The correlation of blood pressure with height and weight in Korean adolescents aged 10—19 years; The Korean National Health and Nutrition Examination Surveys (2009—2011)

Young-Hwan Song
January 2014
Korean Journal of Pediatrics;Jan2014, Vol. 57 Issue 1, p35
Academic Journal
Purpose: Height-specific blood pressure (BP) is the standard parameter used to diagnose childhoodhypertension. However, there has been some argument that weight may be a better variable than height inthe reference BP standards. Therefore, before assessing the BP status using the reference BP standards,a basic understanding of the fundamental association of weight and height with BP is required. Methods: In the present study, we analyzed the correlation of BP with height and weight in Koreanadolescents (age, 10-19 years), using data from the Korean National Health and Nutrition ExaminationSurveys (2009-2011). Results: Systolic BP (SBP) was more closely correlated with weight than with height in the normalweight (body mass index [BMI], ≤85th percentile) and overweight (BMI, >85th percentile) groups andin the normal waist circumference (WC, ≤90th percentile) and high WC (>90th percentile) groupsin both sexes. Diastolic BP (DBP) had a higher correlation with height than with weight in the normalweight and normal WC groups, whereas weight was more closely associated with DBP than height inthe overweight and high WC groups in both boys and girls. Conclusion: In Korean adolescents, weight had a greater effect on SBP than height in both the normalweight and overweight groups. DBP was mainly affected by height in the normal weight group, whereasweight was the major determinant of DBP in the overweight group. Therefore, it may be necessary toconsider weight in the establishment of reference BP standards.


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