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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access August 9, 2011

School children systolic and diastolic blood pressure values: YUSAD study

  • Zeljka Milincic EMAIL logo , Dejan Nikolic , Slavko Simeunovic , Ivana Novakovic , Ivana Petronic , Dijana Risimic and Dejan Simeunovic
From the journal Open Medicine


The aim of the study was to analyze changes of systolic and diastolic blood pressure values over five and ten years separately boys and girls and to estimate correlation between them. Three age groups from 8 centers in Serbia were evaluated: Group 1: 10 year old patients, Group 2: 15 year old and Group 3: 20 year old. Group with normal blood pressure values, prehypertensive and hypertensive group were analyzed. Regarding the period of follow-up we analyzed: 10/15 years period-children between 10 and 15 years, 15/20 years period-children between 15 and 20 years, and 10/20 years period-children between 10 and 20 years. Significant increase of diastolic blood pressure was noticed for both genders in 10/15 years period of prehypertensive population, while in hypertensive children, boys showed decline in frequency for systolic and diastolic blood pressure and girls only for diastolic. In 15/20 years period there was significant decrease of prehypertensive and significant increase of hypertensive diastolic blood pressure frequency. In 10/20 years period significant reduction in frequency of prehypertensive systolic blood pressure was noticed, while only hypertensive group of boys showed significant reduction regarding systolic blood pressure frequency. Prehypertensive diastolic and hypertensive systolic blood pressure fluctuations are more related to age.

[1] Lewis S.J., Prevention and treatment of atherosclerosis: a practitioner’s guide for 2008, Am. J. Med., 2009, 122(1 Suppl):, S38–50 in Google Scholar PubMed

[2] Urbina E.M., Williams R.V., Alpert B.S., Collins R.T., Daniels S.R., Hayman L., et al., American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the Council on Cardiovascular Disease in the Young. Noninvasive assessment of subclinical atherosclerosis in children and adolescents: recommendations for standard assessment for clinical research: a scientific statement from the American Heart Association, Hypertension, 2009, 54, 919–950 in Google Scholar PubMed

[3] Strauss R.S., Pollack H.A., Epidemic increase in childhood overweight, 1986–1998, JAMA, 2001, 286, 2845–2848 in Google Scholar PubMed

[4] Hedley A.A., Ogden C.L., Johnson C.L., Carroll M.D., Curtin L.R., Flegal K.M., Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002, JAMA, 2004, 291, 2847–28450 in Google Scholar PubMed

[5] Wilson P.W., D’Agostino R.B., Sullivan L., Parise H., Kannel W.B., Overweight and obesity as determinants of cardiovascular risk: the Framingham experience, Arch. Intern. Med., 2002, 162, 1867–1872 in Google Scholar PubMed

[6] Sharma A.M., Golay A., Effect of orlistat-induced weight loss on blood pressure and heart rate in obese patients with hypertension, J. Hypertens., 2002, 20, 1873–1878 in Google Scholar PubMed

[7] Maruthur N.M., Wang N.Y., Appel L.J., Lifestyle interventions reduce coronary heart disease risk: results from the PREMIER Trial, Circulation, 2009, 119, 2026–2031 in Google Scholar PubMed PubMed Central

[8] Virdis A., Ghiadoni L., Masi S., Versari D., Daghini E., Giannarelli C., et al., Obesity in the childhood: a link to adult hypertension, Curr. Pharm. Des., 2009, 15, 1063–1071 in Google Scholar PubMed

[9] Nikolic D., Petronic I., Milincic Z., Simeunovic S., Novakovic I., Nedeljkovic S., et al., Evaluation of recreational physical activity correlation and influence on lipid fractions in school children: YUSAD study, Med. Sport (Roma), 2011, 64, 55–62 Search in Google Scholar

[10] Boney C.M., Verma A., Tucker R., Vohr B.R., Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus, Pediatrics, 2005, 115, e290–296 in Google Scholar PubMed

[11] Shin C.Y., Yun K.E., Park H.S., Blood pressure has a greater impact on cardiovascular mortality than other components of metabolic syndrome in Koreans, Atherosclerosis, 2009, 205, 614–619 in Google Scholar PubMed

[12] Lee Y.H., Kweon S.S., Choi J.S., Rhee J.A., Choi S.W., Ryu S.Y., et al., Association of blood pressure levels with carotid intima-media thickness and plaques, J. Prev. Med. Public Health, 2009, 42, 298–304 in Google Scholar PubMed

[13] Bui Q.T., Prempeh M., Wilensky R.L., Atherosclerotic plaque development, Int. J. Biochem. Cell. Biol., 2009, 41, 2109–2113 in Google Scholar PubMed

[14] National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents, Pediatrics, 2004, 114(2 suppl 4th Report), 555–576 in Google Scholar

[15] Daniels S.R., Cardiovascular disease risk factors and atherosclerosis in children and adolescents, Curr. Atheroscler. Rep., 2001, 3, 479–485 in Google Scholar PubMed

[16] Fujita Y., Kouda K., Nakamura H., Nishio N., Takeuchi H., Iki M., Relationship between height and blood pressure in Japanese schoolchildren, Pediatr. Int., 2010, 52, 689–93 in Google Scholar PubMed

[17] Singhal A., The early origins of atherosclerosis, Adv. Exp. Med. Biol., 2009, 646, 51–58 in Google Scholar PubMed

[18] Labarthe D.R., Dai S., Fulton J.E., Harrist R.B., Shah S.M., Eissa M.A., Systolic and fourth- and fifth-phase diastolic blood pressure from ages 8 to 18 years: Project HeartBeat!, Am. J. Prev. Med., 2009, 37(1 Suppl), S86–96 in Google Scholar PubMed

[19] Yung L.M., Laher I., Yao X., Chen Z.Y., Huang Y., Leung F.P., Exercise, vascular wall and cardiovascular diseases: an update (part 2), Sports Med., 2009, 39, 45–63 in Google Scholar PubMed

[20] Rodrigues A.N., Perez A.J., Pires J.G., Carletti L., Araújo M.T., Moyses M.R., et al., Cardiovascular risk factors, their associations and presence of metabolic syndrome in adolescents, J. Pediatr. (Rio J), 2009, 85, 55–60 in Google Scholar PubMed

[21] Yim H.E., Lee E.H., Jang G.Y., Questionnaire survey on pediatric hypertension in Japan and Korea, Pediatr. Int., 2010, 52, 1–5 in Google Scholar PubMed

[22] Costanzi C.B., Halpern R., Rech R.R., Bergmann M.L., Alli L.R., de Mattos A.P., Associated factors in high blood pressure among schoolchildren in a middle size city, southern Brazil, J. Pediatr. (Rio J), 2009, 85, 335–340 in Google Scholar PubMed

Published Online: 2011-8-9
Published in Print: 2011-10-1

© 2011 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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