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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew

IMPACT FACTOR 2018: 1.221

CiteScore 2018: 1.01

SCImago Journal Rank (SJR) 2018: 0.329
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ICV 2017: 152.94

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Volume 6, Issue 5


Volume 10 (2015)

School children systolic and diastolic blood pressure values: YUSAD study

Zeljka Milincic / Dejan Nikolic / Slavko Simeunovic / Ivana Novakovic / Ivana Petronic
  • Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Physical Medicine and Rehabilitation Department, University children’s Hospital, 11000, Belgrade, Serbia
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  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Dijana Risimic
  • Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Clinical Centre of Serbia, 11000, Belgrade, Serbia
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  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Dejan Simeunovic
  • Faculty of Medicine, University of Belgrade, 11000, Belgrade, Serbia
  • Clinical Centre of Serbia, 11000, Belgrade, Serbia
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  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2011-08-09 | DOI: https://doi.org/10.2478/s11536-011-0070-9


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.

Keywords: Blood pressure; Hypertension; School age children; Follow-up

  • [1] Lewis S.J., Prevention and treatment of atherosclerosis: a practitioner’s guide for 2008, Am. J. Med., 2009, 122(1 Suppl):, S38–50 http://dx.doi.org/10.1016/j.amjmed.2008.10.016CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1161/HYPERTENSIONAHA.109.192639CrossrefGoogle Scholar

  • [3] Strauss R.S., Pollack H.A., Epidemic increase in childhood overweight, 1986–1998, JAMA, 2001, 286, 2845–2848 http://dx.doi.org/10.1001/jama.286.22.2845CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1001/jama.291.23.2847CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1001/archinte.162.16.1867CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1097/00004872-200209000-00034CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1161/CIRCULATIONAHA.108.809491CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.2174/138161209787846900CrossrefGoogle Scholar

  • [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 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 http://dx.doi.org/10.1542/peds.2004-1808CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1016/j.atherosclerosis.2009.01.014CrossrefWeb of ScienceGoogle Scholar

  • [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 http://dx.doi.org/10.3961/jpmph.2009.42.5.298CrossrefGoogle Scholar

  • [13] Bui Q.T., Prempeh M., Wilensky R.L., Atherosclerotic plaque development, Int. J. Biochem. Cell. Biol., 2009, 41, 2109–2113 http://dx.doi.org/10.1016/j.biocel.2009.06.002Web of ScienceCrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1542/peds.114.2.S2.555CrossrefGoogle Scholar

  • [15] Daniels S.R., Cardiovascular disease risk factors and atherosclerosis in children and adolescents, Curr. Atheroscler. Rep., 2001, 3, 479–485 http://dx.doi.org/10.1007/s11883-001-0038-3CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1111/j.1442-200X.2010.03093.xCrossrefWeb of ScienceGoogle Scholar

  • [17] Singhal A., The early origins of atherosclerosis, Adv. Exp. Med. Biol., 2009, 646, 51–58 http://dx.doi.org/10.1007/978-1-4020-9173-5_5CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1016/j.amepre.2009.04.014Web of ScienceCrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.2165/00007256-200939010-00004CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.2223/JPED.1867CrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.1111/j.1442-200X.2009.02860.xCrossrefGoogle Scholar

  • [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 http://dx.doi.org/10.2223/JPED.1913CrossrefGoogle Scholar

About the article

Published Online: 2011-08-09

Published in Print: 2011-10-01

Citation Information: Open Medicine, Volume 6, Issue 5, Pages 634–639, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-011-0070-9.

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© 2011 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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