Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension
Blood pressure (BP) tracking from childhood to adulthood has two aspects: the ranking stability relative to others over time and the prediction of future values. This study investigates BP tracking in children and adolescents in Germany in the context of hypertension risk factors. BP was measured an...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2018/8429891 |
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| author | Giselle Sarganas Angelika Schaffrath Rosario Claudia Niessner Alexander Woll Hannelore K. Neuhauser |
| author_facet | Giselle Sarganas Angelika Schaffrath Rosario Claudia Niessner Alexander Woll Hannelore K. Neuhauser |
| author_sort | Giselle Sarganas |
| collection | DOAJ |
| description | Blood pressure (BP) tracking from childhood to adulthood has two aspects: the ranking stability relative to others over time and the prediction of future values. This study investigates BP tracking in children and adolescents in Germany in the context of hypertension risk factors. BP was measured and analyzed in 2542 participants of the German Health Examination Survey for Children and Adolescents (t0 2003-2006; 3 to 17-year olds) and of a six year follow-up “Motorik Modul” (t1 2009-2012; 9 to 24-year olds). BP tracking coefficients were calculated from Spearman’s rank-order correlations. Predictive values and logistic regression models were used to forecast t1-BP above the hypertension threshold from t0-BP as well as from baseline and follow-up hypertension risk factors. BP tracking was moderate (0.33-0.50 for SBP and 0.19-0.39 for DBP) with no statistically significant differences between sex and age groups. Baseline hypertensive BP was the strongest independent predictor of hypertensive BP at follow-up (OR 4.3 and 3.4 for age groups 3-10 and 11-17 years) after adjusting for sex, BMI trajectories, birthweight, parental hypertension, and age-group dependent-sports/physical activity. However, the positive predictive value of baseline hypertensive BP for hypertensive BP at follow-up in 3- to 10-year olds was only 39% (34% in 11- to 17-year olds) and increased only moderately in the presence of additional risk factors. Our analysis with population-based data from Germany shows that BP in children and adolescents tracks only moderately over six years. BP in childhood is the strongest independent predictor of future BP but its predictive value is limited. |
| format | Article |
| id | doaj-art-06934e45cb8f4844addca5d1953a73b9 |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-06934e45cb8f4844addca5d1953a73b92025-02-03T07:24:51ZengWileyInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/84298918429891Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for HypertensionGiselle Sarganas0Angelika Schaffrath Rosario1Claudia Niessner2Alexander Woll3Hannelore K. Neuhauser4Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, GermanyRobert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, GermanyInstitute for Sports and Sport Science, Karlsruhe Institute of Technology, Karlsruhe, GermanyInstitute for Sports and Sport Science, Karlsruhe Institute of Technology, Karlsruhe, GermanyRobert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, GermanyBlood pressure (BP) tracking from childhood to adulthood has two aspects: the ranking stability relative to others over time and the prediction of future values. This study investigates BP tracking in children and adolescents in Germany in the context of hypertension risk factors. BP was measured and analyzed in 2542 participants of the German Health Examination Survey for Children and Adolescents (t0 2003-2006; 3 to 17-year olds) and of a six year follow-up “Motorik Modul” (t1 2009-2012; 9 to 24-year olds). BP tracking coefficients were calculated from Spearman’s rank-order correlations. Predictive values and logistic regression models were used to forecast t1-BP above the hypertension threshold from t0-BP as well as from baseline and follow-up hypertension risk factors. BP tracking was moderate (0.33-0.50 for SBP and 0.19-0.39 for DBP) with no statistically significant differences between sex and age groups. Baseline hypertensive BP was the strongest independent predictor of hypertensive BP at follow-up (OR 4.3 and 3.4 for age groups 3-10 and 11-17 years) after adjusting for sex, BMI trajectories, birthweight, parental hypertension, and age-group dependent-sports/physical activity. However, the positive predictive value of baseline hypertensive BP for hypertensive BP at follow-up in 3- to 10-year olds was only 39% (34% in 11- to 17-year olds) and increased only moderately in the presence of additional risk factors. Our analysis with population-based data from Germany shows that BP in children and adolescents tracks only moderately over six years. BP in childhood is the strongest independent predictor of future BP but its predictive value is limited.http://dx.doi.org/10.1155/2018/8429891 |
| spellingShingle | Giselle Sarganas Angelika Schaffrath Rosario Claudia Niessner Alexander Woll Hannelore K. Neuhauser Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension International Journal of Hypertension |
| title | Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension |
| title_full | Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension |
| title_fullStr | Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension |
| title_full_unstemmed | Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension |
| title_short | Tracking of Blood Pressure in Children and Adolescents in Germany in the Context of Risk Factors for Hypertension |
| title_sort | tracking of blood pressure in children and adolescents in germany in the context of risk factors for hypertension |
| url | http://dx.doi.org/10.1155/2018/8429891 |
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