Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China

Objectives. This study aimed to compare performances of China reference and different national references on high blood pressure (HBP). Methods. A cross-sectional study including 695,302 children and adolescents aged 7 to 17 years in Suzhou, China, was conducted to determine the prevalence of HBP ba...

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Autores principales:	Min Zhang, Hai-Tao Zhang, Ri-Sheng Zha, Guo-Ping Gui, Di Han, Jia Hu, Hai-bing Yang, Hui Shen
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/b4aa04f8502242d09f3e1bc47f424809
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spelling	oai:doaj.org-article:b4aa04f8502242d09f3e1bc47f4248092021-11-22T01:11:26ZComparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China2090-039210.1155/2021/3976609https://doaj.org/article/b4aa04f8502242d09f3e1bc47f4248092021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/3976609https://doaj.org/toc/2090-0392Objectives. This study aimed to compare performances of China reference and different national references on high blood pressure (HBP). Methods. A cross-sectional study including 695,302 children and adolescents aged 7 to 17 years in Suzhou, China, was conducted to determine the prevalence of HBP based on U.S., international, Europe, and China references in 2016. Results. Different percentiles of height and blood pressure were found among four references. Referring to U.S. reference, the prevalence of HBP was the highest with 26.0%, followed by International reference with 20.0%, Europe reference with 19.5%, and China reference with 19.2%. McNemar tests indicated statistically significant differences between HBP prevalence comparing China reference with the other 3 references (P<0.001). The area under the curve was 0.947, 0.851, and 0.949 for U.S., international, and Europe reference, respectively. U.S. reference showed the highest sensitivity (98.2%), but the lowest specificity (91.2%), and Europe reference showed the highest kappa value (0.893). Conclusions. The prevalence of HBP varied among these four references, and the appropriate choice of reference would be important to recognize high-risk children and judge the trends of HBP prevalence in the targeted population.Min ZhangHai-Tao ZhangRi-Sheng ZhaGuo-Ping GuiDi HanJia HuHai-bing YangHui ShenHindawi LimitedarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENInternational Journal of Hypertension, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Min Zhang Hai-Tao Zhang Ri-Sheng Zha Guo-Ping Gui Di Han Jia Hu Hai-bing Yang Hui Shen Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China
description	Objectives. This study aimed to compare performances of China reference and different national references on high blood pressure (HBP). Methods. A cross-sectional study including 695,302 children and adolescents aged 7 to 17 years in Suzhou, China, was conducted to determine the prevalence of HBP based on U.S., international, Europe, and China references in 2016. Results. Different percentiles of height and blood pressure were found among four references. Referring to U.S. reference, the prevalence of HBP was the highest with 26.0%, followed by International reference with 20.0%, Europe reference with 19.5%, and China reference with 19.2%. McNemar tests indicated statistically significant differences between HBP prevalence comparing China reference with the other 3 references (P<0.001). The area under the curve was 0.947, 0.851, and 0.949 for U.S., international, and Europe reference, respectively. U.S. reference showed the highest sensitivity (98.2%), but the lowest specificity (91.2%), and Europe reference showed the highest kappa value (0.893). Conclusions. The prevalence of HBP varied among these four references, and the appropriate choice of reference would be important to recognize high-risk children and judge the trends of HBP prevalence in the targeted population.
format	article
author	Min Zhang Hai-Tao Zhang Ri-Sheng Zha Guo-Ping Gui Di Han Jia Hu Hai-bing Yang Hui Shen
author_facet	Min Zhang Hai-Tao Zhang Ri-Sheng Zha Guo-Ping Gui Di Han Jia Hu Hai-bing Yang Hui Shen
author_sort	Min Zhang
title	Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China
title_short	Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China
title_full	Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China
title_fullStr	Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China
title_full_unstemmed	Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China
title_sort	comparison of china reference with different national and international references: the prevalence of high blood pressure in 695,302 children and adolescents in a metropolis of yangtze river delta, china
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/b4aa04f8502242d09f3e1bc47f424809
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Comparison of China Reference with Different National and International References: The Prevalence of High Blood Pressure in 695,302 Children and Adolescents in a Metropolis of Yangtze River Delta, China

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