Journal Article

Determinant factors of values of clinical and ambulatory Nblood pressure in childhood and adolescence in children from hypertensive parents (II)

A. Martínez-Berganza Asensio, E. Lurbe Ferrer, M. Torró Doménech, A. Ramírez Gómara

2006

Overview

Objective: To determine which are the determinant factors of values of clinical and ambulatory blood pressure (BP) in children from hypertensive parents. Material and methods: 108 children and adolescent (51 girls) were included in the study between ages from 6 to 18 years old. In all cases, the father, mother or even both had been diagnosed of essential arterial hypertension. 105 controls (54 girls) were included in the study with similar age range and sex. The measures of clinical BP were taken with a mercury sphygmomanometer and the measures of ambulatory BP (ABPM) were taken with a \"Spacelabs 90207\" oscillometric set, taking measures every 20 minutes during the activity period (from 08:00 to 22:00 h) and every 30 minutes during the sleep period (from 00:00 to 06:00 h). A multiple lineal regression study was carried out in order to judge the determinant factors of values of clinical and ambulatory BP; considering as independent variables the age, sex, height, obesity, newborn´s weight and the previous hypertension history within the family. Results: To be a son of hyper tense parents is the main determinant of values of BP systolic (SBP) clinical and ambulatory systolic, whichever period considered, of values of BP diastolic (DBP) clinical and ambulatory of 24 h and of the activity period when other parameters as age, sex, height and the newborn´s weight are included in the study. Conclusions: At the pediatric age, to be a son of hypertensive parents is a determinant factor for the hypertension development and shows its effect in the BP yet in the second decade of life. That´s why this must be kept in mind when assessing the routine health control.

• Publisher: Ediciones Mayo