ArticleHypertension (Dallas, Tex. : 1979)2019
Utility of Different Blood Pressure Measurement Components in Childhood to Predict Adult Carotid Intima-Media Thickness.
Article in Hypertension (Dallas, Tex. : 1979), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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25 citing papers in PubMed.
- Australian Guideline for the Identification and Management of Hypertension in Children and Adolescents.Journal of paediatrics and child health · 2026Article
- Early life factors, blood pressure percentile trajectories, and elevated blood pressure in children.Pediatric research · 2026Article
- Trends and risk factors of hypertension in US Children and Adolescents, 1999-2023.Journal of human hypertension · 2026Observational
- Placental epigenetic age and adolescent blood pressure: the Extremely Low Gestational Age Newborn cohort.Pediatric research · 2025Article
- Lifelong impact of elevated blood pressure from childhood to adulthood.Clinical and experimental pediatrics · 2025Article
- The intergenerational metabolic-cardiovascular life course: maternal body mass index (BMI), offspring BMI, and blood pressure of adolescents born extremely preterm.Pediatric nephrology (Berlin, Germany) · 2025Observational
- Pediatric Blood Pressure and Cardiovascular Health in Adulthood.Current hypertension reports · 2024Review
- Article
- Blood Pressure at Different Life Stages Over the Early Life Course and Intima-Media Thickness.JAMA pediatrics · 2024Article
- Secular trends and age-specific distribution of blood pressure in Japanese adolescents aged 12-18 years in 2000-2019.Hypertension research : official journal of the Japanese Society of Hypertension · 2024Article
- Impact of Lipids and Vascular Damage on Early Atherosclerosis in Adolescents with Parental Premature Coronary Artery Disease.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2024Article
- Physical Activity Over the Lifecourse and Cardiovascular Disease.Circulation research · 2023Review
- Use of clinical scores in young Australian adults for prediction of atherosclerosis in middle age.BMC cardiovascular disorders · 2023Article
- Prevalence and subtypes of hypertension in normal-weight and obese Indian adolescents: a cross-sectional study.Journal of human hypertension · 2022Article
- Prevalence of and Factors Associated With High Blood Pressure Among Adolescents in India.JAMA network open · 2022Article
- Association Between Extraversion Personality With the Blood Pressure Level in Adolescents.Frontiers in cardiovascular medicine · 2022Article
- Traffic-related air pollution is associated with glucose dysregulation, blood pressure, and oxidative stress in children.Environmental research · 2021Article
- Prenatal metal mixtures and child blood pressure in the Rhea mother-child cohort in Greece.Environmental health : a global access science source · 2021Article
- Blood Pressure Tracking From Childhood to Adulthood.Frontiers in pediatrics · 2021Review
- Early Vascular Aging in Children With Type 1 Diabetes and Ambulatory Normotension.Frontiers in pediatrics · 2021Article
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Abstract
Childhood blood pressure (BP) levels predict adult subclinical atherosclerosis. However, the best childhood BP component for prediction has not been determined. This study comprised 5925 participants aged 3 to 18 years from 6 cohorts who were followed into adulthood (mean follow-up 25.8±6.2 years). Childhood BP was measured by using a standard mercury sphygmomanometer in all cohorts. Study-specific carotid intima-media thickness ≥90th percentile was used to define subclinical atherosclerosis. Per SD change in the predictor, childhood systolic BP (SBP; age- and sex-adjusted odds ratio [95% CI], 1.24 [1.13-1.37]), mean arterial pressure (1.10 [1.07-1.13]), and pulse pressure (1.15 [1.05-1.27]) were associated with increased adulthood intima-media thickness. In age- and sex-adjusted analyses, area under the receiver operating characteristic curves for SBP ( C value [95% CI], 0.677 [0.657-0.704]) showed significantly improved prediction compared with diastolic BP (0.669 [0.646-0.693], P=0.006) or mean arterial pressure (0.674 [0.653-0.699], P=0.01). Pulse pressure provided a C value that was not different from SBP (0.676 [0.653-0.699], P=0.16). Combining different BP components did not improve prediction over SBP measurement alone. Based on the associations with adult carotid intima-media thickness, cut points for elevated SBP were 105 mm Hg for 3- to 6-year-old boys, 108 mm Hg for 3- to 6-year-old girls, 108 mm Hg for 7- to 12-year-old boys, 106 mm Hg for 7- to 12-year-old girls, 123 mm Hg for 13- to 18-year-old boys, and 115 mm Hg for 13- to 18-year-old girls. Our analyses suggest that several childhood BP measurement components are related to adulthood carotid intima-media thickness. Of these, SBP provided the best predictive ability.
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