Trial reportBMC public health2017
Prevalence of high blood pressure subtypes and its associations with BMI in Chinese children: a national cross-sectional survey.
Trial report in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Trends and Status of the Prevalence of Elevated Blood Pressure in Children and Adolescents in China: a Systematic Review and Meta-analysis.Current hypertension reports · 2019Pooled it
- Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China.PloS one · 2021Trial
- Adiposity and Blood Pressure in Children and Adolescents: A National Cross-Sectional Study in China.Healthcare (Basel, Switzerland) · 2026Article
- The association of gene polymorphisms in SREBP and its interaction with nutritional status on blood pressure phenotypes among children: a cross-sectional study.BMC cardiovascular disorders · 2025Article
- Etiology and Medication of Hospitalized Children With Hypertension: A Retrospective Study.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Prevalence of childhood hypertension and associated factors in Zhejiang Province: a cross-sectional analysis based on random forest model and logistic regression.BMC public health · 2024Article
- Prevalence and subtypes of hypertension in normal-weight and obese Indian adolescents: a cross-sectional study.Journal of human hypertension · 2022Article
- Sleep duration and risk of high blood pressure in Thai adolescents: the Thai National Health Examination Survey V, 2014 (NHES-V).BMC public health · 2022Article
- Hypertension and Associated Risk Factors among Children with Intellectual Disability: A Cross-Sectional Study.Nutrients · 2022Article
- Article
- Trends in the association between body mass index and blood pressure among 19-year-old men in Korea from 2003 to 2017.Scientific reports · 2022Article
- The association between growth patterns and blood pressure in children and adolescents: A cross-sectional study of seven provinces in China.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Body mass index trajectory from childhood to puberty and high blood pressure: the China Health and Nutrition Survey.BMJ open · 2021Article
- Isolated diastolic high blood pressure: a distinct clinical phenotype in US children.Pediatric research · 2021Article
- Effect of fat mass index, fat free mass index and body mass index on childhood blood pressure: a cross-sectional study in south China.Translational pediatrics · 2021Article
- Body Mass Index Trajectories and Duration of Obesity in Thai Children Diagnosed with Hypertension.Global pediatric health · 2021Article
- Elevated blood pressure and its relationship with bodyweight and anthropometric measurements among 8-11-year-old Indonesian school children.Journal of public health research · 2020Article
- A novel indicator, childhood lipid accumulation product, is associated with hypertension in Chinese children and adolescents.Hypertension research : official journal of the Japanese Society of Hypertension · 2020Article
- The association between digit ratio (2D:4D) and blood pressure among children and adolescents.Hypertension research : official journal of the Japanese Society of Hypertension · 2019Article
- Associations of the adrenomedullin gene polymorphism with prehypertension and hypertension in Lithuanian children and adolescents: a cross-sectional study.Scientific reports · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundData on prevalence and characteristics of different high blood pressure subtypes are lacking among Chinese children. Regarding the mechanistic differences between isolated systolic high blood pressure and isolated diastolic high blood pressure and their different impact on end organ diseases, it is necessary to examine the prevalence of different high blood pressure subtypes in Chinese children and explore their associations with adiposity.
methodsData were derived from the baseline data of a multi-centered cluster randomized controlled trial involving participants from China. High blood pressure was defined according to age-, gender- and height-specific 95th percentile developed by the National High Blood Pressure Education Program Working Group. Body mass index was used to classify underweight, normal weight, overweight and obesity.
resultsThe prevalence of HBP was 10.2% and 8.9% for boys and girls, respectively. Isolated systolic high blood pressure is the dominant high blood pressure subtype among Chinese boys aged 6-17 years and girls aged 12-17 years, while isolated diastolic high blood pressure was the most common high blood pressure subtype in girls aged 6-11 years. In boys, the status of overweight doubled the risk of isolated systolic high blood pressure (95% CI, 1.73, 2.31; P < 0.001) compared with the normal weight group, and the risk for obese children was 4.32 (95% CI, 3.81, 4.90; P < 0.001). The corresponding odds ratios in girls were 2.04 (95% CI, 1.68, 2.48, P < 0.001) for overweight, and 4.0 (95% CI, 3.36, 4.76, P < 0.001) for obesity. Similar patterns were also observed in the association between combined systolic and diastolic high blood pressure and adiposity.
conclusionThe distribution of high blood pressure subtypes in boys differed from those in girls, and boys with adiposity showed a higher risk of high blood pressure than their female counterpart. Difference in strength of association between isolated diastolic high blood pressure and isolated systolic high blood pressure with body mass index was also found. These results may aid current strategies for preventing and controlling pediatric hypertension.
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