5 first calculated normative BP values in non-overweight children only and, for this purpose, re-analysed the NHBPEP data 1 thus, reference BP values in childhood and adolescence are available for the US population in both the entire population 1 and non-overweight individuals. 4 However, the inclusion of overweight individuals in the normative BP values might lead to values as high as those that are used to define higher-than-normal BP in adults (for example, >120/80РІР‚вЂ°mmРІР‚вЂ°Hg), 2 being considered as РІР‚Вnormal BPРІР‚в„ў for a child.

1 Accordingly, the increased prevalence of paediatric hypertension previously reported 3 could be explained partly by the increased prevalence of overweight and obesity in children. Indeed the NHBPEP percentiles were stratified by height, but also included overweight and obese children. In particular, this gap has been filled by the publication of the Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents 1 by the National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (NHBPEP), who provided systolic (SBP) and diastolic (DBP) pressure percentiles stratified by sex and height from a large US representative population aged 1РІР‚вЂњ17 years.Р”В«P in children is determined by both height and, as for adults, 2 weight however, in the paediatric age group, the portion attributable to height may be physiological, whereas that contributed by excess weight may not be. As a result, BP distributions for children have only been published recently. Measuring blood pressure (BP) during physical examination in paediatric clinical practice was quite unusual until a few years ago. The present analysis provides updated and timely information about reference values for BP in children aged 2 to <11 years that may be useful for monitoring and planning population strategies for disease prevention. Sensitivity analysis, comparing BP distributions obtained in all children with those of non-overweight children, showed that the inclusion of overweight/obese individuals shifted the references values upward, in particular systolic BP in girls at the extreme percentiles. Diastolic BP norms were slightly higher in girls than in boys for similar age and height, while systolic BP values tended to be higher in boys starting from age 5 years. Percentiles of BP distribution in non-overweight children were provided by age and height strata, separately for boys and girls. The robustness of the models was tested by sensitivity analyses carried out in both population samples. Age- and height-specific systolic and diastolic pressure percentiles were calculated by GAMLSS, separately for boys and girls, in both the entire population ( n=16 937) and the non-overweight children only ( n=13 547). Standardised BP and anthropometric measures were obtained from children aged 2 to 10.9 years, participating in the 2007РІР‚вЂњ20РІР‚вЂњ2010 IDEFICS surveys. Design:Р”В¬ross-sectional analysis from the IDEFICS study ( database. To provide oscillometric blood pressure (BP) reference values in European non-overweight school children.

Pediatric blood pressure chart