İsmail ÖZANLİ, Sebahat TÜLPAR, Yunus YILMAZ, FATİH YILDIZ

Okul Çağı Çocukları için Kan Basıncı Persentilleri

Amaç: Çocukluk çağında ve adölesan dönemde hipertansiyon prevalansı gittikçe artmaktadır. 7-18 yaş arası çocukların kan basıncı değerlerini incelemeyi amaçladık.Yöntemler: Bu çalışmaya 27 okuldan toplam 3375 (1777 kız, 1598 erkek) çocuk dahil edildi. Çocukların kan basınçları kol çevresine uygun sfigmomanometre ile ölçüldü. Bulgular: Erkek ve kız çocuklarında sistolik ve diastolik kan basıncı ile vücut ağırlığı, boy, yaş ve vücut kitle indeksi arasında pozitif bir ilişki bulundu. Sistolik kan basıncı, 13 yaşından sonra erkeklerde kızlardan daha yüksekti. Diastolik kan basıncı 14 yaşından sonra erkeklerde kızlardan daha yüksekti. Sistolik kan basıncında ortalama yıllık artış erkeklerde 2.06 mmHg ve kızlarda 1.54 mmHg idi. Diastolik kan basıncında ortalama yıllık artış erkeklerde 1.52 mmHg ve kızlarda 1.38 mmHg idi.Sonuç: Bu çalışmada, Erzurum şehrinde 7-18 yaş arasındaki çocuklarda kan basıncı için eşik değerleri belirledik. Türk çocuklarının yaş, cinsiyet ve boy persentillerine göre kan basıncı persentillerini belirlemek için farklı bölgelerden elde edilen verilerin değerlendirilmesi ve kombine edilmesi gereklidir.

Blood Pressure Percentiles for School Children

Objective: The prevalence of hypertension in childhood and adolescence is gradually increasing. We aimed to investigate the blood pressure (BP) values of children aged 7-18 years.Methods: This study was conducted in a total of 3375 (1777 females, 1598 males) children from 27 schools. Blood pressures of children were measured using sphygmomanometer appropriate to arm circumference.Results: A positive relationship was found between systolic blood pressure (SBP) and diastolic blood pressure (DBP) and the body weight, height, age and body mass index (BMI) in male and female children. SBP was higher in males than females after the age of 13. DBP was higher in males than the females after the age of 14. The mean annual increase of SBP was 2.06 mmHg in males and 1.54 mmHg in females. The mean annual increase of DBP was 1.52 mmHg in males and 1.38 mmHg in females.Conclusion: In this study, we identified the threshold values for blood pressure in children between the age of 7 and 18 years in Erzurum province. It is necessary to combine and evaluate data obtained from various regions for the identification of BP percentiles according to the age, gender and height percentiles of Turkish children.

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