Abstract
The determinants of blood pressure level were analyzed in a group of 1154 Jerusalem school children aged 12.
After controlling for age, significant differences in blood pressure measurements were found between three groups: boys, pre-menarche girls and post-menarche girls. A comparison of the means of selected biological variables showed that girls who have reached menarche have levels of systolic blood pressure, weight, height and Quetelet's index higher than boys and pre-menarche girls. However, levels of triceps skinfold thickness and pulse rate were similar in the two groups of girls and higher than in boys. Using multiple regression analysis, we found that much of the variance (boys 29%, post-menarche girls 21% and pre-menarche girls 15%) of systolic blood pressure, could be explained by a combination of biological variables (Quetelet, pulse rte, triceps skinfold thickness and height) while these variables explained a much 'smaller proportion (boys 12%, postmenarche girls 17% and pre-menarch 9%) of diastolic blood pressure variance. The predictive power of systolic blood pressure by the measured biological variables was higher in boys than in girls, However, diastolic blood pressure was better predicted by the biological variables in the group of girls with menarche than in other groups.
Elevated blood pressure was observed in 3.2% of the examined children. High values for Quetelet's index were observed in 6.4%. The prevalence of elevated measurements of blood pressure and Quetelet's index were significantly higher in girls with menarche. Among children aged 12, the association between socio-demographic characteristics and blood pressure level was weak, as measured in multiple regression analysis.
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References
BeagleholeR., EylesE., SalmondC. and PriorI. (1978): Blood pressure in TokelaATan Children in two contrasting environments. - Am. J. Epidemiol. 108: 283–288.
BironP., MongeanJ.G. and BertrandD. (1975): Familial aggregation of blood pressure in adopted and natural children. In: Paul O. (ed.), Epidemiology and control of hypertension. - Stuttgart: Thieme, pp. 279–405.
Central Bureau of Statistics in Israel (1972): The standard classification of occupations. — Technical publications series no. 38 pp. 1–253.
ChiangB.N., PerlmanC.V. and EpsteinF.H. (1969): Overweight and hypertension. A Review. - Circulation. 39: 403–421.
EpsteinL., TamirA. and PerlmanS. (1981): Blood pressure and hypertension among Israeli high school students. - J. Chron. Dis. 34: 321–329.
HolandW.W., BerensfordS.A.A. (1975): Factors influencing blood pressure in children. In: Epidemiology and Control of Hypertension. Edited by O. Paul, Stratton Intercontinental Medical Book Corporation, New York and London, pp. 375–386.
HunterS., MacD., FrerichsR.R., WebberL.S. and BerensonG.S. (1979): Social Status and Cardiovascular disease risk factor variables in children: The Bogalusa -heart study. - J. Chron. Dis. 32: 339–441.
LauerR.M., ClarkeW.R. and BeagleholeR. (1984): Level, trend and variability of blood pressure during childhood: The Muscatine Study Circulation 69: 242–249.
LewisB.S., HarlapS., BarasM., Bar-OnH., WittH.F., DaviesA.M. and GotsmanM.S. (1982): Association of blood pressure with ethnic origin in 17 year olds. The Jerusalem lipid research clinic prevalence study. - Isr. J. M ed. Sci. 18: 1210–1216.
LippertP., HoffmeisterH., ThefeldW., LopezH. and EichbergJ. (1981): Cardiovascular and pulmonary risk factors in Berlin (West) school-children: Findings of an exploratory study. - Prev. Med. 10: 159–171.
LandS., JohansonA., KronemerN.S. et al. (1975): Blood pressure and puberty. - J. Pediatr. 87: 896–900.
LondeS. (1966): Blood pressure in children as determined under office conditions. - Clin. Pediatr. 6: 71–75.
LondeS., BurgiugnieJ.J. and RobsonA.M. (1979): Hypertension in apparently normal children. - J. Pediatr. 78: 569–577.
OrchardT.J., RoodgersM., HedleyA.J. and MitchellI.R.A. (1980): Changes in blood lipids and blood pressure during adolescence. - Brit. Med. J. 280: 1563–1567.
RicheyH.G. (1981): The blood pressure in boys and girls before and after puberty. - Am. J. Dis. child. 42: 1281–1330.
RosnerB., HennekensC.H., KassE.H. and MiallW.E. (1977): Age-specific correlation analysis of longitudinal blood pressure data. - Am. J. Epidemiol. 106: 306–313.
VoorsA.W., FosterT.A., FreirichsR.R., WebberL.S., BerensonG.S. (1976): Studies of blood pressure in children aged 5–14 years in total bi-racial community. The Bogalusa heart study. - Circulation, 54: 319–327.
VoorsA.W., WebberL.S. and BerensonG.S. (1977): A consideration of essential hypertension in the pediatric age. - Pract. Cardiol. 3: 29–40.
VoorsA.W., WebberL.S.,FreirichsR.R. and BerensonG.S. (1977): Body height and body mass as determinants of basal blood pressure in children. The Bogalusa heart study. - Am. J. Epidemiol. 106: 101–108.
VoorsA.W., WebberL.S. and BerensonG.S. (1978): Blood pressure of children aged 2 1/2–5 1/2 years in a total biracial community. The Bogalusa Heart Study. - Am. J. Epidemiol. 107: 403–411.
VoorsA.W., WebberL.S. and BerensonG.S. (1979): Time course studies of blood pressure in children. The Bogalusa heart study. - Am. J. Epidemiol. 109: 320–333.
World Health Organization (1978): Study of the precursors of Atherosclerosis. Protocol of WHO Collaborative Project WHO/CVD/1.
WynderE.L., WilliamsC.L., LorksoK. and LevensteinM. (1981): Screening for risk factors for chronic disease in children from fifteen countries. -Prev. Med. 10: 121–132.
ZachariasL., WurtmanR.J. (1969): Age of menarch. Generic and environmental influences. - N. Eng. J. Med. 280: 268–875.
ZachariasL., RandW.M. and WurtmanR.J. (1976): Prospective study of sexual development and growth in American girls: The statistics of menarche. Obstet. and Gynecol. — Survey. 31: 325–337.
ZinnerS.H., LevyP.S. and KassE.H. (1971): Familial aggregation of blood pressure in childhood. -N. Eng. J. Med. 284: 401–404.
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Halfon, S.T., Tamir, D. & Bronner, S. Determinants of blood pressure in 7th grade Jerusalem school children. Eur J Epidemiol 3, 39–45 (1987). https://doi.org/10.1007/BF00145071
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DOI: https://doi.org/10.1007/BF00145071