal of Adolescent Medicine and Health·Karima BenmohammedAlkassem Lezzar
May 12, 2016·Clinical Medicine Insights. Blood Disorders·Costan G Magnussen, Kylie J Smith
Oct 10, 2018·Journal of Hypertension·Procolo Di BonitoUNKNOWN on the behalf of the Childhood Obesity Study Group of the Italian Society of Pediatric Endocrinology, Diabetology
May 1, 2019·Revista latino-americana de enfermagem·Gisele Nepomuceno de AndradeEd Wilson Vieira
Apr 24, 2020·Journal of Public Health·Camila Honorato A TorresMarco F Mastroeni
Apr 10, 2020·The Nurse Practitioner·Irina BenensonSallie Porter
May 10, 2018·European Journal of Pediatrics·César Agostinis-SobrinhoRute Santos
Oct 26, 2018·International Journal of Hypertension·Giselle SarganasHannelore K Neuhauser
Mar 1, 2019·Journal of Hypertension·Procolo Di BonitoUNKNOWN on the behalf of the Childhood Obesity Study Group of the Italian Society of Pediatric Endocrinology, Diabetology
Mar 13, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Erin HesseyMichael Zappitelli
Jun 13, 2020·Epigenetics : Official Journal of the DNA Methylation Society·Toby MansellRichard Saffery
Nov 21, 2019·Pediatric Quality & Safety·Michael L RinkeDavid G Bundy
Aug 14, 2020·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Emanuela de Souza Gomes Dos Santos, Orivaldo Florencio de Souza
Jun 9, 2018·Frontiers in Pediatrics·Michael Khoury, Elaine M Urbina
Oct 31, 2020·The Journal of Clinical Hypertension·Estela SkapinoLuis Alberto Moreno
Oct 14, 2020·European Journal of Clinical Investigation·Maria Reyes Beltran-VallsCésar Agostinis-Sobrinho
Dec 30, 2020·The Journal of Clinical Hypertension·Anoosh MoinJustin D Smith
Jan 7, 2021·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·Natalya LukomskyjAnna Rangan
Jan 19, 2021·Current Treatment Options in Pediatrics·Scott Leopold, Justin P Zachariah
Mar 7, 2021·Journal of Science and Medicine in Sport·Alejandro Perez-BeyJose Castro-Piñero
May 20, 2021·Arquivos brasileiros de cardiologia·César A Agostinis-Sobrinho, Katiane Vilan
Aug 23, 2017·Pediatrics·Joseph T FlynnUNKNOWN SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN

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