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Prevalence of high blood pressure and high normal blood pressure among 7- to 17-year-old children and adolescents in developed regions, China from 2014 to 2017: using new national blood pressure reference for Chinese children and adolescents

Journal of Human Hypertension volume 33, pages 400–410 (2019)Cite this article

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Abstract

As the first blood pressure (BP) reference considering influence of height in China, national blood pressure reference for Chinese han children and adolescents aged 7 to 17 years (CCBP) was issued in 2017. The current study aimed to observe the short-term trends in BP and prevalence of high blood pressure (HBP) and high normal blood pressure (HNBP) using this CCBP reference in Suzhou, China. Data of children and adolescents aged 7 to 17 years were collected from 2014 to 2017. Total population of 2014 to 2017 were 617,383, 684,453, 695,302, and 774,605, respectively, and proportions of males were 54.1%, 54.0%, 53.9%, and 53.8%, respectively. P-trend tests were conducted to examine the trends of BP among different age, region, body mass index, and socioeconomic status groups for each gender. Multivariate logistic regression analyses found secular decreases in prevalence of HBP and HNBP, after adjustment for potential confounders. Compared with that in 2014, the odds ratios (95% confidence intervals) for total study population were 0.936 (0.928, 0.944) in 2015, 0.879 (0.872, 0.887) in 2016, and 0.934 (0.926, 0.941) in 2017. In conclusion, prevalence of HBP and HNBP decreased among children and adolescents in developed regions of China from 2014 to 2017, and a slight rise were found in 2017.

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Acknowledgements

We gratefully acknowledge all participating children and their parents for their collaboration.

Funding

This study was supported by the Youth Program of Reinvigorating the Health through Science and Education in Suzhou, China (kjxw2015035).

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Authors and Affiliations

  1. Suzhou Center for Disease Prevention and Control, Suzhou, Jiangsu, China

    Jia Hu, Hui Shen, Jing-zhi Wu, Qi Xiao, Chen-gang Teng, Fang Liu & Hai-bing Yang

  2. Health Center for Women and Children of Gusu District, Suzhou, Jiangsu, China

    Guang-ping Chu

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Hu, J., Shen, H., Wu, Jz. et al. Prevalence of high blood pressure and high normal blood pressure among 7- to 17-year-old children and adolescents in developed regions, China from 2014 to 2017: using new national blood pressure reference for Chinese children and adolescents. J Hum Hypertens 33, 400–410 (2019). https://doi.org/10.1038/s41371-019-0183-1

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