Reference blood pressure values obtained using the auscultation method for 2-year-old Japanese children: from the Japan Environment and Children's Study.


Journal

Clinical and experimental nephrology
ISSN: 1437-7799
Titre abrégé: Clin Exp Nephrol
Pays: Japan
ID NLM: 9709923

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 08 11 2022
accepted: 11 06 2023
medline: 18 9 2023
pubmed: 30 6 2023
entrez: 30 6 2023
Statut: ppublish

Résumé

Reference blood pressure (BP) values for Japanese children based on a large number of measurements by auscultation have not yet been established. This was a cross-sectional analysis of data from a birth-cohort study. The data from the sub-cohort study conducted for children at the age of 2 years in the Japan Environment and Children's Study from April 2015 to January 2017 were analyzed. BP was measured via auscultation using an aneroid sphygmomanometer. Each participant was measured in triplicate, and the average value of two consecutive measurements with a difference of less than 5 mmHg was recorded. The reference BP values were estimated using the lambda-mu-sigma (LMS) method and compared with those obtained via the polynomial regression model. Data from 3361 participants were analyzed. Although the difference between the estimated BP values by the LMS and the polynomial regression model was small, the LMS model was more valid based on the results of the fit curve of the observed values and regression models for each model. For 2-year-old children with heights in the 50th percentile, the 50th, 90th, 95th, and 99th percentile reference values of systolic BP (mmHg) for boys were 91, 102, 106, and 112, and that for girls were 90, 101, 103, and 109, respectively, and those of diastolic BP for boys were 52, 62, 65, and 71, and that for girls were 52, 62, 65, and 71, respectively. The reference BP values for 2-year-old Japanese children were determined based on auscultation and were made available.

Sections du résumé

BACKGROUND BACKGROUND
Reference blood pressure (BP) values for Japanese children based on a large number of measurements by auscultation have not yet been established.
METHODS METHODS
This was a cross-sectional analysis of data from a birth-cohort study. The data from the sub-cohort study conducted for children at the age of 2 years in the Japan Environment and Children's Study from April 2015 to January 2017 were analyzed. BP was measured via auscultation using an aneroid sphygmomanometer. Each participant was measured in triplicate, and the average value of two consecutive measurements with a difference of less than 5 mmHg was recorded. The reference BP values were estimated using the lambda-mu-sigma (LMS) method and compared with those obtained via the polynomial regression model.
RESULTS RESULTS
Data from 3361 participants were analyzed. Although the difference between the estimated BP values by the LMS and the polynomial regression model was small, the LMS model was more valid based on the results of the fit curve of the observed values and regression models for each model. For 2-year-old children with heights in the 50th percentile, the 50th, 90th, 95th, and 99th percentile reference values of systolic BP (mmHg) for boys were 91, 102, 106, and 112, and that for girls were 90, 101, 103, and 109, respectively, and those of diastolic BP for boys were 52, 62, 65, and 71, and that for girls were 52, 62, 65, and 71, respectively.
CONCLUSION CONCLUSIONS
The reference BP values for 2-year-old Japanese children were determined based on auscultation and were made available.

Identifiants

pubmed: 37389682
doi: 10.1007/s10157-023-02370-w
pii: 10.1007/s10157-023-02370-w
pmc: PMC10504195
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

857-864

Investigateurs

Michihiro Kamijima (M)
Shin Yamazaki (S)
Reiko Kishi (R)
Nobuo Yaegashi (N)
Koichi Hashimoto (K)
Chisato Mori (C)
Zentaro Yamagata (Z)
Hidekuni Inadera (H)
Takeo Nakayama (T)
Tomotaka Sobue (T)
Masayuki Shima (M)
Hiroshige Nakamura (H)
Narufumi Suganuma (N)
Koichi Kusuhara (K)
Takahiko Katoh (T)

Informations de copyright

© 2023. The Author(s).

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Auteurs

Naoya Fujita (N)

Department of Pediatric Nephrology, Aichi Children's Health and Medical Center, 4267-Chome, Morioka-cho, Obu, Aichi, 474-8710, Japan. fujita708@hkg.odn.ne.jp.

Hidetoshi Mezawa (H)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Kyongsun Pak (K)

Division of Biostatistics, Department of Data Management, Center for Clinical Research and Development, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Osamu Uemura (O)

Department of Pediatrics, Ichinomiya Medical Treatment & Habilitation Center, 1679-2 Tomida-nagaresuji, Ichinomiya-city, Aichi, 494-0018, Japan.

Kiwako Yamamoto-Hanada (K)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Miori Sato (M)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Mayako Saito-Abe (M)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Yumiko Miyaji (Y)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Limin Yang (L)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Minaho Nishizato (M)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Yukihiro Ohya (Y)

Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Kenji Ishikura (K)

Department of Pediatrics, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.

Yuko Hamasaki (Y)

Department of Nephrology, Faculty of Medicine, Toho University, 6-11-1 Omori Nishi, Ota-ku, Tokyo, 143-8541, Japan.

Tomoyuki Sakai (T)

Department of Pediatrics, Shiga University of Medical Science, Tsukinowa, Otsu, Shiga, 520-2192, Japan.

Kazuna Yamamoto (K)

Department of Pediatrics, Shiga University of Medical Science, Tsukinowa, Otsu, Shiga, 520-2192, Japan.

Shuichi Ito (S)

Department of Pediatrics, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.

Masataka Honda (M)

Department of Pediatric Nephrology, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.

Yoshimitsu Gotoh (Y)

Department of Pediatric Nephrology, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, 2-9 Myoken-cho, Showa-ku Nagoya-shi, Aichi, 466-8650, Japan.

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