Evidence map›Paper›PMID 29351738›Full record

ArticleBMC cardiovascular disorders2018

Oscillometric blood pressure by age and height for non overweight children and adolescents in Lubumbashi, Democratic Republic of Congo.

Emmanuel Kiyana Muyumba, Dophra Ngoy Nkulu, Clarence Kaut Mukeng, Jacques Mbaz Musung, Placide Kambola Kakoma, Christian Ngama Kakisingi, Oscar Numbi Luboya, Françoise Kaj Malonga, Justin Kalungwe Kizonde, Olivier Mukuku and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Emmanuel Kiyana MuyumbaDepartment of Internal Medicine, Sendwe Hospital, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Dophra Ngoy NkuluDepartment of Internal Medicine, Sendwe Hospital, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Clarence Kaut MukengDepartment of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Jacques Mbaz MusungDepartment of Internal Medicine, University Clinic, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Placide Kambola KakomaDepartment of Internal Medicine, Sendwe Hospital, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Christian Ngama KakisingiDepartment of Internal Medicine, Sendwe Hospital, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Oscar Numbi LuboyaDepartment of Pediatrics, University Clinic, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Françoise Kaj MalongaSchool of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Justin Kalungwe KizondeDepartment of Gynecology, Clinical University of Lubumbashi, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Olivier MukukuDepartment of Pediatrics, University Clinic, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo. oliviermukuku@yahoo.fr.ORCID 0000-0001-6902-7023
Weili YanDepartment of Clinical Epidemiology, Children's Hospital of Fudan University, 399 Wanyuan Road, Shanghai, 201102, China.
University of Lubumbashi · CDChildren's Hospital of Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe diagnosis of hypertension in children is complex because based on normative values by sex, age and height, and these values vary depending on the environment. Available BP references used, because of the absence of local data, do not correspond to our pediatric population. Accordingly, our study aimed to provide the BP threshold for children and adolescents in Lubumbashi (DRC) and to compare them with German (KIGGS study), Polish (OLAF study) and Chinese (CHNS study) references.

methodsWe conducted a cross-sectional study among 7523 school-children aged 3 to 17 years. The standardized BP measurements were obtained using a validated oscillometric device (Datascope Accutor Plus). After excluding overweight and obese subjects according to the IOTF definition (n = 640), gender-specific SBP and DBP percentiles, which simultaneously accounted for age and height by using an extension of the LMS method, namely GAMLSS, were tabulated.

resultsThe 50th, 90th and 95th percentiles of SBP and DBP for 3373 boys and 3510 girls were tabulated simultaneously by age and height (5th, 25th, 50th, 75th and 95th height percentile). Before 13 years the 50th and 90th percentiles of SBP for boys were higher compared with those of KIGGS and OLAF, and after they became lower: the difference for adolescents aged 17 years was respectively 8 mmHg (KIGGS) and 4 mmHg (OLAF). Concerning girls, the SBP 50th percentile was close to that of OLAF and KIGGS studies with differences that did not exceed 3 mmHg; whereas the 90th percentile of girls at different ages was high. Our oscillometric 50th and 90th percentiles of SBP and DBP were very high compared to referential ausculatory percentiles of the CHNS study respectively for boys from 8 to 14 mmHg and 7 to 13 mmHg; and for girls from 10 to 16 mmHg and 11 to 16 mmHg.

conclusionsThe proposed BP thresholds percentiles enable early detection and treatment of children and adolescents with high BP and develop a local program of health promotion in schools and family.

Indexed as

Blood PressureBody HeightBody WeightAdolescentAge FactorsBlood Pressure DeterminationChildChild, PreschoolChinaCross-Sectional StudiesDemocratic Republic of the CongoEarly DiagnosisEuropeFemaleHumansHypertensionAdolescentsBlood pressureChildrenGMLSSLMSLubumbashiPercentile tables

Identifiers

PMID29351738
PMCPMC5775618
OpenAlexW2790548469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.